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脑肿瘤的影像学诊断。

Imaging of Brain Tumors.

出版信息

Continuum (Minneap Minn). 2023 Feb 1;29(1):171-193. doi: 10.1212/CON.0000000000001202.

Abstract

OBJECTIVE

This article focuses on neuroimaging as an essential tool for diagnosing brain tumors and monitoring response to treatment.

LATEST DEVELOPMENTS

Neuroimaging is useful at all stages of brain tumor care. Technologic advances have improved the clinical diagnostic capability of neuroimaging as a vital complement to history, examination, and pathologic assessment. Presurgical evaluations are enriched by novel imaging techniques, through improved differential diagnosis and better surgical planning using functional MRI (fMRI) and diffusion tensor imaging. The common clinical challenge of differentiating tumor progression from treatment-related inflammatory change is aided by novel uses of perfusion imaging, susceptibility-weighted imaging (SWI), spectroscopy, and new positron emission tomography (PET) tracers.

ESSENTIAL POINTS

Using the most up-to-date imaging techniques will facilitate high-quality clinical practice in the care of patients with brain tumors.

摘要

目的

本文重点介绍神经影像学作为诊断脑肿瘤和监测治疗反应的重要工具。

最新进展

神经影像学在脑肿瘤治疗的各个阶段都有应用。技术进步提高了神经影像学的临床诊断能力,使其成为病史、检查和病理评估的重要补充。通过使用功能磁共振成像(fMRI)和弥散张量成像(DTI)进行新的成像技术,术前评估得到了丰富,通过改进鉴别诊断和更好的手术规划。通过使用灌注成像、磁敏感加权成像(SWI)、波谱和新的正电子发射断层扫描(PET)示踪剂,有助于解决区分肿瘤进展与治疗相关炎症变化的常见临床挑战。

要点

使用最新的成像技术将有助于提高脑肿瘤患者护理的高质量临床实践。

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