3D磁共振序列评价脑膜瘤与周围浅静脉关系中的价值探讨  

The Value of 3D Magnetic Resonance Sequences in Evaluating the Relationship Between Meningiomas and Peripheral Superficial Veins

作　　者：王云上 WANG Yun-shang(Department of Radiology,Wuqing Hospital of Traditional Chinese Medicine,Tianjin University of Traditional Chinese Medicine,Tianjin 301700)

机构地区：[1]天津中医药大学附属武清中医院放射科,天津301700

出　　处：《中国医疗器械信息》2024年第16期9-11,15,共4页China Medical Device Information

摘　　要：目的:探讨与分析3D磁共振序列评价脑膜瘤与周围浅静脉关系中的价值。方法:选择2020年7月~2023年2月在天津中医药大学附属武清中医院诊治的脑膜瘤患者95例作为研究对象,所有患者均给予3D磁共振序列检查,记录影像学特征,同时所有患者均给予手术检查并以此为判断的金标准。结果:在95例患者中,手术检查判断为侵犯周围浅静脉32例(侵犯组),占比33.68%;未侵犯周围浅静脉63例(未侵犯组),占比66.32%。侵犯组的性别、年龄、心率、体重指数、收缩压、舒张压等与未侵犯组对比无明显差异(P>0.05)。侵犯组的3D磁共振的囊变坏死、瘤周水肿、脑膜尾征、血管流空影等信号特征分别占比为87.50%、81.25%、93.75%、87.50%,未侵犯组分别为49.21%、44.44%、47.62%、49.21%,侵犯组与未侵犯组相比显著升高(P<0.05)。侵犯组的高灌注区、低灌注区的脑血流量与未侵犯组相比明显增加(P<0.05)。3D磁共振序列判断为侵犯周围浅静脉31例,3D磁共振序列评价脑膜瘤与周围浅静脉关系的敏感性与特异性分别为96.77%(30/31)、98.44%(63/64)。结论:3D磁共振序列可准确与有效评价脑膜瘤与周围浅静脉的关系,也具有简便、安全、无创的优点,可为病情判断与临床治疗提供参考依据。Objective:To explore and analyze the value of 3D magnetic resonance sequences in evaluating the relationship between meningiomas and peripheral superficial veins.Methods:A total of 95 patients with meningioma diagnosed and treated in Wuqing Hospital of Traditional Chinese Medicine Affiliated to Tianjin University of Chinese Medicine from July 2020 to February 2023 were selected as the study subjects.All patients were given 3D magnetic resonance sequence examination to record the imaging features.Meanwhile,all patients were given surgical examination and this was the gold standard for judgment.Results:Among the 95 patients,32 cases(invasion group)were diagnosed with invasion of peripheral superficial veins through surgical examination,accounting for 33.68%;63 cases(non-invasive group)did not invade the surrounding superficial veins,accounting for 66.32%.There were no significant differences in gender,age,heart rate,body mass index,systolic blood pressure,diastolic blood pressure,etc.between the invasive group and the non-invasive group(P>0.05).The proportion of signal features such as cystic necrosis,peritumoral edema,meningeal tail sign,and vascular flow void in the 3D magnetic resonance imaging of the invasive group was 87.50%,81.25%,93.75%,and 87.50%,respectively,while the non-invasive group was 49.21%,44.44%,47.62%,and 49.21%,respectively.The invasive group showed a significant increase compared to the non-invasive group(P<0.05).The cerebral blood flow in the high perfusion and low perfusion areas of the invasive group was significantly increased compared to the non-invasive group(P<0.05).The sensitivity and specificity of 3D magnetic resonance sequence evaluation of the relationship between meningiomas and peripheral superficial veins were 96.77%(30/31)and 98.44%(63/64),respectively,in 31 cases of invasion of peripheral superficial veins.Conclusion:3D magnetic resonance sequence can accurately and effectively evaluate the relationship between meningioma and peripheral superficial vein,and also has the advanta

关 键 词：3D磁共振序列 脑膜瘤 周围浅静脉 脑血流量 瘤周水肿 脑膜尾征 

分 类 号：R445.2[医药卫生—影像医学与核医学]