Chow Kathleen Ella, Tyrrell Dayle, Long Sam Nicholas
University of Melbourne Veterinary Hospital, Radiology Department, Melbourne, Victoria, Australia.
Vet Radiol Ultrasound. 2015 Sep-Oct;56(5):531-9. doi: 10.1111/vru.12248. Epub 2015 Mar 10.
Early postoperative neuroimaging has been performed in people for over 20 years to detect residual brain tumor tissue and surgical complications. The purpose of this retrospective study was to describe characteristics observed using early postoperative magnetic resonance imaging in a group of dogs undergoing craniotomy for brain tumor removal. Two independent observers came to a consensus opinion for presence/absence of the following MRI characteristics: residual tumor tissue; hemorrhage and ischemic lesions; abnormal enhancement (including the margins of the resection cavity, choroid plexus, meninges) and signal intensity changes on diffusion-weighted imaging. Five dogs were included in the study, having had preoperative and early postoperative MRI acquired within four days after surgery. The most commonly observed characteristics were abnormal meningeal enhancement, linear enhancement at margins of the resection cavity, hemorrhage, and a thin rim of hyperintensity surrounding the resection cavity on diffusion-weighted imaging. Residual tumor tissue was detected in one case of an enhancing tumor and in one case of a tumor containing areas of hemorrhage preoperatively. Residual tumor tissue was suspected but could not be confirmed when tumors were nonenhancing. Findings supported the use of early postoperative MRI as a method for detecting residual brain tumor tissue in dogs.
术后早期神经影像学检查已在人类中开展了20多年,用于检测残留的脑肿瘤组织和手术并发症。这项回顾性研究的目的是描述一组接受开颅手术切除脑肿瘤的犬只术后早期磁共振成像(MRI)所观察到的特征。两名独立观察者就以下MRI特征的有无达成了共识意见:残留肿瘤组织;出血和缺血性病变;异常强化(包括切除腔边缘、脉络丛、脑膜)以及弥散加权成像上的信号强度变化。该研究纳入了5只犬,在术后4天内进行了术前和术后早期MRI检查。最常观察到的特征是脑膜异常强化、切除腔边缘的线性强化、出血以及弥散加权成像上围绕切除腔的薄高信号环。在1例强化肿瘤和1例术前含有出血区域的肿瘤中检测到残留肿瘤组织。当肿瘤无强化时,怀疑有残留肿瘤组织但无法确诊。研究结果支持将术后早期MRI作为检测犬只残留脑肿瘤组织的一种方法。