眼眶和颅脑磁共振成像促进视网膜母细胞瘤精准诊疗——视网膜母细胞瘤影像检查与诊断专家共识解读  

Orbital and craniocerebral magnetic resonance imaging promotes precise diagnosis and treatment of retinoblastoma:the interpretation of a consensus on imaging examination and diagnosis of retinoblastoma

作　　者：李婷[1] 鲜军舫[1] LI Ting;XIAN Junfang(Department of Radiology,Beijing Tongren Hospital,Clinical Center for Eye Tumors,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院放射科首都医科大学眼部肿瘤临床诊疗与研究中心,北京100730

出　　处：《磁共振成像》2021年第11期74-79,共6页Chinese Journal of Magnetic Resonance Imaging

基　　金：北京市医院管理局临床医学发展专项基金(编号:ZYLX201704);北京市医院管理中心“登峰”计划专项基金(编号:DFL20190203)。

摘　　要：磁共振成像(magnetic resonance imaging,MRI)是评估视网膜母细胞瘤(retinoblastoma,RB)眼球外或视神经侵犯的最佳无创性方法,在诊断及分期中有重要作用,为临床决定是否摘除眼球提供重要参考依据。作者针对《视网膜母细胞瘤影像检查与诊断及选择性眼动脉化疗专家共识》内的MRI相关内容,总结了MRI在RB的诊断、鉴别诊断、分期中的优势和价值,详细阐述了RB高危因素的MRI表现及美国癌症联合委员会(American Joint Committee on Cancer,AJCC)第8版T分期的诊断要点,并介绍了MRI扫描的关键参数和眼表面线圈的价值,以帮助读者更全面地理解此共识,指导临床诊疗。Magnetic resonance imaging(MRI)is the best noninvasive method for evaluating extraocular or optic nerve invasion of retinoblastoma(RB),which plays a vital role in the diagnosis and staging of RB and provides essential evidence for eyeball enucleation.This article summarized the advantages and value of MRI in diagnosis,differential diagnosis,and staging of RB,based on the expert consensus on imaging examination and diagnosis and selective ophthalmic artery infusion in patients with retinoblastoma.The details of MRI findings of high-risk factors of RB,key points of T staging of AJCC(8th edition),key parameters of MRI scanning,and the value of the ocular surface coil were also delineated,in order to help readers to understand the consensus and to make clinical decision.

关 键 词：视网膜母细胞瘤 磁共振成像 诊断 分期 

分 类 号：R445.2[医药卫生—影像医学与核医学] R774.1[医药卫生—诊断学]