脑转移瘤在低场MRI诊断及鉴别诊断.docVIP

脑转移瘤在低场MRI诊断及鉴别诊断[摘要]目的探讨脑转移瘤在低场MR的表现,以提高诊断及鉴别诊断水平。方法 回顾性分析经手术病理或临床证实的47例脑转移瘤的MR平扫及增强扫描图像表现。结果脑转移瘤幕上37例,幕下6例,幕上、幕下同时发生4例;多发脑转移瘤41例、单发脑转移瘤6例;瘤周无水肿3例、轻度水肿8例、中度水肿11例、重度水肿25例;增强扫描共发现158个瘤灶,T1WI 低信号112个、等信号32个、混杂信号14个,T2WI 高信号115个、混杂信号39个、等信号4个;T1WI强化,斑片强化23个、环形强化61个、结节强化63个、不规则强化11个。结论MRI平扫及增强扫描对脑转移瘤的诊断及鉴别诊断具有重要价值。 [关键词]磁共振成像;脑转移瘤;诊断及鉴别诊断 [中图分类号]R445.2 [文献标识码]A [文章编号] 1005-0515(2010)-8-225-01 Diagnosis and Differential Diagnosis of low-field MRI in Brain Metastasis Zhou Wei-qiang Lin Fa-hon (Department of CT and MRI , the third Hospital of Zigong City) [Abstract]Objective To study the MRI characteristics of brain metastasis, and to improve the diagnostic accuracy of brain metastasis. Methods To collect 47 cases of brain metastases diagnosed by clinical and surgical pathology, and to retrospectively analyse their MRI characteristics.. Results37 cases were Supratentorial metastasis , 6 cases were infratentorial metastasis,4 cases were Supratentorial and infratentorial metastasis; 41 cases were multiple brain metastasis,6 cases were Single brain metastases ; 3 cases were without hydropsia, 3 cases were with mild hydropsia, 11 cases were with moderate hydropsia, 25cases were with strong hydropsia;Enhancement scanning found 158 focus,T1WI:low signal were 112, equisignal were 32, mixsignal were 14; T2WI: high signalwere 115, mixsignal were 39, equisignal were 4;T1WI intensification: patch intensification were 23, ring-shaped intensification were 61, nodus intensification were 63, irregular intensification were 11. ConclusionMRI scanning and enhancement scanning arevaluable in the diagnosis and differential diagnosis of brain metastasis. [Keywords]MRI; Brain metastasis; diagnosis and differential diagnosis 恶性肿瘤发生颅内转移颇为常见,其中以脑转移最多。今年来随着低场MRI在基层医院的广泛应用,小的转移灶可被早期发现,有效的提高了脑转移瘤的检出率及诊断率。本文对本院2006-2009年间47例经手术病理或临床证实的脑转移瘤进行回顾性分析,探讨脑转移瘤在低场MRI的表现,以提高脑转移瘤的诊断及鉴别诊断水平。 1资料与方法 1.1一般资料 47例中,男30例,女17例,年龄34-71岁,平均年龄53.4岁;临床以头昏、头痛等颅内高压症状首发者34例,有视力障碍、语言及运动功能障碍13例;其中