Kruminia G A
Zh Vopr Neirokhir Im N N Burdenko. 1988 Nov-Dec(6):12-20.
A total of 1,020 CT-studies were conducted in 234 patients with glial tumors of the brain before treatment and in different periods after operation, radiotherapy, and polychemotherapy. The CT findings were compared with the clinical and morpological findings. The author formulated the CT-syndrome of glioma regression after treatment, which corresponded to the stage of clinical remission, and the CT-signs of glioma growth activation, which corresponded to the initial stage of a clinical recurrence. The CT-symptoms of continued glioma growth appear 4-6 months ahead of a clinical recurrence in patients with gliomas of I-II degree of malignancy and 2-3 months ahead in those with III-IV degree malignancy.
对234例脑胶质瘤患者在治疗前以及术后、放疗和多药化疗后的不同时期共进行了1020次CT检查。将CT检查结果与临床和形态学检查结果进行了比较。作者总结出了治疗后胶质瘤消退的CT综合征,这与临床缓解阶段相对应,以及胶质瘤生长激活的CT征象,这与临床复发的初始阶段相对应。对于恶性程度为I-II级的胶质瘤患者,CT显示的胶质瘤持续生长症状比临床复发提前4 - 6个月出现;对于恶性程度为III-IV级的患者,则提前2 - 3个月出现。