Agnoli A L, Herrmann S
Abteilung für Neuroradiologie, Justus-Liebig-Universität, Giessen.
Rontgenblatter. 1990 Aug;43(8):335-40.
In 124 patients with different types of gliomas signal intensity was studied with and without contrast material using T1-weighted sequences. The diagnostic possibilities equal those of computed tomography scans. Except grade II and III astrocytomas, the extent of the observed disorders of the blood-brain-barrier corresponds to the malignancy of the tumour. A distinction between glioblastomas, anaplastic astrocytomas and mixed gliomas is not possible. The differences on examination with and without contrast medium in grade I and II astrocytomas and grade I oligodendro-gliomas can be important for differential diagnosis. In addition the T1-weighted sequences require less time for investigation than other sequences which demonstrate disorders of the blood-brain-barrier without contrast material.
对124例不同类型的胶质瘤患者,采用T1加权序列,分别在使用和不使用对比剂的情况下研究信号强度。其诊断可能性与计算机断层扫描相当。除II级和III级星形细胞瘤外,观察到的血脑屏障紊乱程度与肿瘤的恶性程度相符。无法区分胶质母细胞瘤、间变性星形细胞瘤和混合性胶质瘤。I级和II级星形细胞瘤以及I级少突胶质细胞瘤在使用和不使用对比剂检查时的差异,对鉴别诊断可能具有重要意义。此外,与其他在不使用对比剂时显示血脑屏障紊乱的序列相比,T1加权序列所需的检查时间更短。