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磁共振波谱在脑肿瘤中的临床应用:从诊断到治疗。

Clinical Applications of Magnetic Resonance Spectroscopy in Brain Tumors: From Diagnosis to Treatment.

机构信息

Radiology and Imaging Sciences, Emory University, 1364 Clifton Road Northeast BG20, Atlanta, GA 30322, USA.

Radiology and Imaging Sciences, Emory University, 1364 Clifton Road Northeast BG20, Atlanta, GA 30322, USA.

出版信息

Radiol Clin North Am. 2021 May;59(3):349-362. doi: 10.1016/j.rcl.2021.01.004. Epub 2021 Mar 23.

Abstract

Magnetic resonance spectroscopy (MRS) is a valuable tool for imaging brain tumors, primarily as an adjunct to conventional imaging and clinical presentation. MRS is useful in initial diagnosis of brain tumors, helping differentiate tumors from possible mimics such as metastatic disease, lymphoma, demyelination, and infection, as well as in the subsequent follow-up of patients after resection and chemoradiation. Unfortunately, the spectroscopic appearance of many pathologies can overlap, and ultimately follow-up or biopsy may be required to make a definitive diagnosis. Future developments may continue to increase the value of MRS for initial diagnosis, treatment planning, and early detection of recurrence.

摘要

磁共振波谱分析(MRS)是一种用于成像脑肿瘤的有价值的工具,主要作为常规成像和临床表现的辅助手段。MRS 可用于脑肿瘤的初步诊断,有助于区分肿瘤与可能的类似物,如转移疾病、淋巴瘤、脱髓鞘和感染,以及在切除和放化疗后对患者的后续随访中。不幸的是,许多病变的光谱表现可能重叠,最终可能需要随访或活检才能做出明确的诊断。未来的发展可能会继续提高 MRS 在初始诊断、治疗计划和早期检测复发方面的价值。

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