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[通过高分辨率三维对比增强磁共振静脉血管造影术对感兴趣区域的鼻窦脑膜瘤进行评估]

[Evaluation of sinus meningiomas in the region of interest by high-resolution three dimensional contrast-enhanced magnetic resonance venography].

作者信息

Chen Jianqiang, Han Xiangjun, Shi Keshan, Guan Ying, Zhan Yuefu, Li Xiaohua, Li Xiangying, Nie Liu

机构信息

Department of Radiology, Central South University, Haikou, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2012 Feb;37(2):203-7. doi: 10.3969/j.issn.1672-7347.2012.02.016.

Abstract

OBJECTIVE

To determine the value of high-resolution three dimensional contrast enhanced magnetic resonance venography (3D CE-MRV) in evaluating sinus meningiomas in the region of interest (ROI).

METHODS

Twenty patients with sinus meningiomas underwent 3D CE-MRV with ROI preoperatively (including 9 patients postoperatively). We observed the changes of venous sinus adjacent the tumor.

RESULTS

All patients received high-resolution image, the single acquisition time was about 11.4 s, and the voxel value was about 1.3 mm3. The images of 20 patients showed the change of the sinus clearly, 6 of which with integral sinus, 14 with sinus invaded at various degrees, including 5 with sinus occlusion and 9 with stenosis. CE-MRV also showed 4 patients with clear sinuses, 1 with narrow sinus, partial interruption, and 4 with sinus removed after the surgery.

CONCLUSION

Application of high-resolution 3D CE-MRV in ROI in sinus meningiomas may help obtain a series of high-resolution images in a short time, show the relationship between the tumor and venous sinus, display the degree of invasion of venous sinus clearly, provide information for the surgical treatment, and evaluate the change of sinus after the surgery.

摘要

目的

确定高分辨率三维对比增强磁共振静脉血管造影(3D CE-MRV)在评估感兴趣区域(ROI)内鼻窦脑膜瘤中的价值。

方法

20例鼻窦脑膜瘤患者术前接受了ROI的3D CE-MRV检查(其中9例术后进行了检查)。我们观察了肿瘤邻近静脉窦的变化。

结果

所有患者均获得高分辨率图像,单次采集时间约为11.4秒,体素值约为1.3立方毫米。20例患者的图像清晰显示了静脉窦的变化,其中6例静脉窦完整,14例静脉窦有不同程度受侵,包括5例静脉窦闭塞和9例狭窄。CE-MRV还显示4例患者静脉窦清晰,1例静脉窦狭窄、部分中断,4例术后静脉窦被切除。

结论

高分辨率3D CE-MRV在鼻窦脑膜瘤ROI中的应用有助于在短时间内获得一系列高分辨率图像,显示肿瘤与静脉窦的关系,清晰显示静脉窦受侵程度,为手术治疗提供信息,并评估术后静脉窦的变化。

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