磁共振成像在脑实质结核瘤影像学分型中的应用

doi:10.19871/j.cnki.xfcrbzz.2021.04.003

新发传染病电子杂志 ›› 2021, Vol. 6 ›› Issue (4): 280-284.doi: 10.19871/j.cnki.xfcrbzz.2021.04.003

磁共振成像在脑实质结核瘤影像学分型中的应用

田朝巧¹, 杨泠², 范东¹, 汤荣林³, 杨亚英⁴

1.云南省第一人民医院新昆华医院影像科,昆明 650301;
2.昆明医科大学第三附属医院影像科,昆明 650118;
3.昆明市结核病防治院感染科,昆明 650301;
4.昆明医科大学第一附属医院影像科,昆明 650032

收稿日期:2021-09-15 出版日期:2021-11-30 发布日期:2021-12-13
通讯作者: 杨亚英,Email:yayingyang@163.com

Application of MRI in imaging classfication of brain parenchymal tuberculoma

Tian Chaoqiao¹, Yang Ling², Fan Dong¹, Tang Ronglin³, Yang Yaying⁴

1. Department of Medical Imaging, First Hospital of Yunnan Province New Kunhua Hospital, Kunming 650301, China;
2. Department of Imaging, The Third Affiliated Hospital of Kunming Medical University, Kunming 650118, China;
3. Department of Infection, Kunming Tuberculosis Hospital, Kunming 650301, China;
4. Department of Imaging, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China

Received:2021-09-15 Online:2021-11-30 Published:2021-12-13

摘要/Abstract

摘要： 目的探究脑实质结核瘤影像学分型的临床意义,为脑实质结核瘤影像诊断提供依据。方法回顾性收集2018年9月至2020年6月经昆明市结核病防治院诊治和定期复查的脑实质结核瘤患者35例,根据脑实质结核瘤强化方式,将脑实质结核瘤分为实性强化型、环形中央不均匀强化型、光滑环形强化型,并在抗结核治疗2、6、12个月后计算不同型病灶吸收率,用χ²检验比较不同型脑实质结核瘤吸收率差异。结果实性强化型、环形中央不均匀强化型及光滑环形强化型结核瘤在治疗相同时段后的吸收率差异有统计学意义(χ²值分别是87.87、104.02、24.63,均P<0.05)。结论依据强化方式将脑实质结核瘤分为实性强化型、环形中央不均匀强化型及光滑环形强化型比较客观,能间接反映脑实质结核瘤的病理特点及时期。

关键词: 脑实质结核瘤, 影像学分型, 磁共振成像

Abstract: Objective To explore the clinical significance of MRI in imaging classification of brain parenchymal tuberculoma and provide basis for imaging diagnosis of brain parenchymal tuberculoma. Methods A retrospectively study of 35 patients with brain parenchymal tuberculoma who were clinically diagnosed and treated by Kunming Tuberculosis Hospital from September 2018 to June 2020. According to the enhancement method of brain parenchymal tuberculoma, it was divided into solid enhancement type, ring-shaped central uneven enhancement type, and smooth ring-shaped enhancement type. and calculate the disappearance of different types of lesions after 2, 6, 12 months of anti-tuberculosis treatment,the absorption rates of different types of brain parenchymal tuberculoma were examined by χ². Results The disappearance rates of three different types of tuberculosis, solid enhancement, annular central uneven enhancement, and smooth annular enhancement after the same period of treatment were statistically significant (χ²= 87.87, 104.02, 24.63, P<0.05). Conclusion According to the enhancement method, the brain parenchymal tuberculoma can be divided into solid enhancement type, ring-shaped central uneven enhancement type and smooth ring enhancement type. It is relatively objective, which can indirectly reflect the pathological characteristics and period of brain parenchymal tuberculoma.

Key words: Brain parenchymal tuberculoma, Imaging classfication, Magnetic resonance imaging

田朝巧, 杨泠, 范东, 汤荣林, 杨亚英. 磁共振成像在脑实质结核瘤影像学分型中的应用[J]. 新发传染病电子杂志, 2021, 6(4): 280-284.

Tian Chaoqiao, Yang Ling, Fan Dong, Tang Ronglin, Yang Yaying. Application of MRI in imaging classfication of brain parenchymal tuberculoma[J]. Electronic Journal of Emerging Infectious Diseases, 2021, 6(4): 280-284.

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磁共振成像在脑实质结核瘤影像学分型中的应用

Application of MRI in imaging classfication of brain parenchymal tuberculoma

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