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作 者:丁威 李臻琰[1] DING Wei;LI Zhen-Yan(Department of Neurosurgery,Xiangya Hospital,Central South University,Changsha,Hunan 410008,China)
机构地区:[1]中南大学湘雅医院神经外科,湖南长沙410008
出 处:《国际神经病学神经外科学杂志》2020年第2期200-203,共4页Journal of International Neurology and Neurosurgery
摘 要:术前对颅内肿瘤质地的准确评估对于手术入路的选择以及预后的评估极为重要。目前,对颅内肿瘤质地的预测方法主要是通过磁共振成像。本文分别对磁共振常规序列、弥散序列、弹性序列及其他序列预测肿瘤质地研究相关的文献进行综述和分析。我们认为常规序列和弥散序列预测肿瘤质地的有效性尚存在争议;磁共振波谱、灌注加权成像及稳态进动平衡序列目前研究数据较少,不能得出有效的结论;弹性序列是目前预测肿瘤质地最有效的评价指标。Accurate preoperative evaluation of the consistency of intracranial tumors is very important for the selection of surgical approaches and the evaluation of prognosis.At present,magnetic resonance imaging(MRI)is mainly used to predict the consistency of intracranial tumors.This article reviews and analyzes the studies on conventional MRI,diffusion MRI,magnetic resonance elastography(MRE),and other MRI techniques in predicting tumor consistency.We believe that there are still controversies over the effectiveness of conventional MRI and diffusion MRI in predicting tumor consistency.Since there are few research data on magnetic resonance spectroscopy,perfusion-weighted imaging,and fast imaging employing steady-state acquisition,it is difficult to draw an effective conclusion.MRE is the most effective evaluation index to predict tumor consistency.
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