陈月洁,黄砚玲,王永峰,金晓青,徐娅莎.磁敏感加权成像显示出血对脑胶质瘤分级评估的价值[J].中国医学影像技术,2010,26(2):247~249
磁敏感加权成像显示出血对脑胶质瘤分级评估的价值
Grading of cerebral glioma with susceptibility weighted imaging evaluation of bleeding
投稿时间:2009-09-09  修订日期:2009-11-10
DOI:
中文关键词:  磁敏感加权成像  胶质瘤  分级
英文关键词:Susceptibility weighted imaging  Cerebral gliomas  Grading
基金项目:
作者单位E-mail
陈月洁 中国医科大学附属第一医院放射科,辽宁 沈阳 110001
鞍钢集团总医院影像中心,辽宁 鞍山 114002 
 
黄砚玲 中国医科大学附属第一医院放射科,辽宁 沈阳 110001 100huangyanling@sina.com 
王永峰 中国医科大学附属第一医院放射科,辽宁 沈阳 110001  
金晓青 中国医科大学附属第一医院放射科,辽宁 沈阳 110001  
徐娅莎 鞍钢集团总医院影像中心,辽宁 鞍山 114002  
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中文摘要:
      目的 应用磁敏感加权成像(SWI)探讨肿瘤内出血量与脑胶质瘤病理分级的关系,初步评价SWI技术对脑胶质瘤恶性程度分级的价值。方法 30例脑胶质瘤患者均接受SWI序列扫描。用测量软件逐层测量SWI序列所显示的出血成分面积。比较高度恶性胶质瘤组与低度恶性胶质瘤组在SWI序列上显示的肿瘤出血率及出血量。结果 30例脑胶质瘤患者,SWI序列显示的高度恶性胶质瘤组的出血率(80.00%)大于低度恶性胶质瘤组(46.67%),但差异无统计学意义(P=0.064)。高度恶性胶质瘤组在SWI序列上显示的出血量大于低度恶性胶质瘤组,差异有统计学意义(Z=-2.275,P=0.026)。结论 利用SWI序列显示的脑肿瘤内出血量对术前脑胶质瘤分级诊断有一定价值。
英文摘要:
      Objective To explore the relationship between the amount of bleeding and the histopathologic grade of cerebral glioma with susceptibility weighted imaging (SWI), so that to assess the diagnostic value of SWI in grading cerebral glioma. Methods Totally 30 patients with cerebral glioma underwent SWI. The area of hemorrhage of every slice displayed in SWI was measured with software. The rate and amount of bleeding were compared between high and low grade tumors. Results There was no statistical significance in the incidence of detected bleeding on SWI (P=0.064), though it was higher in highly malignant group (80.00%) than that in low grade group (46.67%), while there was statistical significance in the amount of bleeding detected on SWI (Z=-2.275, P=0.026) between highly malignant group and low grade group. Conclusion The amount of tumor hemorrhage displayed in SWI is valuable for the preoperative grading of cerebral glioma.
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