中国CT和MRI杂志2024,Vol.22Issue(2) :8-10.DOI:10.3969/j.issn.1672-5131.2024.02.003

66例松果体区不同类型肿瘤的CT和MRI表现特征分析

The Analysis of CT and MRI Features of 66 Different Pineal Region Masses

邹明 刘长林 秦永源 曾凡勇 姚利华 蔡建国 李文华
中国CT和MRI杂志2024,Vol.22Issue(2) :8-10.DOI:10.3969/j.issn.1672-5131.2024.02.003

66例松果体区不同类型肿瘤的CT和MRI表现特征分析

The Analysis of CT and MRI Features of 66 Different Pineal Region Masses

邹明 1刘长林 1秦永源 1曾凡勇 1姚利华 1蔡建国 1李文华2
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作者信息

  • 1. 上海健康医学院附属崇明医院医学影像科(上海 202150)
  • 2. 上海健康医学院附属崇明医院医学影像科(上海 202150);上海交通大学医学院附属新华医院放射科(上海 200092)
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摘要

目的 探讨松果体区不同类型肿瘤的CT和MRI表现特征.方法 对经手术病理证实的66例松果体区肿瘤的CT和MRI资料进行回顾性,纪录肿瘤的类型、大小、形态、钙化、密度、信号、表观弥散系数(ADC)值和强化特征.结果 66例中,生殖细胞肿瘤37例,星形细胞瘤13例,松果体细胞肿瘤12例,非典型性畸胎瘤样/横纹肌样瘤2例,室管膜瘤2例.全部肿瘤呈类圆形,最大径范围为1.41-5.15cm,均值为3.25±1.04cm.肿瘤ADC值范围0.52-1.46×10-3mm2/s,均值为 1.01±0.25×10-3mm2/s.54.5%瘤内或边缘见钙化;33.3%肿瘤呈混杂密度及信号,增强后肿瘤实性成分均见强化.结论 松果体区不同类型的肿瘤CT密度、钙化和MR信号特征及ADC值存在一定差异,结合CT和MRI特征有利于术前正确诊断.

Abstract

Objective To investigate the CT and MRI features of 66 different masses in pineal region.Methhods CT and MRI data of 66 pineal region tumors confirmed by surgery and pathology were retrospectively analyzed.The type,size,shape,calcification,density,signals,apparent diffusion coefficient(ADC)value and enhancement pattern of the tumors were recorded.Results Of the 66 cases,37 were germ cell tumors,13 astrocytomas,and 12 pineal cell tumors,2 atypical teratoma like/rhabdomyoid tumor,2 ependymoma.All tumors were round,the maximum diameter ranged from 1.41 to 5.15 cm,and the average value was 3.25±1.04 cm.Tumor ADC value ranged 0.52 to 1.46×10-3mm2/s with a mean value 1.01±0.25×10-3mm2/s.54.5%of pineal region masses had calcification within tumor or at its margin;33.3%of the tumors showed mixed density and signals,and solid components of the tumors showed enhancement after enhancement.Condlusion There are differences in CT density,calcification,MR signal characteristics and ADC values among different types of tumors in the pineal region.CT and MRI combined features are helpful for correct preoperative diagnosis.

关键词

松果体/松果体区肿瘤/CT/MRI/儿童

Key words

Pineal Gland/Pineal Region Tumor/CT/MRI/Children

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出版年

2024
中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
参考文献量16
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