西藏医药2024,Vol.45Issue(4) :29-30.

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

黄怡 吴杰 刘轶
西藏医药2024,Vol.45Issue(4) :29-30.

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

黄怡 1吴杰 1刘轶1
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作者信息

  • 1. 西部战区总医院放射诊断科 四川成都 610083
  • 折叠

摘要

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.

Abstract

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.

关键词

脑胶质瘤/磁共振成像/病理特征/预后关系

Key words

Brain glioma/Magnetic resonance imaging/Pathological characteristic/Prognosis Relationship

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出版年

2024
西藏医药
西藏医学会

西藏医药

ISSN:1005-5177
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