| 影像检查对颅骨及硬膜恶性淋巴瘤的诊断和治疗后随访的价值 |
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| 引用本文： | 蔡传书,陈俊伟,黄雄,曹代荣.影像检查对颅骨及硬膜恶性淋巴瘤的诊断和治疗后随访的价值[J].中国CT和MRI杂志,2009,7(3):6-9. |
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| 作者姓名： | 蔡传书 陈俊伟 黄雄 曹代荣 |
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| 作者单位： | 1. 福建医科大学附属第一医院放疗科
2. 福建医科大学附属第一医院影像科 |
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| 摘 要： | 目的探讨CT和MRI检查对颅骨及硬膜恶性淋巴瘤诊断及治疗后随访的临床价值。方法回顾性分析10例病理证实的颅骨及硬膜恶性淋巴瘤的治疗前、后CT及MRI影像资料。结果5例CT检查表现为局限性颅骨内外软组织肿块，平扫呈等密度，增强后较明显强化；10例MRIT2WI上呈等低信号，T2WI呈等信号，7例增强后羯灶显著均匀强化，3例呈不均匀强化，4例相邻的脑实质见中度水肿带，10例颅骨改变均较轻微，CT骨窗位上呈轻度虫蚀样改变，颅骨外形尚完整，MRI上仅表现为局限性颅骨信号减低。10例化疗及放疗后均进行了多次CT及MRI复查，均显示软组织肿块范围明显缩小或消失。结论CT、MRI检查对颅骨及硬膜恶性淋巴瘤的诊断提供依据，并可作为放、化疗后疗效评估的最有效检查手段。
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| 关 键 词： | B细胞型 恶性淋巴瘤 颅骨 硬膜 断层摄影术 X-线计算机 磁共振成像 |
Diagnosis and followed-up value after treatment for the malignant dura and cranial vault lymphoma with imaging examination |
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| Authors: | CAI Chuan-shu CHEN Jun-wei HUANG Xiong |
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| Institution: | CAI Chuan-shu,CHEN Jun-wei,HUANG Xiong,et al. Department of Radiology,the First Affiliated Hospital,Fujian Medical University,Fuzhou 350005 |
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| Abstract: | Objective To study the diagnostic and post-treatment follow-up values for the malignant dura and cranial vault lymphoma with imaging examination. Methods We analyzed retrospectively the CT and MRI imaging data of ten malignant dura and cranial vault lymphomas before and after treatment. Results CT showed a unhomogeneously enhanced mass of the cranial vault with both intra-and extra-calvarial extension in one case and iso-or hypo-density on non-contrast CT scan in four cases . The mass was iso-or hypointense... |
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| Keywords: | B-cell malignant lymphoma cranial vault dural mater tomography X-ray computed magnetic resonance imaging |
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