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1、作者簡(jiǎn)介論文題目：顱內(nèi)節(jié)細(xì)胞膠質(zhì)瘤MRI診斷與病理對(duì)照基金項(xiàng)目:無(wú)郵箱地址:jixueb@sina.com第一作者:季學(xué)兵 男 醫(yī)學(xué)影像診斷和介入放射學(xué) 副主任醫(yī)師 科副主任。從事醫(yī)學(xué)影像診斷和介入放射學(xué)治療工作,主要研究心血管和腫瘤影像診斷，以及腫瘤和血管性病變的介入治療。已發(fā)表相關(guān)論文10余篇。通訊作者：季學(xué)兵顱內(nèi)節(jié)細(xì)胞膠質(zhì)瘤MRI診斷與病理對(duì)照季學(xué)兵，呂洋作者單位：230001安徽合肥安徽省立醫(yī)院影像科【摘要】目的探討顱內(nèi)節(jié)細(xì)胞膠質(zhì)瘤的磁共振成像特點(diǎn)。方法回顧性分析我院2011年6月至2013年10月經(jīng)手術(shù)病理證實(shí)的節(jié)細(xì)胞膠質(zhì)
2、瘤11例,其中男性8例,女性3例,年齡3-69歲,平均32.6歲,分析其影像表現(xiàn),并與病理對(duì)照。結(jié)果本組病例病理分型WHOⅠ級(jí)的病例有1例，Ⅰ~Ⅱ級(jí)的有7例，Ⅲ級(jí)的有1例；而MRI表現(xiàn)則為：3例為多發(fā)病灶，其余均為單發(fā)病灶；5例發(fā)生在顳葉，2例在額葉，2例在小腦，1例在枕葉，1例在右側(cè)海馬區(qū)；63.6%（7/11）為囊實(shí)性占位，36.4%(4/11)為實(shí)性占位；平掃時(shí)T1WI中呈稍高或是等信號(hào)，T2WI中呈高信號(hào)；病灶周圍多為輕度水腫影，多無(wú)明顯占位效應(yīng)；注射對(duì)比劑后病灶多數(shù)為明顯強(qiáng)化，少數(shù)低級(jí)別病灶呈線樣輕度強(qiáng)化；MRS多提示NA
3、A稍↓，Cho明顯↑，Cho/Cr明顯↑，NAA/Cho明顯升高。結(jié)論青年男性患者，幕上囊實(shí)性病灶，輕度水腫伴輕度占位效應(yīng)，注入對(duì)比劑后病灶明顯強(qiáng)化者，診斷及鑒別診斷時(shí)應(yīng)考慮節(jié)細(xì)胞膠質(zhì)瘤。【關(guān)鍵詞】節(jié)細(xì)胞膠質(zhì)瘤；磁共振成像；病理。MRIdiagnosisandpathologicalsectionofintracranialgangliogliomaJiXuebing，LvYangDepartmentofMedicalImaging，AnhuiProvincialHospital，Hefei，AnhuiProvince230001，
4、P.R.China【Abstract】Objective:Toinvestigatethemagneticresonanceimagingfeaturesofintracranialganglioglioma（GG）.MethodsRetrospectiveanalysisof11casesofganglioglioma,whichwereconfirmedbysurgicalpathologyduring2011Juneto2013october,amongofthem,8patientsweremenand3werewomen,
5、agedfrom3to69yearsold,averageagewas32.6yearsold,andanalyzedtheirimagingperformance,andcomparedwithpathology.ResultsTheincidenceofpathologyclassificationtypeWHOⅠcasesin1case,Ⅰ~Ⅱtypein7cases,Ⅲtype1case;WhileMRImanifestationis:3casesofmultiple,therestaresinglelesion;5case
6、soccurredinthetemporallobe,2casesinthefrontallobe,2casesincerebellar,1caseintheoccipitallobe,1caseintherighthippocampus;63.6%(7/11)forpouchorsolid,occupied36.4%(4/11)forsolidplaceholder;ScanisslightlyhighorsignalinT1WIandT2WIinahighsignal;Aroundthelesionsbymildedema,no
7、obviousplaceholdereffect;Afterinjectionofcontrastmediumlesionsmostlysignificantlyimproved,afewlow-levellesionsinsamplelinereinforcedlight;MRShintNAAslightlyleft,Choclearlywrite,Cho/Crclearlywrite,NAA/Choincreasedobviously.ConclusionYoungmalepatients,curtaincapsuleonrea
8、lSTDstove,mildedemawithmildplaceholdereffect,afterinjectionofcontrastmediumlesionssignificantlyimproved,thediagnosisa
