磁共振波谱成像用于颅内占位性病变的诊断价值

doi:10.13491/j.issn.1004-714X.2023.05.017

中国辐射卫生

2023, Vol. 32

Issue (5): 565-568,579 DOI: 10.13491/j.issn.1004-714X.2023.05.017

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磁共振波谱成像用于颅内占位性病变的诊断价值

田雪, 王云玲, 丁爽, 依巴努·阿不都热合曼, 姜春晖, 黄玉洁

新疆医科大学第一附属医院影像中心核磁共振室, 新疆乌鲁木齐 830054

Diagnostic value of magnetic resonance spectroscopy for intracranial space-occupying lesions

TIAN Xue, WANG Yunling, DING Shuang, Yibanu·Abudureheman, JIANG Chunhui, HUANG Yujie

Department of Magnetic Resonance Imaging, Center of Imaging, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054 China

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摘要目的评价磁共振波谱成像用于颅内占位性病变的诊断价值。方法以2019—2022年在新疆医科大学第一附属医院影像中心核磁共振室接受常规MRI后行MRS检查的126例颅内占位性病变患者为研究对象，评价并比较常规磁共振成像（MRI）单用和联用磁共振波谱成像（MRS）用于诊断颅内占位性病变的效能。结果 MRI联用MRS诊断的最常见两种颅内占位性病变为结核瘤（19.05%）和高级别胶质瘤（15.87%）。单用MRI，影像学专家仅能对23.81%的颅内占位性病变患者作出影像学确诊；而联用MRI和MRS，影像学专家可对75.40%颅内占位性病变患者作出影像学确诊，提高了2.17倍（χ² = 67.07，P < 0.01）。联用MRI和MRS较单用MRI提升了70例患者（55.67%）颅内占位性病变影像学诊断准确性；此外，联用MRI和MRS较单用MRI显著提升了影像学专家诊断高级别胶质瘤、低级别胶质瘤、脑梗死、结核瘤、复发性肿瘤和放射性坏死的准确性（P < 0.01）。结论 MRI联用MRS可以较MRI单用提高对颅内占位性病变的影像学诊断效能，适合作为颅内占位性病变的一种无创诊断工具，且有助于影像学专家鉴别低和高级别胶质瘤、高级别胶质瘤和结核瘤以及复发性肿瘤和放射性坏死。

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	田雪
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	依巴努·阿不都热合曼
	姜春晖
	黄玉洁

关键词 ：颅内占位性病变, 磁共振波谱成像, 磁共振, 诊断价值

收稿日期: 2023-05-15

PACS:

R445.2

作者简介: 田雪(1991-),女,河南漯河人,硕士研究生,住院医师,主要从事磁共振功能成像研究,E-mail:snow08032023@163.com

引用本文:

田雪, 王云玲, 丁爽, 依巴努·阿不都热合曼, 姜春晖, 黄玉洁. 磁共振波谱成像用于颅内占位性病变的诊断价值[J]. 中国辐射卫生, 2023, 32(5): 565-568,579.
TIAN Xue, WANG Yunling, DING Shuang, Yibanu·Abudureheman, JIANG Chunhui, HUANG Yujie. Diagnostic value of magnetic resonance spectroscopy for intracranial space-occupying lesions. Chinese Journal of Radiological Health, 2023, 32(5): 565-568,579.

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