CT扫描联合MRI在左侧额颞叶及基底节交界区胶质瘤的诊断分析

发布时间：2018-01-16 23:21

本文关键词：CT扫描联合MRI在左侧额颞叶及基底节交界区胶质瘤的诊断分析　出处：《中国CT和MRI杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的探讨CT扫描联合MRI在左侧额颞叶及基底节交界区胶质瘤的诊断分析价值。方法回顾性地分析我院2014年1月-2015年12月期间接收的46例左侧额颞叶及基底节交界区胶质瘤的检查资料,通过CT扫描联合MRI分析胶质瘤的影像特点,并对胶质瘤的特点进行分析,与临床特征进行比对。结果本文共46例患者,通过CT扫描联合MRI发现胶质瘤,肿瘤的直井18mm-78mm不等,13例患者影像资料可见囊实性团状块影,T1WI显示低信号影,T1WI部分显示弧形高信号影,10例患者可见左侧额颞叶及基底节交界区病灶在呈T2WI多发囊性高信号影有分离,12例患者FLAIR序列病灶出现高信号影,肿瘤囊壁出现低信号幻影,11例患者可见左侧占位区皮质脊髓束稀疏,受压移位。结论CT扫描联合MRI能反映左侧额颞叶及基底节交界区胶质瘤的病灶特征、影像信号特点,不同类型的胶质瘤通过CT扫描联合MRI,结果和患者的临床病例特征基本吻合,诊断的准确率达到90%的水平,具有极高的临床应用价值。
[Abstract]:Objective to investigate the diagnostic value of CT scanning combined with MRI in the left frontotemporal lobe and basal ganglia junction glioma analysis value. Methods a retrospective analysis of 46 cases of left frontotemporal lobe and basal ganglia received in our hospital in January 2014 -2015 year in December during the junction of glioma by CT scanning examination data, combined with MRI analysis of imaging features of glioma, and the characteristics of glioma were analyzed, compared with the clinical features. Results a total of 46 patients were found by CT scanning combined with MRI glioma, wells 18mm-78mm tumors ranging from image data from 13 patients with visible cystic cluster mass, T1WI showed low signal, T1WI showed high signal of arc part in 10 cases, visible on the left frontotemporal and basal ganglia lesions are separated in the junction area is T2WI multiple cystic high signal, 12 cases of patients with FLAIR sequence lesions appeared high signal intensity, low signal shadow magic cystic wall, 11 Patients were visible on the left corticospinal tract occupying area is sparse, compression and displacement. Conclusion CT scan combined with MRI can reflect the characteristics of lesions on the left frontotemporal lobe and basal ganglia junction of glioma, the image signal characteristics of different type gliomas by CT scanning combined with MRI, the clinical characteristics of patients and patients with consistent results, the accuracy rate of diagnosis to reach the 90% level, with a high clinical value.

【作者单位】：山东省青岛市市立医院本部放射科;
【分类号】：R445.3;;R739.41
【正文快照】： 5131.2016.11.010胶质瘤(glioma)是原发性肿瘤,胶质瘤中大约有50%的患者是脑肿瘤,其中四分之三的患者是星形细胞瘤[1]。胶质瘤的常见病理特征是,病症具有多发性、侵润性多变,本文主要研究左侧额颞叶脑胶质瘤的诊断[2]。脑胶质瘤的临床表现一般不具有特殊性,多半起始于亚健康性

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