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四脑室区肿瘤的CT和MRI诊断
引用本文:罗健君,须同禄,沈天真.四脑室区肿瘤的CT和MRI诊断[J].中国医学影像学杂志,2000,8(4):248-249.
作者姓名:罗健君  须同禄  沈天真
作者单位:罗健君(江苏省苏州市第二人民医院放射科苏州市 215002)       须同禄(江苏省苏州市第二人民医院放射科苏州市 215002)       沈天真(上海市华山医院放射科上海市 200040)       冯晓源(上海市华山医院放射科上海市 200040)
摘    要:目的探讨四脑室区肿瘤的CT和MRI诊断价值.材料和方法分析31例经手术、病理证实的四脑室区肿瘤的CT和MRI好发年龄、部位和图像特征.结果检出髓母细胞瘤9例,室管膜瘤8例,表皮样囊肿4例,脉络丛乳头状瘤3例,血管母细胞瘤2例,室管膜囊肿1例,海绵状血管瘤1例,生殖细胞瘤1例.结果提示(1)不同的四脑室区肿瘤各具其影像学特征;(2)四脑室区常见肿瘤具有年龄特征;(3)肿瘤来源的判断可帮助肿瘤定性的诊断.结论CT和MRI检查对四脑室区肿瘤的诊断和鉴别诊断有主要价值,以MRI为首选方法.

关 键 词:肿瘤  第四脑室  CT  MRI
修稿时间:1999年4月19日

CT and MRI Diagnosis of Tumors of Fourth Ventricle
Luo Jianjun,Xu Tonglu,Shen Tianzhen,Feng Xiaoyuan.CT and MRI Diagnosis of Tumors of Fourth Ventricle[J].Chinese Journal of Medical Imaging,2000,8(4):248-249.
Authors:Luo Jianjun  Xu Tonglu  Shen Tianzhen  Feng Xiaoyuan
Abstract:Purpose: To discuss the CT and MRI diagnostic value of tumor of the fourth ventricle. Materials and Methods: 31 cases of fourth ventrical tumors proved by surgery and pathology were reported. 24 cases were evaluated with MRI, 14 cases with CT and 7 cases with both CT and MRI. Results: Amount to medulloblastoma 9 cases, ependymoma 8 cases, choroid plexus carcinoma 3 cases, epidermoid 4 cases, astrocytoma 2 cases, hemangioblastoma 2 cases, ependyma cyst 1 case, cavernous hemangioma 1 case, germ cell tumor 1 case. (1) There were feartures of CT and MRI appearances in the fourth ventricle tumors. (2) The tumors in fourth ventricle there were speciality of age. (3) The source of tumors could help to determine the nature. Conclusion: There are diagnostic and differential diagnostic value for tumors of the fourth ventricle to depend on their CT and MRI appearance. especially MRI.
Keywords:tumor  fourth ventricle  CT  MRI
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