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[1]盧善良,陳玉珊,林景戀,等.MRI在原發(fā)性中樞神經(jīng)系統(tǒng)淋巴瘤與脫髓鞘假瘤鑒別中的價值[J].福建醫(yī)藥雜志,2024,46(04):1-5.[doi:10.20148/j.fmj.2024.04.001]
　LU Shanliang,CHEN Yushan,LIN Jinglian,et al.Significance of MRI in the differential diagnosis of primary central nervous system lymphoma and demyelinafing pseudotumors of brain[J].FUJIAN MEDICAL JOURNAL,2024,46(04):1-5.[doi:10.20148/j.fmj.2024.04.001]
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MRI在原發(fā)性中樞神經(jīng)系統(tǒng)淋巴瘤與脫髓鞘假瘤鑒別中的價值()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
46
期數(shù):
2024年04期
頁碼:
1-5
欄目:
臨床研究
出版日期:
2024-08-15

文章信息/Info

Title:
Significance of MRI in the differential diagnosis of primary central nervous system lymphoma and demyelinafing pseudotumors of brain
文章編號:
1002-2600(2024)04-0001-05
作者:
盧善良; 陳玉珊; 林景戀; 詹淑君
福建醫(yī)科大學(xué)附屬漳州市醫(yī)院影像科,漳州 363000
Author(s):
LU Shanliang; CHEN Yushan; LIN Jinglian; ZHAN Shujun
Department of Imaging,Zhangzhou Affiliated Hospital of Fujian Medical University,Zhangzhou,Fujian 363000,China
關(guān)鍵詞:
磁共振成像;  中樞神經(jīng)系統(tǒng);  脫髓鞘假瘤;  淋巴瘤;  鑒別診斷
Keywords:
magnetic resonance imaging(MRI);  central nervous system;  demyelinating pseudotumor;  lymphoma;  differential diagnosis
分類號:
R733.4; R445.2
DOI:
10.20148/j.fmj.2024.04.001
文獻標志碼:
B
摘要:
目的 探討原發(fā)性中樞神經(jīng)系統(tǒng)淋巴瘤(PCNSL)與脫髓鞘假瘤(DPTs)磁共振(MRI)的影像表現(xiàn),提高兩組疾病診斷準確性。方法 回顧性分析41例中樞神經(jīng)系統(tǒng)淋巴瘤和30例脫髓鞘假瘤的MRI檢查,并分析兩組MRI的影像學(xué)特征。結(jié)果 PCNSL組與DPTs組在年齡、性別和臨床癥狀上的差異無統(tǒng)計學(xué)意義(P>0.05),在病灶最大徑、彌散加權(quán)成像(diffusion weighted imaging,DWI)、表觀擴散系數(shù)(appearance diffusion coefficient,ADC)、磁敏感加權(quán)成像(magnetic susceptibility-weighted imaging,SWI)上存在統(tǒng)計學(xué)差異(P<0.05); PCNSL增強掃描呈明顯均勻強化,部分病灶出現(xiàn)典型“缺口征”、“尖角征”,磁共振波譜分析(magnetic resonance spectroscopy,MRS)出現(xiàn)凋亡相關(guān)寬大Lip峰,可見Lac峰; DPTs增強掃描呈邊緣環(huán)形輕度強化或無強化,MRS無特異性。結(jié)論 PCNSL組的彌散受限、SWI信號減低發(fā)生率高于DPTs患者,結(jié)合增強掃描和MRS,可提高診斷準確性。
Abstract:
Objective To investigate the imaging findings of magnetic resonance imaging(MRI)in the diagnosis of demyelinating pseudotumor and lymphoma of central nervous system,and to improve the correct diagnosis rate of the disease. Methods A retrospective analysis of 41 patients with central nervous system lymphoma and 30 patients with demyelinating pseudotumor was carried out. MRI was performed on these patients and the imaging features were summarized. Results There was no statistically significant difference in age,sex,and clinical symptoms(P>0.05). The MRI findings that showed statistical significance between the two groups included the maximum diameter,diffusion weighted imaging(DWI)combined with apparent diffusion coefficient(ADC), sensitive weighted imaging(SWI). Primary central nervous system lymphoma: MRI imaging features showed uniform enhancement characteristics after scan enhancement, manifested as “incision” and “angular”. And MRS showed highly elevated lipid peak and inverted lactic acid peak. Demyelinating pseudotumors: The lesions had round or no enhancement on MRI scan. And MRS showed no specificity. Conclusion The PCNSL group had a higher incidence of diffusion-limited and reducing SWI signal than patients with DPTs, which is of great value in improving the diagnostic accuracy of PCNSL and DPTs. Enhanced scanning and MRS also have diagnostic value in the two groups.

參考文獻/References:

[1] 李盼盼,張卓.原發(fā)性中樞神經(jīng)系統(tǒng)淋巴瘤的放射治療進展[J].中華放射腫瘤學(xué)雜志,2022,31(5):473-477.
[2] 花奕,張衛(wèi)琴,沈玨,等. 髓鞘少突膠質(zhì)細胞糖蛋白抗體陽性的兒童中樞神經(jīng)系統(tǒng)脫髓鞘疾病臨床特點[J].中華實用兒科臨床雜志,2020,35(6):450-453.
[3] 程靜,劉興旺,趙靜,等.常見中樞神經(jīng)系統(tǒng)脫髓鞘疾病診斷中磁共振成像的價值及其有效性分析[J].影像研究與醫(yī)學(xué)應(yīng)用,2020,4(15):43-44.
[4] 史延斌,曾瑩婷,李逸攀,等.原發(fā)性中樞神經(jīng)系統(tǒng)淋巴瘤在免疫功能正常或低下患者的 MRI成像特征[J].新發(fā)傳染病電子雜志,2023,8(2):39-44.
[5] CHENG G,ZHANG J. Imaging features(CT,MRI,MRS,and PET/CT)of primary central nervous system lymphoma in immunocompetent patients[J].Neurol Sci,2019,40: 535-542.
[6] 劉欣蔚,王健紅,吳振天,等.高危原發(fā)中樞神經(jīng)系統(tǒng)淋巴瘤1例[J].中國臨床案例成果數(shù)據(jù)庫,2024,6(1):E0210-E0210.
[7] 靳欣,李凱悅,周雨菁,等.原發(fā)性中樞神經(jīng)系統(tǒng)T細胞淋巴瘤1例并文獻復(fù)習(xí)[J],白血病·淋巴瘤,2023,32(12):754-756.
[8] LÖW S,HAN C H,Batchelor TT. Primary central nervous system lymphoma[J].Ther Adv Neurol Disord,2018,11:1756286418793562.
[9] GROMMES C,DEANGELIS L M. Primary CNS lymphoma[J].J Clin Oncol,2017,35(21):24102418.
[10] GANDHI M K,HOANG T,LAW S C,et al. EBV - associated primary CNS lymphoma occurring after immunosuppression is a distinct immunobiological entity[J].Blood,2021,137(11):1468-1477.
[11] 李揚,任靜,閆春偉,等.免疫功能正常原發(fā)性中樞神經(jīng)系統(tǒng)淋巴瘤的MRI誤診分析[J].臨床誤診誤治,2023,36(6):28-31.
[12] 梁新悅,閆玉蓉,黃文榮,等.初治原發(fā)性中樞神經(jīng)系統(tǒng)淋巴瘤臨床特征及預(yù)后的多中心、回顧性研究[J].白血病·淋巴瘤,2023,32(8):465-472.
[13] TANG D,CHEN Y,SHI Y,et al. Epidemiologic characteristics,prognostic factors, and treatment outcomes in primary centralnervous system lymphoma:a SEER -based study[J].Front Oncol,2022,12:817043.
[14] 趙暉,李虓,宋蓓,等.腦脊液實驗室檢測在原發(fā)性中樞神經(jīng)系統(tǒng)淋巴瘤診斷中的價值探討[J].中華檢驗醫(yī)學(xué)雜志,2021,44(1):55-60.
[15] 趙雪. CT與MRI 在中樞神經(jīng)系統(tǒng)脫髓鞘假瘤與淋巴瘤診斷中的價值分析[J].中國實用醫(yī)藥,2022,17(13):58-60.
[16] 白潔,劉玥,張寧寧,等.中樞神經(jīng)腫瘤樣脫髓鞘病2例[J].中國臨床案例成果數(shù)據(jù)庫,2022,4(1):103-105.
[17] 王瑞舉,張慶彥,劉榮成,等.DWI聯(lián)合ADC值在胃癌分化程度評估中的應(yīng)用[J].中國實用醫(yī)刊,2021,48(23):79-82.
[18] HE Y X,QU C X,HE Y Y,et al. Conventional MR and DW imaging findings of cerebellar primary CNS lymphoma: comparison with high-grade glioma[J].Sci Rep,2020,10(1):10007.
[19] 王微微,牛田力,苗延巍,等.SWI對星形細胞瘤分級及與單發(fā)轉(zhuǎn)移瘤鑒別診斷的價值[J].磁共振成像,2015,6(4):246-252.
[20] 孫珊珊,林勇,曹棉富,等.影像及病理形態(tài)酷似膠質(zhì)瘤的脫髓鞘病變1例[J].中國臨床案例成果數(shù)據(jù)庫,2023,05(1):e00528-e00528.
[21] 李揚,劉福生,劉元波,等.原發(fā)性中樞神經(jīng)系統(tǒng)淋巴瘤的診斷與治療[J].中華血液學(xué)雜志,2014,35(5):771-773.
[22] 靳欣,李凱悅,周雨菁,等.原發(fā)性中樞神經(jīng)系統(tǒng)淋巴瘤的影像學(xué)研究進展[J].國際放射醫(yī)學(xué)核醫(yī)學(xué)雜志,2022,46(11):679-684.
[23] 李紅軍,朱榮廣.MRI和 CT在中樞神經(jīng)系統(tǒng)淋巴瘤診斷中的應(yīng)用價值[J].中國實用醫(yī)刊,2013,40(19):44-46.

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　LIN Shengmei,CHENG Zhangbo,ZHANG wei,et al.Clinical value of T1 SPACE technique in the diagnosis of Cockett syndrome[J].FUJIAN MEDICAL JOURNAL,2022,44(04):1.

備注/Memo

備注/Memo:
基金項目:2021年福建省自然科學(xué)基金面上項目(2021J011409)
通信作者:陳玉珊,Email: [email protected]
更新日期/Last Update: 2024-08-15