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给予皮质类固醇后对比增强明显降低的胶质母细胞瘤:密度增加和扩散能力降低值得注意。

Glioblastoma with markedly reduced contrast enhancement after corticosteroid administration: Increased density and reduced diffusion capability are noteworthy.

作者信息

Toda Daiki, Nakajima Satoshi, Fushimi Yasutaka, Kitano Takaaki, Tanji Masahiro, Mineharu Yohei, Takeuchi Yasuhide, Haga Hironori, Arakawa Yoshiki, Nakamoto Yuji

机构信息

Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, 54 Shogoin-kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.

Department of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Shogoin-kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.

出版信息

Radiol Case Rep. 2025 Apr 12;20(7):3186-3190. doi: 10.1016/j.radcr.2025.03.052. eCollection 2025 Jul.

Abstract

Corticosteroids are widely used to manage peritumoral edema and associated neurological deficits in patients with brain tumors. We describe the case of a 71-year-old male patient with glioblastoma in which contrast enhancement decreased on radiographic imaging following corticosteroid administration, which has been reported previously in only 9 cases. This report aims to discuss radiographic changes in glioblastoma (density on computed tomography and diffusion capability on diffusion-weighted magnetic resonance imaging, in addition to enhancement on contrast-enhanced T1-weighted magnetic resonance imaging) following steroid administration and also following steroid discontinuation.

摘要

皮质类固醇被广泛用于治疗脑肿瘤患者的瘤周水肿及相关神经功能缺损。我们描述了一例71岁的胶质母细胞瘤男性患者,其在使用皮质类固醇后影像学检查中对比增强降低,此前仅有9例相关报道。本报告旨在探讨胶质母细胞瘤在使用类固醇后以及停用类固醇后的影像学变化(除了对比增强T1加权磁共振成像上的增强外,还包括计算机断层扫描上的密度和扩散加权磁共振成像上的扩散能力)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522e/12019830/0d8fca3203cf/gr1.jpg

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