Kornienko V N, Lipattsev I I, Kasumova S Iu
Zh Vopr Neirokhir Im N N Burdenko. 1986 Jan-Feb(1):31-7.
The authors analyse the results of computed tomography (CT) and the operative findings in 107 patients with metastatic tumors of the brain. The computer-tomographic image was studied in comparison with the size, macro- and microscopic structure of the removed metastases and in 15 cases of metastases discovered on autopsy. The results showed that CT makes it possible to determine the number, size, and location of the metastases, the attendant edema of the cerebral tissue, and the developmental stage of the tumorous node. With consideration for the duration of metastasis growth, these data, in a relatively favourable somatic condition of the patient, enable one to determine the indications for removing a solitary as well as one or two neurologically "resounding" tumorous nodes in multiple metastases if the others are in the subclinical stage of development.
作者分析了107例脑转移瘤患者的计算机断层扫描（CT）结果及手术所见。将计算机断层扫描图像与切除转移灶的大小、大体和微观结构进行了对比研究，并对15例尸检时发现的转移灶进行了研究。结果表明，CT能够确定转移灶的数量、大小和位置、伴随的脑组织水肿以及肿瘤结节的发展阶段。考虑到转移瘤生长的持续时间，在患者身体状况相对良好的情况下，这些数据能够确定在其他转移灶处于亚临床发展阶段时，切除单个以及多发转移瘤中一个或两个具有神经学“显著意义”的肿瘤结节的指征。
