黄日升,王金林,陶晓峰,施增儒,刘士远,肖湘生,黄霞.脑内原发性淋巴瘤CT、MRI表现[J].中国医学影像技术,2006,22(12):1805~1807
脑内原发性淋巴瘤CT、MRI表现
CT and MRI findings of primary lymphomas of brain
投稿时间:2006-07-11  修订日期:2006-11-12
DOI:
中文关键词:    淋巴瘤  磁共振成像  体层摄影术,X线计算机
英文关键词:Brain  Lymphoma  Magnetic resonance imaging  Tomography, X-ray computed
基金项目:
作者单位E-mail
黄日升 福建泉州市第一医院影像科,福建 泉州 362000 HRS0815@sohu.com 
王金林 第二军医大学长征医院影像科,上海 200003  
陶晓峰 第二军医大学长征医院影像科,上海 200003  
施增儒 第二军医大学长征医院影像科,上海 200003  
刘士远 第二军医大学长征医院影像科,上海 200003  
肖湘生 第二军医大学长征医院影像科,上海 200003  
黄霞 山东省临沂卫生学校,山东 临沂 276003  
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中文摘要:
      目的 分析脑内原发性淋巴瘤的CT、MRI表现。方法 回顾分析25例经病理证实的脑内原发性淋巴瘤的CT、MRI资料,所有病例均行平扫及增强扫描。结果 病灶单发18例,多发7例;幕上33例,幕下4例。CT平扫表现为等或稍高密度,MR平扫T1WI等或稍低信号,T2WI呈高信号;增强扫描均见肿瘤均匀或不均匀强化,瘤周多为轻中度水肿。结论 原发性脑淋巴瘤影像表现具有一定的特征性,但与其他颅内病变有重叠及类似之处,认真分析其特点,可提高诊断的准确性。
英文摘要:
      Objective To analyze the CT and MRI features of the primary brain lymphoma. Methods Twenty-five documented patients with primary brain lymphoma confirmed by surgery or biopsy were retrospectively analyzed. All patients were undergone pre-contrasted and post-contrasted MRI or CT scan. Results The solitary lesion was found in 18 patients and multiple lesions in 7 patients. The lesions in 33 patients were superior to tentorium and that in 4 patients were inferior to tentorium. The lesions appeared as iso-or hyper-density in CT and hypo-or iso-intensity on MR-T1WI and hyper-intensity on MR-T2WI. Homogeneous or inhomogeneous enhancement presented in most of the tumors. Light to moderate edema were found around the tumor. Conclusion The imaging finding of primary brain lymphoma has certain characteristics, but overlapping with those of other intracranial mass lesions. By analyzing the features of lymphoma, we can improve the accuracy of diagnosis.
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