原发性脑淋巴瘤的MRI特点

    MRI characteristics of primary brain lymphomas

    • 摘要: 目的: 探讨免疫功能正常人原发性脑淋巴瘤的MRI特点。方法: 对11例经手术病理证实的脑淋巴瘤的MRI表现进行回顾分析。结果: 11例共检出17个病灶,病灶T1WI均呈低信号,T2WI呈等或稍高、稍低信号,单发或多发,境界清晰;轻中度瘤周水肿,并可见“火球样”水肿;增强后病灶多明显均匀强化;“缺口征”、“尖角征”的出现具有特异性。结论: 脑淋巴瘤的MRI表现有一定的特点,MRI在脑淋巴瘤的诊断中具有重要的价值。

       

      Abstract: Objective: To analyze MRI findings of primary brain lymphomas(PBL)in immunocompetent patients.Methods: MRI and 1H-MRS findings in 11 patients with pathologically proved BL,6 male and 5 female,with mean age at 52.5 years old,were analyzed retrospectively.Results: Seventeen lesions were identified in 11 patients.The MRI findings of PBL were as follows:hypo-or iso-intense on T1-weighted images and iso-or slightly hypo-intense on T2-weighted images,solitary or multiple lesions and well-defined;mild or moderate peritumoral edema,and characterized by flame-like edema;the enhancement was intense and homogeneous;the presence of incision sign and angular sign was more specific.Conclusions: The conventional MRI plays an important role in the diagnosis of PBL.

       

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