MRI in low grade gliomas after gamma knife value evaluation.doc

 PAGE \* MERGEFORMAT 15 MRI in low grade gliomas after gamma knife value evaluation Of: Guo Yihong Wu Xi Biaodengyinhui Houzhong Jun Li Xi Chen Yaotang [Abstract] Objective To investigate the low grade glioma (Ⅰ - Ⅱ level evaluation of the efficacy of gamma knife surgery, and MRI in the evaluation. Methods 52 low grade glioma patients with Gamma Knife , postoperative MRI follow-up review conducted on data obtained by analysis of 140, based on changes in lesion size were evaluated after each phase of the effect, and to study the response characteristics of lesion enhancement after surgery, and long-term outcome after follow-up. Meanwhile, with the corresponding CT data relative ratio of 46 to study the MRI lesions are shown in the edge. Results were calculated sub-time rates were 30%, 36.4%, 50%, 68%, 69.2% and 73.1 %. enhanced MRI lesions increases with the existence of cystic degeneration and necrosis associated .32.7% of patients after gamma knife radiation treatment of edema. 57.7% of patients after MRI enhancement, characterized by lace-like enhancement can also be patchy. 80% of patients 1 year after the first time in the MRI enhancement, then the MRI enhancement in some cases can be reduced or disappear. strengthen the lesion appears larger and heavier perifocal edema was a positive correlation. strengthen and widen the range of cystic lesions of necrosis was positively related. MRI of the lesion border and lesion enhancement and perifocal edema in the display of advantages over CT. Conclusion gamma knife radiosurgery for low-grade gliomas have a certain effect. MRI changes after radiation therapy reflects the change in size, MRI enhancement, cystic necrosis, radiation edema. MRI mostly enhanced radiation response enhancement, and other factors between the closely related, and its lace-like enhancement with specificity. in the lesions and treatment evaluation are shown on the MR is superior to CT. [Keywords:] magnetic resonance imaging, brain, gl