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功能MRI鉴别胶质瘤术后复发及放射性脑损伤的影像学研究进展
引用本文:刘志成,颜林枫,孙颖志,崔光彬.功能MRI鉴别胶质瘤术后复发及放射性脑损伤的影像学研究进展[J].磁共振成像,2017,8(9).
作者姓名:刘志成  颜林枫  孙颖志  崔光彬
作者单位:第四军医大学唐都医院放射科,西安,710038
基金项目:陕西省自然科学基金(编号:2014JZ2-007) Financial support from the Natural Science Foundation of Shaanxi
摘    要:胶质瘤术后复发与放射性脑损伤在常规MRI上均可表现为新增强化灶或原强化灶增大,常容易造成误诊,而二者的临床治疗方案却截然不同。因此,早期准确的诊断对临床制订治疗方案具有重要的指导意义。探讨功能MRI早期鉴别胶质瘤术后复发与放射性脑损伤,一直是神经肿瘤影像学研究的难点也是热点问题。作者对当前MRI鉴别胶质瘤术后复发与放射性脑损伤的影像学研究进展予以综述。

关 键 词:放射疗法  脑损伤  肿瘤复发  局部  神经胶质瘤

Advances of MR imaging on differential diagnosis between recurrence of glioma and radiation-induced brain injury
LIU Zhi-cheng,YAN Lin-feng,SUN Ying-zhi,CUI Guang-bin.Advances of MR imaging on differential diagnosis between recurrence of glioma and radiation-induced brain injury[J].Chinese Journal of Magnetic Resonance Imaging,2017,8(9).
Authors:LIU Zhi-cheng  YAN Lin-feng  SUN Ying-zhi  CUI Guang-bin
Abstract:It remains challenging to distinguish radiation-induced brain injury from tumor recurrence in treated patients with high grade glioma (HGG) due to overlapping radiologic features. Both may present with new and/or increasing enhancing mass lesions and fulfill standard criteria for progression. Distinguishing radiation-induced brain injury from tumor recurrence is crucial for treatment planning. The purpose of this review is to outline the current MRI researches on differential diagnosis between tumor recurrence and radiation-induced brain injury.
Keywords:Radiotherapy  Brain injuries  Neoplasm recurrence  local  Glioma
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