弥散张量成像对胶质瘤手术风险的评估 |
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引用本文: | 魏大年,赛克,牟永告,张湘衡,王涤宇,谢海涛,邓星海,李怡卓,陈忠平. 弥散张量成像对胶质瘤手术风险的评估[J]. 中华神经外科杂志, 2007, 25(1): 485-489. DOI: 10.3760/cma.j.issn.1001-2346.2009.06.004 |
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作者姓名: | 魏大年 赛克 牟永告 张湘衡 王涤宇 谢海涛 邓星海 李怡卓 陈忠平 |
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作者单位: | 广州中山大学肿瘤防治中心神经外科,510060;广州中山大学肿瘤防治中心影像科,510060; |
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基金项目: | 国家自然科学基金资助华南肿瘤学国家重点实验室基金资助 |
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摘 要: | Objective To elucidate the clinical significance of diffusion tensor imaging (DTI) mainly used for protecting neurological functions in patients with gliomas. Methods Thirty - eight patients with gliomas were recruited to undergo DTI test and assess the status of neurological functions before and after surgery. According to the relationships between gliomas and adjacent white matter(WM) tracts, DTI can be classfied as the following types : type Ⅰ - displacement; type Ⅱ - Infiltration; type Ⅲ - Disruption. The neurological functions before surgery were compared in three groups,as well as the change of neurological functions after surgery was also compared in three groups. Results There were 14 cases in type Ⅰ , 16 cases in type Ⅱ, and 8 cases in type Ⅲ. There were significant difference between DTI types and preoperative neurological functions, as well as between DTI types and the change of postoperative neurological functions ( P < 0. 05 ). Conclusions DTI allows to visualizate the relationships of gliomas and adjacent WM tracts, which represent the different growth patterns of gliomas. It is useful for neurosurgeons to select suitable surgical approaches and determine appropriate extent of resection.
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关 键 词: | 神经胶质瘤 弥散张量成像 神经功能保护 |
Evaluation on operative risk of glioma by diffusion tensor imaging |
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Keywords: | GliomaDiffusion tensor imagingNeurological function protection |
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