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脑室内脑膜瘤的MRI诊断

MRI Diagnosis of Meningioma in Ventricles

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【作者】 周远清朱悦龙兰勇

【Author】 ZHOU Yuan-qing,ZHU Yue-long,LAN Yong.Department of Radiology,Hanshou People’s Hospital,Hanshou Hunan 415900,China

【机构】 湖南汉寿县人民医院放射科空军广州招收飞行学员体检队生理实验科广东江门市中心医院

【摘要】 目的分析脑室内脑膜瘤的MRI表现特点,提高对脑室内脑膜瘤MR诊断的准确性。方法回顾性分析9例手术切除经病理证实、临床资料完整的脑室内脑膜瘤MRI表现。结果脑室内脑膜瘤以成人女性多见,好发于侧脑室(8/9),其次为四脑室。多数肿瘤表现为形态规则、边界清晰(7/9)。T1WI肿瘤多呈等信号(6/9)或稍低信号(3/9)、T2WI为稍高信号(6/9)或等信号(3/9),增强扫描呈中到重度均匀强化(8/9),少数可不均匀强化或轻度强化(1/9)。结论脑室内脑膜瘤的MRI表现具有特征性,结合患者年龄、发病部位可以提高对脑诊断的准确性。

【Abstract】 Objective To explore the imaging features of meningioma in vertricles in order to improve diagnostic accuracy.Methods MRI characteristics of meningioma in ventricles in 9 cases proved by surgery and pathology were retrospectively analyzed.Results The tumors predominant occurred in grown up female,mostly in lateral and fourth ventricles.The tumous localized in the lateral bentricles in 8 cases and in the fourth ventricle in 1 case.The tumor tended to be roundish in shape(7/9),with clear boundary.The tumors appeared isointense(6/9)or slightly hypointense(3/9)on T1WI,and slightly hyperintense(6/9),isointense(3/9)on T2WI,moderately to markedly homogeneous enhancement of tumor could be seen on T1WI after injection Gd DTPA in te most of tumors(8/9).a few of them showed slightly enhancement and heterogeneous enhancement(1/9).Conclusion The accuracy of diagnosis of meningioma in ventricles depengs on their characteristic MRI appearances and specific tumor location and gender of patients.

【关键词】 脑室脑膜瘤磁共振成像
【Key words】 VentricleMeningiomaMagnetic resonance imaging
  • 【文献出处】 中国CT和MRI杂志 ,Chinese Journal of CT and MRI , 编辑部邮箱 ,2011年06期
  • 【分类号】R739.4
  • 【被引频次】10
  • 【下载频次】104
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