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：

脑胶质瘤; 手术切除程度; 磁共振成像

DOI：

10.7507/1002-0179.20130536

Video：

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目的　探讨脑胶质瘤术后不同时期的MRI增强表现，客观分析其术后的手术切除程度。方法　2009年2月－2012年10月32例脑胶质瘤患者均在术后1 d～2周进行第1次MRI平扫及增强扫描（其中21例在术后3 d内进行检查），术后1～3个月随访复查21例，术后6～12个月随访复查18例，术后1～3年MRI随访16例。分析不同时期的MRI平扫及增强表现，以期发现正确评价手术切除程度的指标。结果　术后3 d内行MRI增强检查仅有4例出现反应性强化，肿瘤残余有7例，结合其影像学表现可较准确地区分术后反应性强化及肿瘤残余。结论　胶质瘤术后早期（3 d内）进行MRI增强检查可准确评价肿瘤术后切除程度，便于制订下一步治疗计划。

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 ØB, 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, 刘梦雨, 李金峰, 等. 表观弥散系数值在鉴别胶质瘤复发与放射性脑损伤中的价值[J]. 中国医学科学院学报, 2012, 34(4): 396-400.
12.	李永丽, 连建敏, 窦社伟, 等. 脑胶质瘤术后放疗后复发和放射性脑坏死磁共振弥散张量成像鉴别[J]. 郑州大学学报·医学版, 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, 张红梅. 颅内恶性胶质瘤术后早期MR、CT对残存肿瘤检出的受试都操作特性分析[J]. 中华放射学杂志, 2000, 34(4): 240-243.
5. 　金德康, 倪瑞军, 金国良. 颅内胶质瘤术后不同时期的MRI表现对肿瘤切除程度的评价[J]. 临床放射学杂志, 2001, 20(5): 336-339.
6. 　高培毅, 张红梅. 颅内恶性胶质瘤术后脑组织正常反应与术后残存的动态CT研究[J]. 中国医学计算机成像杂志, 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 ØB, 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, 刘梦雨, 李金峰, 等. 表观弥散系数值在鉴别胶质瘤复发与放射性脑损伤中的价值[J]. 中国医学科学院学报, 2012, 34(4): 396-400.
12. 　李永丽, 连建敏, 窦社伟, 等. 脑胶质瘤术后放疗后复发和放射性脑坏死磁共振弥散张量成像鉴别[J]. 郑州大学学报·医学版, 2013, 48(3): 362-365.

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Longitudinal Research of MRI in Evaluating Removed Intracranial Gliomas

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