摘要
目的:探讨弥散加权成像(DWI)对脑转移瘤与胶质瘤鉴别诊断的应用价值。方法:对常规MR扫描检出的42例颅内占位病人行DWI扫描,对病人术后病理随访后,将高级胶质瘤、低级胶质瘤及脑转移瘤各分成一组,并测定肿瘤区、水肿区、对侧正常脑组织的表现弥散系数(ADC)值及相对ADC(rADC)值。结果:低级胶质瘤与转移瘤的瘤灶rADC值比较存在差异;高级别胶质瘤与转移瘤瘤周水肿的rADC值相比较存在差异、结论:DWI及瘤灶、瘤周rADC值的定量测定对脑转移瘤与胶质瘤的鉴别诊断具有一定的临床应用价值。
Objective: To evaluate the value of diffusion weighted imaging (DWI) in the differential diagnosis of brain metastatic tumors and gliomas. Methods: Fourty-two patients with intracranial tumor were studied with convention MR imaging and DWI, On the basis of the pathological report, the patients were divided into three groups (high-grade gliomas, low-grade gliomas, brain metastatic minors). The apparent diffusion coefficient (ADC) and relative ADC (rADC) of tumors, edema and contralateral normal brain were measured. Results: rADC of tumors were significantly different among low-grade glioma and metastatic tumors, rADC of edema were significantly different among high-grade glioma and metastatic tumors. Conclusion: DWI and the rADC of tumors and edema are valuable to differential diagnosis of brain metastatic tumors and gliomas in clinical application.
出处
《现代生物医学进展》
CAS
2006年第12期95-96,共2页
Progress in Modern Biomedicine
关键词
脑转移瘤
胶质瘤
磁共振成像
弥散加权成像
Brain metastatic tumor
Glioma
Magnetic resonance imaging
Diffusion weighted imaging