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脑放射性坏死:计算机断层扫描、病理学与剂量分布之间的相关性

Radiation necrosis of the brain: correlation between computed tomography, pathology, and dose distribution.

作者信息

Mikhael M A

出版信息

J Comput Assist Tomogr. 1978 Jan;2(1):71-80.

PMID:670475
Abstract

Delayed necrosis of the brain following exposure to high doses of radiation is a recognized hazard. It is important to predict the nature of these postradiation changes, since surgical removal of radiation necrosis may reverse neurological deterioration of patients so affected. The present report stresses the importance of correlating the findings on computed tomography (CT) scans and zones of high radiation dose on dose reconstruction plans in order to differentiate between delayed radiation necrosis and tumors of the brain. This differentiation is not possible using the criteria of CT alone.

摘要

高剂量辐射照射后发生的迟发性脑坏死是一种公认的危害。预测这些辐射后变化的性质很重要,因为手术切除放射性坏死可能会逆转受影响患者的神经功能恶化。本报告强调了将计算机断层扫描(CT)扫描结果与剂量重建计划中的高辐射剂量区域相关联的重要性,以便区分迟发性放射性坏死和脑肿瘤。仅使用CT标准无法进行这种区分。

相似文献

1
Radiation necrosis of the brain: correlation between computed tomography, pathology, and dose distribution.脑放射性坏死:计算机断层扫描、病理学与剂量分布之间的相关性
J Comput Assist Tomogr. 1978 Jan;2(1):71-80.
2
Radiation necrosis of the brain: correlation between patterns on computed tomography and dose of radiation.脑放射性坏死:计算机断层扫描图像模式与辐射剂量之间的相关性
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Radiation injury of the brain.脑辐射损伤
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Differentiating radiation necrosis from tumor progression in brain metastases treated with stereotactic radiotherapy: utility of intravoxel incoherent motion perfusion MRI and correlation with histopathology.在立体定向放疗治疗脑转移瘤中,从肿瘤进展中鉴别放射性坏死:应用体素内不相干运动灌注 MRI 的效用及其与组织病理学的相关性。
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Radiation necrosis of the brain. Neuroradiological considerations with computed tomography.
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[Late radiation-induced necrosis of the brain--a follow-up study using computerized tomography].
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Differentiating tumor recurrence from treatment necrosis: a review of neuro-oncologic imaging strategies.肿瘤复发与治疗坏死的鉴别:神经肿瘤影像学策略综述。
Neuro Oncol. 2013 May;15(5):515-34. doi: 10.1093/neuonc/nos307. Epub 2013 Jan 16.
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Hippocampal neuron number is unchanged 1 year after fractionated whole-brain irradiation at middle age.
中年时进行分次全脑照射后1年,海马神经元数量未发生变化。
Int J Radiat Oncol Biol Phys. 2008 Jun 1;71(2):526-32. doi: 10.1016/j.ijrobp.2008.02.015.
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Effect of voxel position on single-voxel MR spectroscopy findings.体素位置对单体素磁共振波谱结果的影响。
AJNR Am J Neuroradiol. 2000 Feb;21(2):367-74.
5
Conservative treatment of delayed cerebral radiation necrosis.迟发性脑放射性坏死的保守治疗
J Neurol Neurosurg Psychiatry. 1984 Dec;47(12):1338-41. doi: 10.1136/jnnp.47.12.1338.
6
Dual energy CT scanning for analysis of brain damage due to X-irradiation.
Ann Biomed Eng. 1984;12(1):15-28. doi: 10.1007/BF02410288.
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Cerebral space-occupying cysts following radiation and chemotherapy of malignant gliomas.
Acta Neurochir (Wien). 1981;57(3-4):177-93. doi: 10.1007/BF01664836.
8
Radiation necrosis of the brain: time of onset and incidence related to total dose and fractionation of radiation.
Neuroradiology. 1985;27(1):44-7. doi: 10.1007/BF00342516.
9
Cerebral radionecrosis: is surgery necessary?脑放射性坏死:是否需要手术?
J Neurol Neurosurg Psychiatry. 1987 Nov;50(11):1407-14. doi: 10.1136/jnnp.50.11.1407.
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Cerebral necrosis following neutron radiation of an extracranial tumor.
J Neurooncol. 1988 Sep;6(2):113-7. doi: 10.1007/BF02327386.