Longitudinal Research of MRI in Evaluating Removed Intracranial Gliomas_West China Medical Journal

Authors：

QIU Lihua ,  DIAO Xianming , YI Yong , ZHOU Enyou , ZENG Xianhui , ZHU Jianjun , AO Yongsheng , DUAN Jie.

Department of MRI, the Second People’s Hospital of Yibin, Yibin, Sichuan 644000, P. R. China;

Corresponding?author：

DIAO Xianming, Email: 283708370@qq.com

Keywords：

腦膠質瘤; 手術切除程度; 磁共振成像

DOI：

10.7507/1002-0179.20130536

Video：

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目的　探討腦膠質瘤術后不同時期的MRI增強表現，客觀分析其術后的手術切除程度。方法　2009年2月－2012年10月32例腦膠質瘤患者均在術后1 d～2周進行第1次MRI平掃及增強掃描（其中21例在術后3 d內進行檢查），術后1～3個月隨訪復查21例，術后6～12個月隨訪復查18例，術后1～3年MRI隨訪16例。分析不同時期的MRI平掃及增強表現，以期發現正確評價手術切除程度的指標。結果　術后3 d內行MRI增強檢查僅有4例出現反應性強化，腫瘤殘余有7例，結合其影像學表現可較準確地區分術后反應性強化及腫瘤殘余。結論　膠質瘤術后早期（3 d內）進行MRI增強檢查可準確評價腫瘤術后切除程度，便于制訂下一步治療計劃。

Citation： QIU Lihua,DIAO Xianming,YI Yong,ZHOU Enyou,ZENG Xianhui,ZHU Jianjun,AO Yongsheng,DUAN Jie.. Longitudinal Research of MRI in Evaluating Removed Intracranial Gliomas. West China Medical Journal, 2013, 28(11): 1698-1702. doi: 10.7507/1002-0179.20130536 Copy

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9.	Simon D, Fritzsche KH, Thieke C, et al. Diffusion-weighted imaging-based probabilistic segmentation of high-and low-proliferative areas in high-grade gliomas[J]. Cancer Imaging, 2012, 12: 89-99.
10.	Server A, Kulle B, Gadmar ?B, et al. Measurements of diagnostic examination performance using quantitative apparent diffusion coefficient and proton MR spectroscopic imaging in the preoperative evaluation of tumor grade in cerebral gliomas[J]. Eur J Radiol, 2011, 80(2): 462-470.
11.	王玉林, 劉夢雨, 李金峰, 等. 表觀彌散系數值在鑒別膠質瘤復發與放射性腦損傷中的價值[J]. 中國醫學科學院學報, 2012, 34(4): 396-400.
12.	李永麗, 連建敏, 竇社偉, 等. 腦膠質瘤術后放療后復發和放射性腦壞死磁共振彌散張量成像鑒別[J]. 鄭州大學學報·醫學版, 2013, 48(3): 362-365.

1. 　Forsyth PA, Petrov E, Mahallati H, et al. Prospective study of postoperative magnetic resonance imaging in patients with malignant gliomas[J]. J Clin Oncol, 1997, 15(5): 2076-2081.
2. 　Albert FK, Forsting M, Sartor K, et al. Early postoperative magnetic resonance imaging after resection of malignant glioma: objective evaluation of residual tumor and its influence on regrowth and prognosis[J]. Neurosurgery, 1994, 34(1): 45-60.
3. 　Jeffries, B.F, Kishore PR, Singh KS, et al. Contrast enhancement in the postoperative brain[J]. Radiology, 1981, 139(2): 409-413.
4. 　高培毅, 林燕, 張紅梅. 顱內惡性膠質瘤術后早期MR、CT對殘存腫瘤檢出的受試都操作特性分析[J]. 中華放射學雜志, 2000, 34(4): 240-243.
5. 　金德康, 倪瑞軍, 金國良. 顱內膠質瘤術后不同時期的MRI表現對腫瘤切除程度的評價[J]. 臨床放射學雜志, 2001, 20(5): 336-339.
6. 　高培毅, 張紅梅. 顱內惡性膠質瘤術后腦組織正常反應與術后殘存的動態CT研究[J]. 中國醫學計算機成像雜志, 2001, 7(4): 222-225.
7. 　Di Costanzo A, Soarabino T, Trojsi Fi, et al. Multiparametric 3T MR approach to the assessment of cerebral gliomas: tumor extent and malignancy[J]. Neuroradiology, 2006, 48(9): 622-631.
8. 　Arvinda HR, Kesavadas C, Sarma PS, et al. Glioma grading: sensitivity, specificity, positive and negative predictive values of diffusion and perfusion imaging[J]. J Neurooncol, 2009, 94(1): 87-96.
9. 　Simon D, Fritzsche KH, Thieke C, et al. Diffusion-weighted imaging-based probabilistic segmentation of high-and low-proliferative areas in high-grade gliomas[J]. Cancer Imaging, 2012, 12: 89-99.
10. 　Server A, Kulle B, Gadmar ?B, et al. Measurements of diagnostic examination performance using quantitative apparent diffusion coefficient and proton MR spectroscopic imaging in the preoperative evaluation of tumor grade in cerebral gliomas[J]. Eur J Radiol, 2011, 80(2): 462-470.
11. 　王玉林, 劉夢雨, 李金峰, 等. 表觀彌散系數值在鑒別膠質瘤復發與放射性腦損傷中的價值[J]. 中國醫學科學院學報, 2012, 34(4): 396-400.
12. 　李永麗, 連建敏, 竇社偉, 等. 腦膠質瘤術后放療后復發和放射性腦壞死磁共振彌散張量成像鑒別[J]. 鄭州大學學報·醫學版, 2013, 48(3): 362-365.

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West China Medical Journal

Longitudinal Research of MRI in Evaluating Removed Intracranial Gliomas

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