Graça Joana, Palma Teresa, Pereira Pedro, Medina Patrícia, Ribeiro Constança, Evangelista Pedro
Serviço de Neurorradiologia, Hospital Egas Moniz, Lisboa.
Acta Med Port. 2003 May-Jun;16(3):117-23.
Magnetic Resonance Imaging (MRI) is the technique of choice for the radiological evaluation of cerebral gliomas. Determination of its malignant grade is important for therapeutic approach and prognosis. The authors focus on the utility of MRI advanced techniques, namely proton magnetic resonance spectroscopy, perfusion and diffusion. These techniques are complementary to conventional MRI and allow improved non-invasive early evaluation of malignant grade of gliomas. Moreover, these techniques are useful in the determination of the most malignant areas of the tumours, which are potential targets for stereotaxic biopsy and therapy. They also have particular utility on the distinction between residual tumor, recurrence and radiation necrosis.
磁共振成像(MRI)是脑胶质瘤放射学评估的首选技术。确定其恶性程度对于治疗方法和预后至关重要。作者着重介绍了MRI先进技术的应用,即质子磁共振波谱、灌注和扩散。这些技术是对传统MRI的补充,能够改进对胶质瘤恶性程度的非侵入性早期评估。此外,这些技术有助于确定肿瘤中恶性程度最高的区域,这些区域是立体定向活检和治疗的潜在靶点。它们在区分残留肿瘤、复发和放射性坏死方面也具有特殊作用。