MRI对颅内孤立性纤维瘤/血管外皮细胞瘤与血管瘤型脑膜瘤的鉴别诊断价值  

MRI differential diagnosis value of intracranial solitary fibroma/hemangiopericytoma and hemangioma meningioma

作　　者：魏文鑫 任延德[1] 付圣莉[1] 伍晓慧 李向荣 王成建[1] WEI Wenxin;REN Yande;FU Shengli;WU Xiaohui;LI Xiangrong;WANG Chengjian(Departmentof Radiology, The Affiliated Hospital of Qingdao University, Qingdao 266011, P.R.China;Departmentof CT Room, Rizhao City Hospital of TCM, Rizhao 276800, P.R.China;Department of Radiology, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, P.R.China)

机构地区：[1]青岛大学附属医院放射科,山东青岛266011 [2]山东省日照市中医医院CT室,山东日照276800 [3]广西医科大学第一附属医院放射科,广西南宁530021

出　　处：《医学影像学杂志》2022年第2期190-194,共5页Journal of Medical Imaging

摘　　要：目的探讨MRI对颅内孤立性纤维瘤/血管外皮细胞瘤(SFT/HPC)与血管瘤型脑膜瘤(AM)的鉴别诊断价值。方法选取并分析经手术病理证实的SFT/HPC与AM患者的临床特征及MRI征象,应用ROC曲线、多因素Logistic回归模型,分析其对SFT/HPC及AM的独立预测因素及鉴别诊断效能。结果计量资料进行t检验表明,AM组与SFT/HPC组患者的年龄、大小、NT1WI、NT2WI、NDWI之间差异均有统计学意义(P<0.05)。瘤周水肿差异无统计学意义(P>0.05)。计数资料进行卡方检验表明AM与SFT/HPC之间血管流空、骨质破坏差异均具有统计学意义(P<0.05),脑膜尾征比较差异无统计学意义(P>0.05)。多因素Logistic回归模型分析表明,年龄、NT1WI、NT2WI及血管流空是SFT/HPC的独立预测因素。ROC曲线分析表明,NT1WI、NT2WI可以用来鉴别SFT/HPC与AM,鉴别阈值分别为0.7513、1.7425。结论SFT/HPC与AM的MRI征象具有重要价值,年龄、NT1WI值、NT2WI值、血管流空是SPF/HPC的独立预测因素,NT1WI值越高、年龄及NT2WI值越低的患者诊断为SPF/HPC的风险越高。Objective To explore the differential diagnosis value of MRI signs for intracranial solitary fibroma/hemangiopericytoma and hemangioma meningioma.Methods The clinical features and MRI signs of SFT/HPC and AM patients confirmed by surgery and pathology were retrospectively analyzed.ROC curve and multivariate Logistic regression model were used to analyze the independent predictors and differential diagnosis efficacy of SFT/HPC and AM.Results T-test of measurement data showed that there were statistically significant differences in age,size,NT1WI,NT2WI,and NDWI between the AM group and the SFT/HPC group(P<0.05).The peritumoral edema was not statistically significant(P>0.05).The chi-square test of the enumeration data showed that the differences in vascular emptying and bone destruction between AM and SFT/HPC were statistically significant(P<0.05),and the meningeal tail sign was not statistically significant(P>0.05).Multivariate logistic regression analysis showed that age,NT1WI,NT2WI and vascular flow were independent predictors of SFT/HPC.The ROC curve analysis of showed that NT1WI and NT2WI can be used to distinguish SFT/HPC and AM,and the discrimination thresholds are 0.7513 and 1.7425,respectively.Conclusion The MRI signs of SFT/HPC and AM are of great value.Age,NT1WI value,NT2WI value,and vascular flow are independent predictors of SPF/HPC.The higher the NT1WI value,the lower the age and the lower the NT2WI value,the diagnosis of SPF/HPC the higher the risk.

关 键 词：颅内孤立性纤维瘤/血管外皮细胞瘤 血管瘤型脑膜瘤 磁共振成像 

分 类 号：R739.41[医药卫生—肿瘤] R445.2[医药卫生—临床医学]