Troxel Mark T, Vite Charles H, Massicotte Christiane, McLear Robert C, Van Winkle Thomas J, Glass Eric N, Tiches Deena, Dayrell-Hart Betsy
Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, 3900 Delancey Street, Philadelphia, PA 19104, USA.
J Vet Intern Med. 2004 Mar-Apr;18(2):176-89. doi: 10.1892/0891-6640(2004)18<176:mrifof>2.0.co;2.
The purpose of this retrospective study was to determine the magnetic resonance imaging (MRI) characteristics of feline brain tumors and to determine whether these characteristics can be used to accurately predict the histologic diagnosis. MRI scans of 46 cats with histologically confirmed brain tumors were reviewed, including 33 meningiomas, 6 lymphomas, 4 gliomas, 2 olfactory neuroblastomas, and 1 pituitary tumor. MRI features including axial origin, shape, location, signal intensity, contrast enhancement, peritumoral edema, and mass effect were reviewed and characterized for each tumor type. Tumor shape, axial origin, contrast enhancement, and degree of peritumoral edema aided in the identification of tumor type. Meningiomas were always extra-axial and were most often ovoid with marked contrast enhancement and mild peritumoral edema. Gliomas were always intra-axial with ring enhancement and generally caused more peritumoral edema than other tumors. The brain tumor was detected on MRI in 45 (98%) cats. Two blinded independent reviewers correctly identified 82% of all of the tumor types on the basis of MRI appearance alone. Thus, MRI is an excellent diagnostic tool for the detection of brain tumors in cats, and it provides important information to aid in the diagnosis of tumor type.
这项回顾性研究的目的是确定猫脑肿瘤的磁共振成像(MRI)特征,并确定这些特征是否可用于准确预测组织学诊断。回顾了46只经组织学确诊为脑肿瘤的猫的MRI扫描结果,其中包括33例脑膜瘤、6例淋巴瘤、4例胶质瘤、2例嗅神经母细胞瘤和1例垂体瘤。对每种肿瘤类型的MRI特征进行了回顾和描述,包括轴向起源、形状、位置、信号强度、对比增强、瘤周水肿和占位效应。肿瘤形状、轴向起源、对比增强和瘤周水肿程度有助于肿瘤类型的识别。脑膜瘤总是位于轴外,最常见的形状为椭圆形,对比增强明显,瘤周水肿轻微。胶质瘤总是位于轴内,呈环状增强,通常比其他肿瘤引起更多的瘤周水肿。45只(98%)猫的脑肿瘤在MRI上被检测到。两名独立的盲法评审员仅根据MRI表现就正确识别了所有肿瘤类型的82%。因此,MRI是检测猫脑肿瘤的一种优秀诊断工具,它为辅助诊断肿瘤类型提供了重要信息。