磁共振波谱在诊断颅内肿瘤中的应用.pptxVIP

磁共振波谱在诊断颅内肿瘤中的应用;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;目前在大多数颅内肿瘤1H-MRS表现为以下多种代谢物的局部脑组织中的浓度变化 ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;Department of Neurosurgery Peking University People’s Hospital ;正常的1H-MRS表现 ;Department of Neurosurgery Peking University People’s Hospital ;胶质瘤的1H-MRS表现; 随胶质瘤级别增加，NAA逐渐下降，Cho逐渐升高 Cho/NAA和Cho/Cr比值反映肿瘤级别比较稳定， 在所有的胶质母细胞瘤中均升高 Lac峰可出现于各级别组脑胶质瘤中，其峰值无 显著差异; 低级别胶质瘤的1H-MRS表现 ; 高级别胶质瘤的1H-MRS表现 ;第一组：Ⅰ级星形细胞瘤;第一组：Ⅱ-Ⅲ级星形细胞瘤;第一组：胶质母细胞瘤;第二组：II级星形细胞瘤;第二组：III级间变少突胶质细胞瘤 ;第二组：胶质母细胞瘤;胶质瘤不同部位的MRS比较;胶质瘤不同部位的MRS比较;肿瘤波谱显示NAA依次下降，Cho逐渐升高 ; 肿瘤波谱显示NAA、Cr依次明显下降，Cho依次明显升高。 瘤体区出现Lip/Lac峰; 右颞叶胶质母细胞瘤 (1)对侧正常脑组织区 (2)肿瘤实质中心区 (3)周边区;波谱图显示能够判定常规MR 表现正常的肿瘤周围无水肿区有肿瘤细胞浸润;评价脑胶质瘤的预后;胶质瘤放疗3个月后;Ⅱ级星形细胞瘤术后及放疗后1年 ;Ⅱ级星形细胞瘤术后2年复发;Depa