WHO Ⅰ、Ⅱ、Ⅲ级脑膜瘤MRI表现的差异
DOI:
作者:
作者单位:

作者简介:

张健(1966- ),男,主任医师,博士,从事脑肿瘤及神经干细胞的研究。

通信作者:

基金项目:

山东省科技攻关项目资助(2008GG30002057)


The Differences in Magnetic Resonance Imaging Features Of WHO Grade I, Ⅱ and Ⅲ Meningiomas
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 音频文件
  • |
  • 视频文件
    摘要:

    目的 探讨WHO脑膜瘤分级中各级脑膜瘤MRI表现的差异。方法 回顾性分析了经手术及病理证实的31例Ⅱ级及15例Ⅲ级脑膜瘤MRI表现,并与51例Ⅰ级脑膜瘤MRI表现进行对照分析。结果 I级脑膜瘤大部分为类球型,少数为分叶状,Ⅱ级脑膜瘤中分叶状所占比率较Ⅰ级脑膜瘤高,Ⅲ级脑膜瘤中绝大部分为分叶状,少数为类球形,差异具有统计学意义(P=0.0400)。Ⅰ、Ⅱ、Ⅲ级脑膜瘤肿瘤最大径差异无统计学意义(P=0.7790)。Ⅰ、Ⅱ、Ⅲ级脑膜瘤MRI信号不均匀者所占比例差异具有统计学意义(P=0.0150),不均匀强化所占比率差异具有统计学意义(P=0.0011)。硬膜尾征在Ⅰ、Ⅱ、Ⅲ级脑膜瘤中发生率差异无统计学意义(P=0.0579)。Ⅰ、Ⅱ、Ⅲ级脑膜瘤黑环征不完整或无黑环征者所占比率差异具有统计学意义(P=0.0182)。瘤周囊肿及瘤周水肿的发生率在各级脑膜瘤间的差异无统计学意义(P>0.05)。结论 根据脑膜瘤MRI表现,脑膜瘤形状,MRI信号均匀程度,强化均匀程度可作为脑膜瘤分级的鉴别依据。

    Abstract:

    Objective To investigate the differences in magnetic resonance imaging features among the WHO grade Ⅰ, Ⅱ and Ⅲ meningiomas.Methods We retrospectively studied the Magnetic Resonance Imaging features of WHO grade Ⅱ (31 cases) and WHO grade Ⅲ (15 cases) meningiomas, which were compared with WHO grade I meningiomas (51 cases).Results The shapes of WHO grade I meningiomas were predominantly rounded. The rate of lobular shape of WHO grade Ⅱ meningiomas was higher than that of WHO grade Ⅰ meningiomas. While most of the shapes of WHO grade Ⅲ meningiomas were lobular (P=0.0400). The largest diameters of WHO grade Ⅰ, Ⅱ and Ⅲ meningiomas were 4.6cm, 4.5cm and 4.8cm respectively (P=0.7790). WHO grade Ⅰ, Ⅱ and Ⅲ meningiomas with heterogeneous intensity 73.3%(P=0.0150), and with heterogeneous contrast enhancement respectively(P=0.0011). Dural tail could be found in WHO grade I, Ⅱ and Ⅲ meningiomas(P=0.0579). There are partial or complete disappearance of the peritumoral band in WHO Ⅰ,Ⅱ and Ⅲ (P=0.0002). The rates of intratumoral cysts of WHO grade Ⅱ and grade Ⅲ meningiomas are higher than that of WHO grade I meningiomas. There are no significant differences in peritumoral cysts and peritumoral edema association with meningiomas amoung WHO grade Ⅰ, Ⅱ and Ⅲ meningiomas.Conclusions The shapes of WHO grade I meningiomas are predominantly rounded. The rates of lobular shape of WHO grade Ⅱ and Ⅲ meningiomas are higher than that of WHO grade I meningiomas. WHO grade Ⅱ and Ⅲ meningiomas are more common displaying heterogeneous intensity, and heterogeneous contrast enhancement comparing with WHO grade Ⅰ meningiomas. The incidences of partial or complete disappearance of the peritumoral band of WHO grade Ⅱ and Ⅲ meningiomas increase dramatically, while the rates of dural tail of WHO grade Ⅱ and Ⅲ meningiomas decrease slightly. Intratumoral cysts relate to higher occurrence of WHO grade Ⅱ and Ⅲ meningiomas, while peritumoral cysts were independent of it. There are no significant differences about peritumoral edema amoung WHO grade Ⅰ, Ⅱ and Ⅲ meningiomas.

    参考文献
    相似文献
    引证文献
引用本文

岳英杰费昶, 张健郑学军, 王希高, 郭锋456. WHO Ⅰ、Ⅱ、Ⅲ级脑膜瘤MRI表现的差异[J].国际神经病学神经外科学杂志,2012,39(2):138-142111YUE Ying-Jie, FEI Chang, ZHANG Jian, ZHENG Xue-Jun, WANG Xi-Gao, GUO Feng222. The Differences in Magnetic Resonance Imaging Features Of WHO Grade I, Ⅱ and Ⅲ Meningiomas[J]. Journal of International Neurology and Neurosurgery,2012,39(2):138-142

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2012-02-13
  • 最后修改日期:2012-04-06
  • 录用日期:
  • 在线发布日期: 2012-04-28
关闭
关闭