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脑胶质瘤磁共振成像特征及与预后的关系分析

Analysis of magnetic resonance imaging characteristics and prognosis of brain glioma

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目的 探讨脑胶质瘤(BG)磁共振成像(MRI)的特征及与预后之间的关系.方法 回顾性分析本院2020年1月~2021年12月期间收治的102例BG术前行MRI检查患者的影像资料,随访18个月,记录肿瘤大小、位置、边缘、占位效应、肿瘤强化特点等特征,探讨MRI征象与患者预后的相关性.结果102例患者18个月随访的总体生存率为41.18%(42/102);其中42例纳为生存组,60例纳为死亡组,两组肿瘤位置、肿瘤模糊的边界方面的差异无明显差异(P>0.05);死亡组肿瘤直径>6cm,明显占位效应,明显瘤周水肿,存在囊变、出血、坏死病灶,病灶明显不均匀强化方面的占比高于生存组(P<0.05).结论BG患者MRI特征中肿瘤直径,占位效应,瘤周水肿,囊变、出血、坏死病灶,病灶明显不均匀强化与患者的预后显著相关,临床上可据此评估预后情况.
Objective To explore magnetic resonance imaging(MRI)characteristics of brain glioma(BG)and their relationship with prognosis.Methods A retrospective analysis was performed on the imaging data of 102 patients with BG who underwent preop-erative MRI examination in the hospital between January 2020 and December 2021.All were followed up for 18 months to record MRI characteristics,including tumor size,sites,margin,space-occupying effect and tumor enhancement characteristics.The correlation be-tween MRI signs and prognosis of patients was explored.Results In the 102 patients after 18 months of follow-up,overall survival rate was 41.18%(42/102).Among them,there were 42 cases in survival group and 60 cases in death group.There were no significant difference in tumor sites or fuzzy tumor boundary between the two groups(P>0.05).The proportions of tumor diameter>6cm,obvious space-occupying effect,obvious peritumoral edema,cystic lesions,hemorrhage,necrotic lesions and obvious uneven enhancement of lesions in death group were higher than those in survival group(P<0.05).Conclusion The MRI features of BG patients with tumor di-ameter,space occupying effect,peritumoral edema,cystic change,hemorrhage,necrotic lesions,and significant uneven enhancement of lesions are significantly correlated with the prognosis of patients,and can be used to evaluate the prognosis clinically.

Brain gliomaMagnetic resonance imagingPathological characteristicPrognosis Relationship

黄怡、吴杰、刘轶

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西部战区总医院放射诊断科 四川成都 610083

脑胶质瘤 磁共振成像 病理特征 预后关系

2024

西藏医药
西藏医学会

西藏医药

ISSN:1005-5177
年,卷(期):2024.45(4)