MRI对原发性中枢神经系统淋巴瘤的诊断价值 |
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引用本文: | 陈建敏 祝跃明. MRI对原发性中枢神经系统淋巴瘤的诊断价值[J]. 实用中西医结合临床, 2008, 8(4): 72-73 |
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作者姓名: | 陈建敏 祝跃明 |
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作者单位: | 1. 淅汀省德清具人民医院,德清,313200 2. 浙江省湖州市中心医院,湖州,313000 |
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摘 要: | 目的:探讨脑内原发性淋巴瘤的MRI特征,以提高其术前的诊断水平。方法:回顾性分析12例经手术后病理证实的脑内原发性淋巴瘤的MRI表现。结果:所有病例均为弥漫大B细胞淋巴瘤。单发10例,多发2例,共16个病灶,其中幕上12个,幕下4个。圆形或类圆形为主,占位效应轻,轻或中度水肿(75.0%)。在T1WI上呈等或稍低信号,在T2WI上大部分病灶为等或稍高信号,少数病灶为高信号,FLAIR上为等或稍高信号。增强后大部分明显均匀强化,少部分病灶内可见无强化的坏死区。结论:中枢神经系统原发性淋巴瘤的MRI表现具有一定的特征性,结合特定的发病部位和发病年龄,大部分可以获得正确的术前诊断。
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关 键 词: | 淋巴瘤 中枢神经系统 磁共振成像 |
MRI Diagnosis of Primary Central Nervous System Lymphoma |
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Abstract: | Objective: To explore the MRI characteristics of primary central nervous system lymphoma so as to improve it's presurgical diagnosis. Methods: The MRI data from 12 primary central nervous system lymphoma confirmed by surgery were retrospectively analyzed. The location, morphology and signals of the lesions were studied. Results: All patients were diagnosed as diffuse large cell lymphoma B cell. A total of 16 lesions were present in 12 patients, 2 patients (16.7%) had multiple lesions.12 lesions were located at the supratentoria region, and the other 4 were in the inferior tentorium region. Usually, the lesion was presented as an oval mass with slight peritumoral edema (75.0%)and slight space-occupying effect.On plain MRI scans, all lesions presented as slight hypo- or isointensity on T1WI,and on T2WI and FLAIR images, most lesions were iso- or sligh hyperintensity. Most of the lesions were obviously homogeneous enhanced. Conclusions: The MRI imaging findings of primary central nervous system lymphoma has some specificity, it is possible to give a definite diagnosis after analyzing these imaging manifestation and clinical data carefully. |
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Keywords: | Lymphoma Central Nervous System Magnetic resonance imaging |
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