Araki Y, Imao Y, Andoh T, Sakai N, Yamada H
Department of Neurosurgery, Gifu University School of Medicine.
No Shinkei Geka. 1993 Mar;21(3):227-33.
The blood flow was measured in brain tumors (tumor blood flow: TBF). A total of 83 patients were studied. These included cases of 29 gliomas, 25 meningiomas, 10 metastatic brain tumors and others. Measurements of TBF were performed using the 133Xe gas inhalation technique, the N-isopropyl-p-[123I] iodoamphetamine intravenous injection method, and SPECT. The results showed that TBF was variable, and was higher in meningioma. There was a significant correlation between TBF and the number of vessels in the operative specimen. Higher TBF tumors had a tendency to bleed profusely during operation. IMP E1 images were closely similar to Xe-SPECT images in TBF value. In cases with glioma, moderate correlation was noted between Xe-SPECT and IMP E2 image. A discrepancy in TBF values between IMP E2 image and Xe-SPECT image was observed. There was low activity on IMP E2 image and high TBF value in Xe-SPECT image. This was true especially in cases with angioblastic meningioma. In conclusion, TBF was considered to be helpful not only for preoperative diagnosis, but also for estimation of bleeding from tumors during operation and treatment.
对脑肿瘤的血流情况进行了测量(肿瘤血流量:TBF)。共研究了83例患者。这些患者包括29例胶质瘤、25例脑膜瘤、10例脑转移瘤及其他病例。采用133Xe气体吸入技术、N-异丙基-p-[123I]碘安非他明静脉注射法以及单光子发射计算机断层扫描(SPECT)对TBF进行测量。结果显示,TBF存在差异,且在脑膜瘤中较高。TBF与手术标本中的血管数量之间存在显著相关性。TBF较高的肿瘤在手术过程中往往出血较多。IMP E1图像在TBF值方面与Xe-SPECT图像非常相似。在胶质瘤病例中,Xe-SPECT与IMP E2图像之间存在中度相关性。观察到IMP E2图像与Xe-SPECT图像的TBF值存在差异。IMP E2图像上活性较低,而Xe-SPECT图像上TBF值较高。这在成血管细胞性脑膜瘤病例中尤为明显。总之,TBF不仅被认为有助于术前诊断,还有助于评估手术和治疗过程中肿瘤的出血情况。