放射性脑损伤和脑肿瘤复发的鉴别诊断

陈艳芳; 杨天恩; 曹永珍

放射性脑损伤和脑肿瘤复发的鉴别诊断

陈艳芳 , 杨天恩 , 曹永珍

文章导航 > 国际放射医学核医学杂志 > 2006, 30 > 5: (308-311)

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Citation:

放射性脑损伤和脑肿瘤复发的鉴别诊断

300052 天津, 天津医科大学总医院放射治疗科

通讯作者: 曹永珍, afangtianjin@163.com

中图分类号: R818.74

Differentiation between brain radiation injury and brain tumor recurrence

Department of Radiotherapy, Tianjin Genernal Hospital, Tianjin Medical University, Tianjin 300052, China

Corresponding author: CAO Yong-zhen, afangtianjin@163.com

CLC number: R818.74

摘要: 放射性脑损伤是放射治疗的严重的并发症,其与脑肿瘤复发的鉴别诊断非常困难,目前主要依靠影像学诊断,核磁共振弥散加权像、磁共振波谱、正电子发射型计算机体层显像、单光子发射计算机体层显像等被认为对于鉴别诊断有一定的帮助,但其敏感性和特异性还有待于进一步研究。最终确诊依赖标本的组织学检查。
- 脑损伤,放射性 /
- 脑肿瘤 /
- 肿瘤复发,局部 /
- 诊断,鉴别
Abstract: Brain radiation injury is a severe complication of radiation therapy for cancer. A major dilemma in the diagnosis of radiation injury is differentiating it from recurrent tumor. MR diffusion-weighted imaging, MR spectroscopy, PET and SPECT have all been used in an attempt to differentiate the two. But none of them shows the best diagnosis sensitivity or specificity. Biopsy and histology may be considered the ultimate diagnosis tests.
- Brain injuries, radiation /
- Brain nPOplasms /
- Neoplasm recurrence, local /
- Diagnosis, differential
本作品遵循Signature-Non-Commercial Use 4.0 International (CC BY-NC 4.0)协议

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