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磁共振成像在139例儿童肿瘤患者中的疗效

Efficacy of magnetic resonance imaging in 139 children with tumors.

作者信息

Cohen M D, Weetman R M, Provisor A J, Grosfeld J L, West K W, Cory D A, Smith J A, McGuire W

出版信息

Arch Surg. 1986 May;121(5):522-9. doi: 10.1001/archsurg.1986.01400050032004.

DOI:10.1001/archsurg.1986.01400050032004
PMID:3010902
Abstract

One hundred thirty-nine children with neoplasms were studied using magnetic resonance imaging (MRI). This procedure was as accurate as computed tomography in predicting tumor histology, except that MRI was unable to detect small areas of tumor calcification. Magnetic resonance imaging could accurately identify the organ of origin of tumor masses and differentiate soft tissue from fat, fluid, or hemorrhage. In addition, MRI was helpful in planning surgery in many cases: It was better than computed tomography in defining the size and extent of soft-tissue tumor masses. It was accurate in defining the extent of the spread of bone sarcomas in the bone marrow. Without requiring the injection of intravenous contrast agents, it accurately defined displacement, encasement, or invasion of major abdominal blood vessels by Wilms' tumors and neuroblastomas. As a means of evaluating pediatric neoplasms, MRI is noninvasive, painless, and well tolerated by children, and it uses no radiation.

摘要

对139名患有肿瘤的儿童进行了磁共振成像(MRI)研究。该检查在预测肿瘤组织学方面与计算机断层扫描一样准确,只是MRI无法检测到肿瘤的小面积钙化。磁共振成像能够准确识别肿瘤肿块的起源器官,并区分软组织与脂肪、液体或出血。此外,MRI在许多情况下有助于手术规划:在确定软组织肿瘤肿块的大小和范围方面,它比计算机断层扫描更好。在确定骨肉瘤在骨髓中的扩散范围方面,它很准确。无需注射静脉造影剂,它就能准确确定肾母细胞瘤和神经母细胞瘤对腹部主要血管的移位、包绕或侵犯情况。作为评估儿科肿瘤的一种手段,MRI是非侵入性的、无痛的,儿童耐受性良好,并且不使用辐射。

相似文献

1
Efficacy of magnetic resonance imaging in 139 children with tumors.磁共振成像在139例儿童肿瘤患者中的疗效
Arch Surg. 1986 May;121(5):522-9. doi: 10.1001/archsurg.1986.01400050032004.
2
The diagnosis of malignant neoplasms in infants and children.婴幼儿及儿童恶性肿瘤的诊断
Ann Clin Lab Sci. 1974 May-Jun;4(3):164-73.
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Gallium-67 scans in children with solid tumors.实体瘤患儿的镓-67扫描
AJR Am J Roentgenol. 1976 Jan;126(1):179-86. doi: 10.2214/ajr.126.1.179.
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Diagnostic histopathologic criteria in pediatric tumors: an eclectic review.儿童肿瘤的诊断组织病理学标准:综合综述。
Crit Rev Oncol Hematol. 1986;6(3):261-86. doi: 10.1016/s1040-8428(86)80058-0.
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Imaging of neuroblastoma and Wilms' tumor.神经母细胞瘤和肾母细胞瘤的影像学检查
Magn Reson Imaging Clin N Am. 2002 May;10(2):275-302. doi: 10.1016/s1064-9689(01)00010-1.
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Renal and adrenal tumours in children.儿童肾肿瘤和肾上腺肿瘤。
Cancer Imaging. 2007 Mar 5;7(1):41-51. doi: 10.1102/1470-7330.2007.0007.
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With advances in medical imaging can the radiologist reliably diagnose Wilms' tumours?随着医学成像技术的进步,放射科医生能否可靠地诊断出肾母细胞瘤?
Clin Radiol. 1999 May;54(5):321-7. doi: 10.1016/s0009-9260(99)90563-9.
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The pediatric patient with suspected adrenal neoplasm: which radiological test to use?疑似肾上腺肿瘤的儿科患者:应采用哪种影像学检查?
Med Pediatr Oncol. 1992;20(1):53-7. doi: 10.1002/mpo.2950200111.
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Disparity in Outcomes for Adolescent and Young Adult Patients Diagnosed With Pediatric Solid Tumors Across 4 Decades.40年间被诊断为儿童实体瘤的青少年和青年患者的预后差异。
Am J Clin Oncol. 2018 May;41(5):471-475. doi: 10.1097/COC.0000000000000304.
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MRI of Wilms' tumor: promise as the primary imaging method.肾母细胞瘤的磁共振成像:有望成为主要的成像方法。
AJR Am J Roentgenol. 1986 May;146(5):955-61. doi: 10.2214/ajr.146.5.955.

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