Benz-Bohm G, Gross-Fengels W, Widemann B, Linden A
Institut und Poliklinik für Radiologische Diagnostik, Universität zu Köln.
Rofo. 1990 May;152(5):523-7. doi: 10.1055/s-2008-1046915.
Thirteen MRT investigations of the knee region of nine children with neuroblastoma stage IV/III were performed in order to demonstrate bone-marrow metastases. The MRT-findings were correlated with bone-marrow cytology, immunofluorescence, and mIBG-scintigraphy. MRT showed a high sensitivity in demonstrating bone-marrow abnormalities, although bone-marrow aspiration and mIBG-scintigraphy will still be needed to make a specific diagnosis. On the other hand, signs of bone-marrow involvement in MRT investigations without positive findings in bone-marrow cytology and mIBG-scintigraphy may be the first evidence of bone-marrow metastases.
对9名IV/III期神经母细胞瘤患儿的膝关节区域进行了13次磁共振成像(MRT)检查,以显示骨髓转移情况。将MRT检查结果与骨髓细胞学、免疫荧光和间碘苄胍闪烁扫描(mIBG)结果进行了对比。MRT在显示骨髓异常方面具有较高的敏感性,不过仍需要进行骨髓穿刺和mIBG闪烁扫描才能做出明确诊断。另一方面,在骨髓细胞学和mIBG闪烁扫描未发现阳性结果的MRT检查中出现的骨髓受累迹象,可能是骨髓转移的首个证据。