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原发性中枢神经系统淋巴瘤MRI表现及误诊原因分析 被引量:2

MRI manifestations and misdiagnosis cause of primary central nervous system lymphoma
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摘要 目的 对于原发性中枢神经系统淋巴瘤MRI表现及误诊原因进行分析.方法 2007年12月~2010年12月某医院收治的原发性中枢神经系统淋巴瘤患者,共选取15例,男7例,女8例,使用SIEMENS IMPACT 1.OT及SIEMENS Trio with Tim 3.0 T超导型磁共振成像仪.结果 15例患者中,经手术证实5例,随访证实10例.MRI诊断正确的11例,误诊4例,误诊率为26.67%.其中误诊为脑胶质瘤的1例,误诊为转移瘤的1例,误诊为脑炎的1例,误诊为脑膜瘤的1例.其中单发的6例,多发9例.发生在幕上14例,幕下1例.结论 要重视对MRI新成像方法 的应用,有利于避免误诊,为临床治疗提供帮助. Objective To analyze the MRI performance and misdiagnosis cause of primary central nervous system lymphoma. Method December 2007 to December 2010 admitted to a hospital with primary central nervous system lymphoma, 15 cases were selected, 7 males and 8 females, using SIEMENS IMPACT 1. OT and SIEMENS Tr/o with Tim 3.0 T superconducting magnetic resonance imager. Results 15 patients, 5 cases were confirmed by surgery, follow - up confirmed 10 cases. MRI correctly diagnosed 11 cases, 4 cases of misdiagnosis, misdiagnosis rate was 26. 67%. Which was misdiagnosed as glioma, 1 case was rnisdiagnosed as metastasis in 1 case, 1 case was rnisdiagnosed as encephalitis, 1 case was misdiagnosed as meningiomas. 6 cases in which single and multiple in 9 patients. 14 cases occurred in supratentorial and infratentorial in 1. Conclusion MRI should be emphasis on the application of new imaging methods will help to avoid misdiagnosis, for clinical treatment to help.
作者 彭碧群
出处 《中国医学创新》 CAS 2011年第11期103-105,共3页 Medical Innovation of China
关键词 原发性中枢神经系统淋巴瘤 MRI表现 误诊原因 Primary central nervous system lymphoma MRI performance Misdiagnosis cause
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