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氢质子磁共振波谱在放射性脑坏死与胶质瘤复发中的鉴别诊断应用 被引量:1

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摘要 目的探讨氢质子磁共振波谱(1H-MRS)在放射性脑坏死与胶质瘤复发中的鉴别诊断价值。方法对11例脑胶质瘤术后确诊为放射性脑坏死(9例)及胶质瘤复发(2例)患者行1H-MRS检查,观察两种疾病的1H-MRS表现。结果本组9例放射性脑坏死中8例NAA(氮-乙酰门冬氨酸)、Cho(胆碱)及肌酐(Cr)下降或消失,NAA/Cr比值与Cho/Cr比值均下降,7例可见Lipid峰,1例可见Lac峰,1例未见Lipid或Lac峰;2例胶质瘤复发均可见Cho升高及Lac峰,NAA明显下降,Cr下降或下降不明显,均未见Lipid峰。结论1H-MRS在放射性脑坏死和胶质瘤复发的鉴别诊断中具有重要意义。
机构地区 宁波市第一医院
出处 《现代实用医学》 2008年第8期605-606,共2页 Modern Practical Medicine
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