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多参数磁共振成像:评估脑肿瘤和肿瘤样病变的实用工具的实际应用与影像学综述

Multiparametric MRI: practical approach and pictorial review of a useful tool in the evaluation of brain tumours and tumour-like lesions.

作者信息

Sawlani Vijay, Patel Markand Dipankumar, Davies Nigel, Flintham Robert, Wesolowski Roman, Ughratdar Ismail, Pohl Ute, Nagaraju Santhosh, Petrik Vladimir, Kay Andrew, Jacob Saiju, Sanghera Paul, Wykes Victoria, Watts Colin, Poptani Harish

机构信息

University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Edgbaston, Birmingham, B15 2TH, UK.

University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.

出版信息

Insights Imaging. 2020 Jul 17;11(1):84. doi: 10.1186/s13244-020-00888-1.

Abstract

MRI has a vital role in the assessment of intracranial lesions. Conventional MRI has limited specificity and multiparametric MRI using diffusion-weighted imaging, perfusion-weighted imaging and magnetic resonance spectroscopy allows more accurate assessment of the tissue microenvironment. The purpose of this educational pictorial review is to demonstrate the role of multiparametric MRI for diagnosis, treatment planning and for assessing treatment response, as well as providing a practical approach for performing and interpreting multiparametric MRI in the clinical setting. A variety of cases are presented to demonstrate how multiparametric MRI can help differentiate neoplastic from non-neoplastic lesions compared to conventional MRI alone.

摘要

磁共振成像(MRI)在颅内病变评估中起着至关重要的作用。传统MRI的特异性有限,而使用扩散加权成像、灌注加权成像和磁共振波谱的多参数MRI能够更准确地评估组织微环境。本教育性图片综述的目的是展示多参数MRI在诊断、治疗规划及评估治疗反应方面的作用,并提供在临床环境中进行和解读多参数MRI的实用方法。文中呈现了各种病例,以说明与单纯传统MRI相比,多参数MRI如何有助于区分肿瘤性病变与非肿瘤性病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4203/7367972/c924a0fb8663/13244_2020_888_Fig1_HTML.jpg

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