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[脑肿瘤的磁共振断层扫描——多回波技术与钆-DTPA 应用结果的比较]

[Magnetic resonance tomography of brain tumors--comparison of the results using the multi-echo technic and gadolinium-DTPA].

作者信息

Heindel W, Steinbrich W, Friedmann G

出版信息

Rofo. 1986 Aug;145(2):158-62. doi: 10.1055/s-2008-1048908.

Abstract

In thirty-seven MR examinations of intracranial tumours equivalent sections were obtained in a multi-echo technique before and after intravenous injection of 0.1 mmol. gadolinium DTPA/kg body weight. From this comparison the following preliminary conclusions have been drawn concerning the demonstration of the tumour, its delineation and type: Contrast administration does not unequivocally improve the sensitivity. In 55% of the cases, differentiation between tumour and oedema respectively normal brain tissue was easier after Gd-DTPA. Diffusely infiltrating gliomas remain a problem, since their extent is uncertain with or without contrast medium. The structure of the tumour can already be adequately characterized by the multi-echo technique. In order to diagnose the type of tumour, the criteria which apply to Gd-DTPA are similar to those used for iodine-containing contrast media in CT.

摘要

在对颅内肿瘤进行的37次磁共振检查中,采用多回波技术在静脉注射0.1 mmol钆二乙三胺五乙酸(Gd-DTPA)/千克体重前后获取了等效层面图像。通过此次对比,就肿瘤的显示、轮廓描绘及类型得出了以下初步结论:使用造影剂并不能明确提高敏感性。在55%的病例中,注射钆二乙三胺五乙酸(Gd-DTPA)后更容易区分肿瘤与水肿以及肿瘤与正常脑组织。弥漫性浸润性胶质瘤仍是个问题,因为无论有无造影剂,其范围都难以确定。多回波技术已能充分显示肿瘤结构。为诊断肿瘤类型,应用钆二乙三胺五乙酸(Gd-DTPA)的标准与CT中使用含碘造影剂的标准相似。

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