本文選題：擴散峰度成像 + 星形細胞腫瘤��； 參考：《實用醫(yī)學雜志》2015年18期

【摘要】：目的:研究磁共振擴散峰度成像(DKI)在星形細胞腫瘤術(shù)前評估中的應用價值。方法:收集經(jīng)手術(shù)病理證實的星形細胞腫瘤患者25例,其中低級別腫瘤11例,高級別腫瘤14例,均進行常規(guī)MRI及DKI檢查,測量腫瘤實質(zhì)區(qū)及對側(cè)正常腦白質(zhì)區(qū)的MK及FA值。應用白質(zhì)纖維束成像技術(shù)顯示腫瘤周圍的腦白質(zhì)纖維束。結(jié)果:MK及FA值均隨腫瘤級別增高而增高,且均具有統(tǒng)計學意義(P0.05)。白質(zhì)纖維束成像顯示:低級別腫瘤周圍白質(zhì)纖維束以受壓移位為主。高級別腫瘤周圍白質(zhì)纖維束以受浸潤及破壞為主。結(jié)論:磁共振擴散峰度成像獲得的星形細胞腫瘤實質(zhì)區(qū)的MK及FA值有助于腫瘤級別的判定,聯(lián)合應用白質(zhì)纖維束成像技術(shù)可對患者更好的進行術(shù)前評估,優(yōu)化治療方案。
[Abstract]:Objective: to study the value of Mr diffusion kurtosis imaging (DKI) in preoperative evaluation of astrocytic tumors. Methods: Twenty-five cases of astrocytoma proved by operation and pathology were collected, including 11 cases of low grade tumors and 14 cases of high grade tumors. Routine MRI and DKI examinations were performed to measure the MK and FA values in the parenchymal and contralateral white matter areas of the brain. The white matter bundle imaging technique was used to display the white matter bundle around the tumor. Results the ratio of MK and FA increased with the increase of tumor grade, and both had statistical significance (P 0.05). White matter fiber bundle imaging showed that the white matter bundle around low grade tumor was mainly displaced by compression. The white matter bundles around high grade tumors were mainly infiltrated and destroyed. Conclusion: the MK and FA values of astrocytoma parenchyma obtained by diffusion kurtosis imaging are helpful in judging the grade of astrocytoma. The combination of white matter fiber bundle imaging can better evaluate the patients before operation and optimize the treatment plan.
【作者單位】： 濱州醫(yī)學院附屬醫(yī)院放射科;
【基金】：山東省自然科學基金資助項目(編號:ZR2011HL038)
【分類號】：R739.4;R445.2

【參考文獻】

相關(guān)期刊論文 前1條

1 廖海波;肖新蘭;;磁共振擴散峰度成像技術(shù)原理及在膠質(zhì)瘤分級中的應用[J];臨床放射學雜志;2013年12期

【共引文獻】

相關(guān)期刊論文 前10條

1 高云云;袁濤;全冠民;;高級別星形細胞瘤治療前DTI評估進展[J];國際醫(yī)學放射學雜志;2013年06期

2 姜亮;殷信道;;磁共振功能成像在腦腫瘤診斷中的應用價值[J];中國CT和MRI雜志;2015年01期

3 黨玉雪;王曉明;;磁共振新技術(shù)DKI和IVIM在中樞神經(jīng)系統(tǒng)的研究現(xiàn)狀[J];磁共振成像;2015年02期

4 邢春華;陳宏偉;崔興宇;;腹部IVIM-DWI應用研究及進展[J];國際醫(yī)學放射學雜志;2015年04期

5 程悅;沈文;;MR擴散峰度成像原理及其在中樞神經(jīng)系統(tǒng)的初步應用[J];國際醫(yī)學放射學雜志;2015年01期

6 廖海波;肖新蘭;;磁共振擴散峰度成像技術(shù)原理及在膠質(zhì)瘤分級中的應用[J];臨床放射學雜志;2013年12期

7 ，

本文編號：1802904