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7T 用于良性周围神经肿瘤的临床成像:初步结果。

7T for clinical imaging of benign peripheral nerve tumors: preliminary results.

机构信息

Department of Radiology, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA.

Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.

出版信息

Acta Neurochir (Wien). 2023 Nov;165(11):3549-3558. doi: 10.1007/s00701-023-05724-1. Epub 2023 Jul 19.

Abstract

PURPOSE

MRI has become an essential diagnostic imaging modality for peripheral nerve pathology. Early MR imaging for peripheral nerve depended on inferred nerve involvement by visualizing downstream effects such as denervation muscular atrophy; improvements in MRI technology have made possible direct visualization of the nerves. In this paper, we share our early clinical experience with 7T for benign neurogenic tumors.

MATERIALS

Patients with benign neurogenic tumors and 7T MRI examinations available were reviewed. Cases of individual benign peripheral nerve tumors were included to demonstrate 7T MRI imaging characteristics. All exams were performed on a 7T MRI MAGNETOM Terra using a 28-channel receive, single-channel transmit knee coil.

RESULTS

Five cases of four pathologies were selected from 38 patients to depict characteristic imaging features in different benign nerve tumors and lesions using 7T MRI.

CONCLUSION

The primary advantage of 7T over 3T is an increase in signal-to-noise ratio which allows higher in plane resolution so that the smallest neural structures can be seen and characterized. This improvement in MR imaging provides the opportunity for more accurate diagnosis and surgical planning in selected cases. As this technology continues to evolve for clinical purposes, we anticipate increasing applications and improved patient care using 7T MRI for the diagnosis of peripheral nerve masses.

摘要

目的

MRI 已成为周围神经病变的重要诊断成像方式。早期的周围神经 MRI 依赖于通过观察失神经肌肉萎缩等下游效应来推断神经受累情况;MRI 技术的进步使得直接观察神经成为可能。本文介绍我们在 7T 场强下用于良性神经源性肿瘤的早期临床经验。

材料

回顾了接受过 7T MRI 检查且患有良性神经源性肿瘤的患者。纳入了单个良性周围神经肿瘤的病例,以展示 7T MRI 成像特征。所有检查均在配备 28 通道接收、单通道发射膝关节线圈的 7T MRI MAGNETOM Terra 上进行。

结果

从 38 例患者中选择了 5 例 4 种病变,以展示不同良性神经肿瘤和病变在 7T MRI 下的特征性成像特征。

结论

7T 相对于 3T 的主要优势在于信噪比的提高,从而实现了更高的平面分辨率,能够观察和特征化最小的神经结构。这种磁共振成像的改进为在选定病例中进行更准确的诊断和手术规划提供了机会。随着这项技术继续为临床目的而发展,我们预计将增加使用 7T MRI 诊断周围神经肿块的应用,并改善患者的护理。

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