Department of Radiology (Neuroradiology), Stanford University, Stanford, California.
Semin Neurol. 2023 Dec;43(6):867-888. doi: 10.1055/s-0043-1776765. Epub 2023 Nov 14.
Approaches to central nervous system (CNS) tumor classification and evaluation have undergone multiple iterations over the past few decades, in large part due to our growing understanding of the influence of genetics on tumor behavior and our refinement of brain tumor imaging techniques. Computed tomography and magnetic resonance imaging (MRI) both play a critical role in the diagnosis and monitoring of brain tumors, although MRI has become especially important due to its superior soft tissue resolution. The purpose of this article will be to briefly review the fundamentals of conventional and advanced techniques used in brain tumor imaging. We will also highlight the applications of these imaging tools in the context of commonly encountered tumors based on the most recently updated 2021 World Health Organization (WHO) classification of CNS tumors framework.
中枢神经系统(CNS)肿瘤的分类和评估方法在过去几十年中经历了多次迭代,这在很大程度上是由于我们对遗传学对肿瘤行为的影响的理解不断加深,以及我们对脑肿瘤成像技术的不断完善。计算机断层扫描(CT)和磁共振成像(MRI)在脑肿瘤的诊断和监测中都发挥着关键作用,尽管 MRI 由于其出色的软组织分辨率而变得尤为重要。本文的目的将简要回顾用于脑肿瘤成像的常规和先进技术的基础。我们还将根据最新的 2021 年世界卫生组织(WHO)中枢神经系统肿瘤分类框架,突出这些成像工具在常见肿瘤中的应用。