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中枢神经系统放射治疗并发症的影像学表现。

Imaging findings in radiation therapy complications of the central nervous system.

作者信息

Kanda Tomonori, Wakabayashi Yuichi, Zeng Feibi, Ueno Yoshiko, Sofue Keitaro, Maeda Takaki, Nogami Munenobu, Murakami Takamichi

机构信息

Department of Radiology, Kobe University School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.

出版信息

Jpn J Radiol. 2018 Sep;36(9):519-527. doi: 10.1007/s11604-018-0759-7. Epub 2018 Jul 24.

Abstract

Radiation therapy is a useful treatment for tumors and vascular malformations of the central nervous system. Radiation therapy is associated with complications, including leukoencephalopathy, radiation necrosis, vasculopathy, and optic neuropathy. Secondary tumors are also often seen long after radiation therapy. Secondary tumors are often benign tumors, such as hemangiomas and meningiomas, but sometimes malignant gliomas and soft tissue sarcomas emerge. We review the imaging findings of complications that may occur after brain radiation therapy.

摘要

放射治疗是治疗中枢神经系统肿瘤和血管畸形的一种有效方法。放射治疗会引发一些并发症,包括白质脑病、放射性坏死、血管病变和视神经病变。放射治疗后很长时间也常可见继发性肿瘤。继发性肿瘤通常为良性肿瘤,如血管瘤和脑膜瘤,但有时也会出现恶性胶质瘤和软组织肉瘤。我们回顾了脑部放射治疗后可能出现的并发症的影像学表现。

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