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Recent advance in edema around the glioma detected by diffusion tensor imaging and magnetic resonance spectroscopy

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF NEUROMEDICINE
Issue:
6
DOI:
10.3760/cma.j.issn.1671-8925.2011.06.026
Key Word:
神经胶质瘤;水肿;磁共振成像,弥散;磁共振波谱学;Glioma;Edema;Diffusion tensor imaging;Magnetic resonance spectroscopy

Abstract: @@ 脑胶质瘤占颅内肿瘤的45%~50%,是中枢神经系统最常见的恶性肿瘤[1],其死亡率也在颅内肿瘤中居首位.胶质瘤易复发,预后差.尽管采用手术、放疗、化疗等综合治疗方法,由于肿瘤呈浸润性生长,与周围组织边界不清,根治困难,尤其对于功能区的胶质瘤,既要保全功能,又要尽可能多的切除肿瘤组织,如何掌握切除范围仍然存在困难.因此,在术前正确判断肿瘤的性质、部位、病理学级别及其与周围重要组织的关系显得尤为重要.目前磁共振技术已迅速发展,磁共振波谱(MRS)和弥散张量成像(DTI)已广泛应用于胶质瘤的诊治中,从而提高了手术切除率,改善了患者的生存质量.

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