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脑胶质瘤术后复发与假性进展的MRI鉴别诊断研究进展

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脑胶质瘤是最常见的原发性脑肿瘤,在患者术后随访期间,如果出现新的强化病灶,影像学可能考虑为肿瘤复发或假性进展(PsP).鉴别胶质瘤治疗后复发或假性进展对于患者后续治疗方式至关重要,而MRI在区分胶质瘤治疗后复发与假性进展具有明显优势.本文主要对脑胶质瘤术后复发与假性进展的MRI研究进展进行综述,总结了不同扫描技术、不同诊断方法对脑胶质瘤术后复发与假性进展的应用现状,立足于对两者充分认识及影像诊断技术的灵活应用,以期提高诊断准确率、降低误诊率.
Research Progress in MRI Differential Diagnosis of Postoperative Recurrence and Pseudoprogression of Glioma
Glioma is the most common primary brain tumor.During the postoperative follow-up period,if new enhanced lesions appear,imaging may be considered as tumor recurrence or pseudoprogression(PsP).Identifying recurrence or pseudoprogression after glioma treatment is crucial for the follow-up treatment of patients,and MRI has obvious advantages in distinguishing recurrence and pseudoprogression after glioma treatment.This article mainly reviews the research progress of MRI in postoperative recurrence and pseudoprogression of glioma,and summarizes the application status of different scanning techniques and different diagnostic methods in postoperative recurrence and pseudoprogression of glioma.Based on the full understanding of the two and the flexible application of imaging diagnostic techniques,in order to improve the diagnostic accuracy and reduce the misdiagnosis rate.

GliomaPseudoprogressionMagnetic resonance imaging

李博伟、狄多多、何思怡、成官迅

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安徽医科大学北大深圳医院临床学院,广东深圳 518036

安徽医科大学第五临床医学院,安徽 合肥 230000

北京大学深圳医院医学影像科,广东深圳 518036

脑胶质瘤 假性进展 核磁共振成像

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(14)