MRI of primary brain lymphoma diagnosis and misdiagnosis.doc

 PAGE \* MERGEFORMAT 16 MRI of primary brain lymphoma diagnosis and misdiagnosis Of: Li Lei Liu Zhicheng Officer Paul Photo Xun Liu Ting Zhang Gang [Abstract] Objective To investigate the performance of MRI of intracranial lymphoma, analysis of the causes of misdiagnosis in order to improve brain MRI of primary lymphoma diagnosis. Methods Retrospective analysis of 14 cases of primary lymphoma of the brain MRI manifestations and causes of misdiagnosis. Results of primary intracranial lymphoma mostly lower signal T1WI, T2WI showed equal or slightly higher signal, FLAIR was slightly higher or high signal, DWI, or slightly more for the high signal. Gd-DTPA enhanced MRI lesions were mostly significantly enhanced. lesions can be multiple forms nodular, or irregular shape of block, invasion and the corpus callosum was when “butterfly sign” .14 MRI correctly diagnosed cases, 5 cases of misdiagnosis, 9 cases of intracranial lymphoma misdiagnosed mainly because of uncertainty area and MRI manifestations of diversity. Conclusions MRI can better analyze the morphological changes of intracranial lymphoma and signal characteristics of the disease process of change can be tracked, but the misdiagnosis rate, need to further improve the diagnostic accuracy of this disease. [Key Words] Intracranial; lymphoma; magnetic resonance imaging; diagnosis; Misdiagnosis [Abstract] Objective To improve the MRI diagnostic level of intracranial primary lymphoma, we discuss the MRI findings and analyze misdiagnosis reason. Methods 14 cases of intracranial primary lymphoma MRI findings were retrospectively analyzed. Results Primary intracranial lymphoma mostly showed slightly hypointense on T1WI, isointense or slightly hyperintense on T2WI, slightly hyperintense or hyperintense on FLAIR and DWI. The lesions were mostly significantly enhanced after Gd-DTPA enhancement scanning. The shape of lesions was multiple nodular, masslike or irregular, when encroaching corpus callosum it appe