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颅内单发原发性恶性淋巴瘤的MRI诊断

MRI diagnosis of single intracranial primary malignant lymphoma

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【作者】 赖旭峰; 刘红; 丛振杰;

【Author】 LAI Xu-feng,LIU Hong,CONG Zhen-jie.Department of Radiology, The Frst Hospital of Hangzhou,Zhejiang Province 310006,China

【机构】 浙江省杭州市第一人民医院放射科; 山东省烟台市肿瘤医院放射科 浙江杭州310006; 浙江杭州310006; 山东烟台;

【摘要】 目的:探讨原发性颅内淋巴瘤的MRI表现特征。方法:回顾分析12例原发颅内淋巴瘤的MRI表现,其中8例经手术证实,4例经穿刺活检证实。12例均行MRI平扫及增强扫描。结果:12例病变均位于幕上,T1WI呈低信号,T2WI呈等或高信号,信号均匀或不均匀。瘤周水肿多较明显。增强扫描肿块均明显强化,边缘光整或呈分叶状,坏死囊变区强化不明显或不强化。结论:颅内淋巴瘤的MRI表现有一定特征性,通过认真的影像分析,在术前作出正确诊断是可能的。

【Abstract】 Objective:To study the MR findings of single intracranial primary malignant lymphoma.Methods:MR findings in 12 patients were retrospectively analyzed, 8 cases were proved by operation and pathology,and 4 cases were proved by aspiration biopsy.Conventional and enhanced MR scan were carried on in all cases.Results:All lymphoma were in supratentoriun, hypointensity on T1WI, isointensity or hyperintensity on T2WI homogeneously. There was an obvious edema around the tumonrs. All lesions with smooth or lobular edge were enhanced obviously. Necrosis of the lesion was not enhanced.Conclusion:It has Intracranial lymphoma has the characteristic features in MRI, and it is possible to diagnosis intracranial lymphoma before operation.

【关键词】 淋巴瘤; 脑肿瘤; 磁共振成像;
【Key words】 Lymphoma; Brain neoplasms; Magnetic resonance imaging;
  • 【文献出处】 医学影像学杂志 ,Journal of Medical Imaging , 编辑部邮箱 ,2005年05期
  • 【分类号】R739.4
  • 【被引频次】7
  • 【下载频次】81
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