七年制医学影像学中枢：Central Nervous System.pptVIP

* 颅咽管瘤 * 颅骨转移性肿瘤T1C+，T2 * * 听神经瘤 * 女性，31岁，右耳听力下降3年，耳鸣3月 * * * * * * 肿瘤于右CPA，暗红色，质韧，血供丰，界清 术前诊断:听神经瘤 病理诊断:神经鞘瘤 * 桥小脑角（CPA）肿瘤 听神经瘤、脑膜瘤、 表皮样囊肿/皮样囊肿 共同点： 脑外肿瘤特征—— 脑干受压向对侧移位 患侧桥小脑角池扩大 * 可供区别的参考征象 听神经瘤 脑膜瘤 表皮样囊肿 CT密度 低或等 等 低 CT强化 环状，蜂窝状 均匀 无 MR信号 长T1，长T2 等T1，等T2 长T1，长T2 听神经 增粗 无改变 无改变 形状 蛋筒冰淇淋 蘑菇状 不规则 MR强化 环状，泡沫状，囊实性 均匀强化 一般不强化 CPA占位鉴别诊断 * 脑 转 移 瘤metastatic tumor of the brain CT：多发结节，水肿明显，坏死出血，增强明显 MRI：更敏感，需要增强 * 肺癌脑转移 * * * * Lung cancer * * * * * 颅骨转移性肿瘤T1C+，T2 * metastatic esophageal cancer * Primary vs Metastases * A = Glioma B = Mets (A) rCBV = 2.34 (B) rCBV = 0.39 * Thank you！ * * * * menigioma * 大脑凸面脑膜瘤 * 垂体腺瘤侵及海绵窦 * MR1689940 * 垂体瘤术前后 * 垂体瘤术前后 * 泌乳素型药物治疗前后 * 生长激素型药物治疗三月后 * 生长激素型药物治疗三月后 * 颅咽管瘤craniopharyngioma 多见于儿童（occur most commonly in pediatric age group） 分囊性（cystic）、实性（solid）和囊实性（intermixed）三种 * Originate from epithelial remnants of rathkes pouch, usually at the junction of the infundibulum and the pituitary gland. Benign slow-growing tumors composed of both solid epithelial tissue and cystic components. The cysts contain variable amounts of cholesterol, keratin, necrotic debris, proteinaceous fluid and hemorrhage. Calcification is present in 75 to 85% of cases. Craniopharyngioma * X线平片 ： 瘤体位于鞍上（suprasellar region）, 显示壳状钙化（curvilinear calcific rim）,实质性可有斑片状钙化（scattered calcification） CT 平扫 显示钙化清晰 囊实性肿块 增强实质区强化 * Craniopharyngioma Variable appearance on MR, depending on their solid or cystic nature and cyst contents. The solid lesions are hypointense on and hyperintense on T2WI. The cysts also have a long T2, but if they have a high cholesterol content or methemoglobin, shortening of T1 results in high signal intensity on T1