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颅内肿瘤脑水肿与脑浸润程度的关系[J]. 肿瘤防治研究, 2009, 36(10): 858-962. DOI: 10.3971/j.issn.1000-8578.2009.10.013
引用本文: 颅内肿瘤脑水肿与脑浸润程度的关系[J]. 肿瘤防治研究, 2009, 36(10): 858-962. DOI: 10.3971/j.issn.1000-8578.2009.10.013
Correlative between Cerebral Edema and Brain Invasion of Intracranial Tumors[J]. Cancer Research on Prevention and Treatment, 2009, 36(10): 858-962. DOI: 10.3971/j.issn.1000-8578.2009.10.013
Citation: Correlative between Cerebral Edema and Brain Invasion of Intracranial Tumors[J]. Cancer Research on Prevention and Treatment, 2009, 36(10): 858-962. DOI: 10.3971/j.issn.1000-8578.2009.10.013

颅内肿瘤脑水肿与脑浸润程度的关系

Correlative between Cerebral Edema and Brain Invasion of Intracranial Tumors

  • 摘要: 目的 运用MRI不同序列研究颅内肿瘤脑水肿程度与脑浸润程度的关系。 方法 1. 选择颅内肿瘤52例,其中脑胶质瘤30例,脑膜瘤22例,诊断经病理证实;建立不同颅内肿瘤的脑浸润病理标准,并以此标准分入各亚组;2. 利用MRI常规成像和DTI(弥散张量成像,Diffusion Tensor Imaging)成像,分别测量肿瘤的EI值(水肿指数,edema index)和瘤周水肿区的 FA值 (分量各向异性,fractional anisotropy)、ADC值(表观平均弥散系数,apparent diffusion coefficient);3. 比较分析不同肿瘤间以及不同脑浸润程度间的EI值和FA值的关系。 结果 1. 在有无脑浸润的肿瘤组间比较,FA值差异有统计学意义(P<0.05),ADC值和EI值差异无统计学意义(P>0.05);在胶质瘤和脑膜瘤组间比较,FA值、ADC值和EI值差异有统计学意义(P<0.05);2. 在全部肿瘤及胶质瘤、脑膜瘤组内统计分析,EI值与FA值均无明确相关性(P>0.05),EI值与ADC值存在相关性(P<0.05)。 结论 从影像分析的角度来看,颅内肿瘤脑水肿程度与脑浸润程度无明确相关性。

     

    Abstract: Objective To analyze the relationship between pathological grading of gliomas and degree of brain invasion (density of tumor cells present in peritumoral area) using methods of diffusion tensor imaging (DTI) and pathology. Methods 1. Fifty-two histologically confirmed cases of intracranial tumors, including thirty gliomas with varying grades, twenty-two meningiomas, were involved in this study. Tumors were classified into different subgroups according to the established pathological standards of brain invasion. 2. The value of edema index (EI) and fractional anisotropy (FA) at the peritumoral region were analyzed respectively by the varying MRI conventional sequences (T-1WI, T-2WI and enhancement) and DTI. 3. Correlation analysis between EI and FA was performed among different tumors and different brain aggressiveness. Results 1. There was significant difference of FA values between the groups according to severity of brain invasion, but no same finding in the other two parameters(EI and ADC). Between gliomas and meningiomas, significant differences of FA, ADC and EI were found. 2. There was significant correlation between EI and ADC values from intra- and inter-group of varying tumors. However, no such differences existed between EI and FA. Conclusion In terms of the results of imaging analysis, there was no significantly correlative between severity of edema of intracranial tumors and the severity of brain invasion.

     

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