胶质母细胞瘤的磁共振动态增强诊断.pdfVIP

DOI :10.13609/ki .1000 -0313.2011.09.025 2011 9 26 9 　Radiol Practice, Sep 2011, Vol 26, No.9 949 · · 孙梦恬, 程敬亮, 张勇, 王斐斐, 孟云 【】　:探讨胶质母细胞瘤的 MRI 动态增强表现。:搜集67 例胶质母细胞瘤患 的临床及影像资料, 回 顾性分析其磁共振动态增强表现特点。:67 例胶质母细胞瘤中, 单发 63 例, 多发 4 例。M RI 动态增强均呈明显 不均质强化, 其中28 例呈花环样强化, 15 例呈环形强化, 11 例呈结节状强化, 13 例呈囊实性强化。 时间-信号强度曲线20 例(29.9%)呈缓升型, 28 例(42.0%)呈平台型, 19 例(28.4%)呈速升型。:胶质母细胞瘤的 MRI 动态增强具有 一定 的特征性, 平台型时间-信号强度曲线有助于明确诊断。 【】　胶质母细胞瘤;磁共振成像;病理学 【】R739.1;R445.2　【】A 　【】1000-0313(2011)09-0949-04 The dynamic contrast-enhanced MR study in glioblastoma　S UN Men -tian, CH ENG Jin -lian , ZH A NG Yon , et al.De- partment of Me netic Resonance, the First Affiliated H ospital of Zhen zhou University,Zhen zhou 450052, P.R.China 【Abstract】　Objective:T o evaluate dynamic contrast-enhanced MR ima in features of lioblastoma.Methods:A retro- spective review of 67 patients with lioblastoma was perfomed.The dynamic contrast-enhanced M R ima es of each case were review ed.Results:In all of 67 cases, sin le lesion w as found in 63 patients, multiple lesions in 4 patients.All the leisions showed marked hetero eneous enhancement, and appeared in four types of pattems:rin enhancement, circular enhance- ment, nodular enhancement and solid-cy stic enhancement.The time si nal-intensity curves (T IC)w ere radual pro ression in 20 cases, no or sli ht pro ression in 28 cases and rapid pro ression in 19 cases.Conclusion:The sli ht pro ression in the dynamic contrast-enhanced MRI of the lioblastoma contributes to confirm the dia nosis. 【Key words】　Glioblastoma;Man etic resonance ima in ;Patholo y 　　 2. , 22.3 %, Siemens 3.0Trio Tim I-class M R 10 .2%,, , 。 1 2 2 1 。