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脑多发性结核瘤的MRI诊断

MRI diagnosis of multiple cerebral tuberculomas

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【作者】 胡兴荣张家权李顺振邱妮妮李祚雯

【Author】 HU Xing-rong,ZHANG Jia-quan,LI Shun-zhen,QIU Ni-ni,LI Zuo-wen Department of Imaging,Enshi Prefecture Central Hospital,Enshi 445000, P.R.China

【机构】 湖北省恩施自治州中心医院影像科

【摘要】 目的:分析脑内多发性结核瘤的MRI表现。方法:回顾性分析11例经手术、病理或临床随访证实为脑多发性结核瘤的MRI表现。MRI采用T1flair、FrfseT2WI、T2flair及Gd-DTPA增强T1WI检查。结果:病灶绝大多数位于灰白质交界区及基底节区,未成熟结核结节呈长T1长T2信号,灶周水肿明显,结节状强化;成熟结核结节呈典型"环靶征",灶周水肿较轻,环形强化。T2flair和增强扫描病灶显示较佳。结论:脑多发性结核瘤是颅内结核的一种特殊表现,MRI表现具有特征性。

【Abstract】 Objective:To study the MRI features of multiple brain tuberculomas.Methods:11 patients with clinically and pathological proved multiple cerebral tuberculomas were studied retrospectively.All patients underwent MRI with T1flair,FrfseT2WI,T2flair and Gd-DTPA enhanced T1WI.Results:The majority of the lesions located in either the boundary of gray matter and white matter or basal ganglia.Immature tuberculomas showed hypointensity signal on T1WI and hyperintensity signal on T2WI,and nodular enhancement after contrast injection,and were surrounded by obvious edema tissue.Mature tuberculomas showed typical target sign on T2WI,and were surrounded by slight edema tissue and showed nodular or annular enhancement.T2flair and Gd-DTPA enhanced T1WI showed the lesions more clearly than the other sequences.Conclusion:The multiple cerebral tuberculomas is a special pattern of the intracranial tuberculosis,and its MRI features are characteristic.

【关键词】 结核瘤磁共振成像
【Key words】 TuberculomaBrainMegnetic resonance imaging
  • 【文献出处】 医学影像学杂志 ,Journal of Medical Imaging , 编辑部邮箱 ,2009年02期
  • 【分类号】R529.3;R445.2
  • 【被引频次】6
  • 【下载频次】153
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