Ho Michael, Lutz Amelie M
Institut für Diagnostische Radiologie, Universitätsklinikum Zürich, Rämistraße 100, 8091, Zürich, Schweiz.
Department of Radiology, Stanford University School of Medicine, 94305, Stanford, CA, USA.
Radiologe. 2017 Mar;57(3):204-212. doi: 10.1007/s00117-017-0215-1.
Differentiation between malignant and benign tumors of peripheral nerves in the early stages is challenging; however, due to the unfavorable prognosis of malignant tumors early identification is required.
To show the possibilities for detection, differential diagnosis and clinical management of peripheral nerve tumors by imaging appearance in magnetic resonance (MR) neurography.
Review of current literature available in PubMed and MEDLINE, supplemented by the authors' own observations in clinical practice.
Although not pathognomonic, several imaging features have been reported for a differentiation between distinct peripheral nerve tumors.
The use of MR neurography enables detection and initial differential diagnosis in tumors of peripheral nerves. Furthermore, it plays an important role in clinical follow-up, targeted biopsy and surgical planning.
早期区分周围神经的恶性和良性肿瘤具有挑战性;然而,由于恶性肿瘤预后不良,需要早期识别。
通过磁共振(MR)神经造影的影像学表现展示周围神经肿瘤的检测、鉴别诊断及临床管理的可能性。
回顾PubMed和MEDLINE上的现有文献,并辅以作者在临床实践中的自身观察。
尽管并非具有特异性,但已有多项影像学特征可用于区分不同的周围神经肿瘤。
MR神经造影的应用能够实现周围神经肿瘤的检测及初步鉴别诊断。此外,它在临床随访、靶向活检及手术规划中发挥着重要作用。