[1]薛生琦,王　磊,赵素亚,等.颅内血管网状细胞瘤的磁共振成像诊断及鉴别诊断[J].新乡医学院学报,2019,36(9):855-857.[doi:10.7683/xxyxyxb.2019.09.012]
　XUE Sheng-qi,WANG Lei,ZHAO Su-ya,et al.Magnetic resonance imaging diagnosis and differential diagnosis of intracranial angioreticuloma[J].Journal of Xinxiang Medical University,2019,36(9):855-857.[doi:10.7683/xxyxyxb.2019.09.012]
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颅内血管网状细胞瘤的磁共振成像诊断及鉴别诊断
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
36
期数:
2019年9
页码:
855-857
栏目:
临床研究
出版日期:
2019-09-05

文章信息/Info

Title:
Magnetic resonance imaging diagnosis and differential diagnosis of intracranial angioreticuloma
作者:
薛生琦1; 王　磊1; 赵素亚1; 李延锋1; 荆彦平2
（1.三门峡市中心医院放射科，河南　三门峡　472000；2.河南科技大学附属黄河三门峡医院磁共振科，河南　三门峡　472000）
Author(s):
XUE Sheng-qi1; WANG Lei1; ZHAO Su-ya1; LI Yan-feng1; JING Yan-ping2
（1.Department of Radiology，Sanmenxia Central Hospital，Sanmenxia 472000，Henan Province，China；2.Department of Magnetic Resonance Imaging，the Affiliated Huanghe Sanmenxia Hospital of Henan University of Science and Technology，Sanmenxia 472000，Henan Province，China）
关键词:
颅内血管网状细胞瘤; 磁共振成像; 脑肿瘤
Keywords:
intracranial angioreticuloma; magnetic resonance imaging; brain tumor
分类号:
R73
DOI:
10.7683/xxyxyxb.2019.09.012
文献标志码:
A
摘要:
目的　探讨颅内血管网状细胞瘤磁共振成像（MRI）表现及鉴别诊断，以提高颅内血管网状细胞瘤的诊断水平。方法　选择2013年7月至2018年12月于三门峡市中心医院经手术及病理检查确诊为颅内血管网状细胞瘤患者27例，回顾性分析患者的MRI表现。结果　27例患者中，囊结节型血管网状细胞瘤14例，囊腔型血管网状细胞瘤6例，实质型血管网状细胞瘤7例。血管网状细胞瘤大部分位于小脑半球及蚓部，以囊结节型为多见。囊结节型血管网状细胞瘤呈长T1和长T2囊状信号，12例肿瘤内部可见大小不等的等T1、稍长T2结节影，增强扫描结节可见强化，囊不强化，弥散加权成像（DWI）病变扩散不受限。囊腔型血管网状细胞瘤呈囊状长T1和长T2信号改变，DWI扩散不受限，周围未见水肿，增强扫描囊壁可见轻微线状强化。实质型囊结节型血管网状细胞瘤呈混杂T1混杂T2信号，增强扫描可见较明显强化，3例病灶周围可见水肿。结论　颅内血管网状细胞瘤的MRI表现具有一定特征性，平扫及增强扫描有助于提高各型血管网状细胞瘤的诊断及鉴别诊断。
Abstract:
Objective　To investigate the magnetic resonance imaging （MRI） features and differential diagnosis of intracranial angioreticuloma in order to improve the diagnostic level.Methods　Twenty-seven patients with intracranial angioreticuloma confirmed by surgery and pathology in Sanmenxia Central Hospital from July 2013 to December 2018 were selected and their MRI features were retrospectively analyzed.Results　In the 27 patients，there were 14 cases of cystic nodular angioreticuloma，6 cases of cystic-spatic angioreticuloma and 7 cases of were parenchymal angioreticuloma.Angioreticuloma was mostly located in cerebellar hemisphere and vermis，and cystic nodular type was the most common.The MRI of cystic nodular angioreticuloma showed long T1 and T2 cystic signals，different sizes of iso-T1 and slightly long T2 nodular shadow could be seen in the tumors in 12 cases，enhanced nodules could be seen in contrast-enhanced scan，capsule wall were not enhanced，and diffusion weighted imaging （DWI） was not limited.The MRI of cystic-spatic angioreticuloma showed capsular long T1 and T2 signals，DWI diffusion was not limited，there was no edema around the cyst，and slight linear enhancement could be seen in the cyst wall on contrast-enhanced scan.The MRI of parenchymal angioreticuloma showed mixed T1 and T2 signals，and obvious enhancement could be seen on contrast-enhanced scan，and perilesional edema could be seen in 3 cases.Conclusion　The MRI features of intracranial angioreticuloma are characteristic，the plain and contrast-enhanced scan are helpful to improve the diagnosis and differential diagnosis of various types of angioreticuloma.

参考文献/References:

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更新日期/Last Update: 2019-09-05