第三脑室占位性病变的MRI诊断

李欣明1,贾洪顺1,任云燕2,史 达1,阎超群1,袁阳光1,李师思1,梁 文1,全显跃1

中国临床医学影像杂志 ›› 2017, Vol. 28 ›› Issue (4) : 229-302.

中国临床医学影像杂志 ›› 2017, Vol. 28 ›› Issue (4) : 229-302.
中枢神经影像学

第三脑室占位性病变的MRI诊断

  • 李欣明1,贾洪顺1,任云燕2,史  达1,阎超群1,袁阳光1,李师思1,梁  文1,全显跃1
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MRI diagnosis of the third ventricular masses

  • LI Xin-ming1, JIA Hong-shun1, REN Yun-yan2, SHI Da1, YAN Chao-qun1,YUAN Yang-guang1, LI Shi-si1, LIANG Wen1, QUAN Xian-yue1
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摘要

目的:探讨第三脑室占位性病变的MRI影像学特征。资料与方法:回顾性分析48例第三脑室占位性病变的资料,46例经病理证实,2例转移瘤原发肿瘤明确。结果:第三脑室内占位22例,跨第三脑室内外生长占位26例。根据肿瘤与第三脑室的角度及周围脑实质的关系可区分肿瘤位于第三脑室内或跨第三脑室内外生长。第三脑室占位性病变大多具有年龄特征,蛛网膜囊肿、室管膜囊肿、脉络丛乳头状肿瘤、颅咽管瘤、生殖细胞肿瘤及原始神经外胚层肿瘤好发于儿童及青少年。不同类型第三脑室占位性病变的MRI表现有所不同,部分具有特征性表现。结论:MRI能较好地区分第三脑室内或跨第三脑室内外生长占位,综合发病年龄特征、MRI特点可提高诊断准确性。

Abstract

Objective: To investigate MRI features of masses in third ventricle. Materials and Methods: The MRI findings of 48 patients with third ventricular masses were reviewed retrospectively. Forty-six cases were proved by pathology and 2 cases with metastasis which the primary tumors were proved. Results: There were 22 cases third ventricle masses and 26 cases lesions distorting or invading the third ventricle. Based on the angle between tumors and third ventricular wall and whether had clear margin with peritumor tissue could distinguish intraventricular masses and lesions distorting or invading the third ventricle. Most tumors in the third ventricle had age characteristics. The arachnoid cyst, ependymal cyst, choroid plexus papilloma, craniopharyngioma, germ cell tumors and primitive neuroectodermal tumor frequently occurred in children and teenagers. MRI manifestations of different tumors were different, some of them had characteristic manifestations. Conclusion: Magnetic resonance imaging can distinguish between intraventricular masses and lesions distorting or invading the third ventricle. Diagnostic accuracy can be improved by combining with patient’s age and MRI manifestations.

关键词

脑室肿瘤 / 磁共振成像

Key words

Cerebral ventricle neoplasms / Magnetic resonance imaging

引用本文

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李欣明1,贾洪顺1,任云燕2,史 达1,阎超群1,袁阳光1,李师思1,梁 文1,全显跃1. 第三脑室占位性病变的MRI诊断[J]. 中国临床医学影像杂志. 2017, 28(4): 229-302
LI Xin-ming1, JIA Hong-shun1, REN Yun-yan2, SHI Da1, YAN Chao-qun1,YUAN Yang-guang1, LI Shi-si1, LIANG Wen1, QUAN Xian-yue1. MRI diagnosis of the third ventricular masses[J]. Journal of China Clinic Medical Imaging. 2017, 28(4): 229-302
中图分类号: R739.41    R445.2   

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