磁敏感加权成像血管结构半定量评分法对颅内胶质瘤分级的诊断价值.pdfVIP

宁夏医科大学硕士研究生学位论文 中文摘要 磁敏感加权成像血管结构半定量评分法对 颅内胶质瘤分级的诊断价值 摘 要 目的探讨磁敏感加权成像 （susceptibility weighted imaging，SWI）血管结构半 定量评分法对颅内胶质瘤分级的诊断价值。 方法 回顾性分析36 例（15 例低级别胶质瘤和21 例高级别胶质瘤）胶质瘤患者的 影像资料，患者于术前行磁共振常规平扫、增强和SWI 扫描，SWI 原始图像经后处理后 得到最小强度投影图(minimum intensity projection,MinIP)。采用盲法，两名高年资 神经影像诊断医师分别观察SWIminIP 图肿瘤内新生血管数目并进行评分，分析两组胶 质瘤血管评分有无差异。 结果 15 例低级别胶质瘤，6 例血管评分为0 分，9 例血管评分为1 分；21 例高级别 胶质瘤，18 例血管评分为2 分，2 例血管评分为3 分，1 例血管评分为1 分。低级别胶 质瘤组与高级别胶质瘤组血管评分有统计学意义（Z 值为-5.327，P 值0.05）。 结论 磁敏感加权成像血管结构半定量评分法有助于颅内高、低级别胶质瘤的初步分 级诊断。 关键词 磁敏感加权成像，胶质瘤分级，血管发生 I 万方数据 宁夏医科大学硕士研究生学位论文 英文摘要 The diagnosis value of susceptibility weighted imaging semiquantitative assessment of pathological vasculairity in grading cerebral glioma ABSTRACT Objective To investigate the diagnosis value of susceptibility weighted imaging semiquantitative assessment for pathological vascularity in grading cerebral gliomas. Methods Thirty-six patients with gliomas(15 low-grade and 21 high- grade gliomas)were imaged before therapy.Standard clinical MR imaging a nd SWI were performed an a GE 3.0T scanner. All SWI postprocessed images were reviewed independently by two neuroradiologists and the number of vessels in tumor region were scored.Tumor were graded according to the World Health Organization classification. Results 15 cases of low- grade glioma,semiquantit