摘要
放射性脑损伤是头颈部疾病放射治疗后常见的并发症,按其出现的时间分为三期:急性期、早期迟发性反应期和晚期迟发性反应期。就放射性脑损伤的发病机制,临床病理及在MRI、磁共振血管成像(MRA)、磁共振波谱(MRS)、灌注成像的表现加以综述。
参考文献21
-
1Mould RF, Tai THP. Nasopharyngeal carcinoma: treatments and outcomes in the 20th century. Br J Radiol, 2002, 75(892):307-339.
-
2Niranjan A, Lunsford LD. Radiosurgery: where we were, are, and may be in the third millennium. Neurosurgery, 2000, 46 (3) : 531-543.
-
3Hong JH, Chiang CS, Campbell IL, et al. Induction of acute phase gene expression by brain irradiation. Int J Radiat Oncol Biol Phys, 1995, 33(3) :619-626.
-
4Munter MW, Karger CP, Reith W, et al. Dehyed vascular injury after single high-dose irradiation in the rat brain: histologic i mmunohistochemical, and angiographic studies. Radiology, 1999, 212(2) : 475-482.
-
5David P, Robert E, Morales H, et al. MR imaging fingings after stereotactic radiosurgery using the Gamma knife. A JR,2001, 176(7) : 1589-1595.
-
6Meyers CA, Geara FET, Wong PF , et al. Neurocognitive effects of therapeutic irradiation for base of skull tumors. Int J Radiat Oncol Biol Phys, 2000,46(1) : 51-55.
-
7Kumar A J, Leeds NE, Fuller GN, et al. Malignant gliomasMR imaging spectrum of radiation therapy and chemotherapy - induced necrosis of the brain after treatment. Radiology2000, 217(2) : 377-384.
-
8de Vries A, Griebd J, Krener C, et al. Monitoring of tumor microcirculation during fractionated radiation therapy in patients with rectal carcinoma: preliminary results and implications for therapy. Radiology, 2000,217(2):385-391.
-
9Thiel A, Pietrzyk U, Sturm V, et al. Enhanced accuracy in differential diagnosis of radiation necrosis by PET- MRI coregistration : technical case report. Neurosurgy, 2000, 46(1) :232-234.
-
10Glenn An, Geory Noren, Jeffrey M, et al. MR imaging of pituitary adenomas after Gamma knife stereotactic radiosurgery.AJR, 2001 , 177(4) : 919-924.
同被引文献13
-
1张雪林,阎卫平,邹常敬,刘中宇,刘杏元,黄其鎏.鼻咽癌放疗后放射性脑病的MRI诊断[J].中华放射学杂志,1995,29(10):658-662. 被引量:29
-
2徐俊玲,李永丽,李素英,史大鹏.海绵窦病变MRI诊断[J].实用诊断与治疗杂志,2005,19(11):787-789. 被引量:4
-
3曾斯慧,陈志光,梁碧玲.磁共振在早期预测鼻咽癌颞叶放射性脑病的研究进展[J].影像诊断与介入放射学,2007,16(1):39-43. 被引量:12
-
4Chong VFH, Fan YF, Chan LL. Temporal lobe necrosis in nasopharyngeal carcinoma: pictorial essay[ J ]. Austral Radiol, 1997,41 (7) : 392 - 397.
-
5Lee AW, Law SC, Ng SH, et al. Retrospective analysis of nasopharyngeal carcinoma treated during 1976 - 1985: late implications following megavoltage irradiation [J]. Br J Radiol, 1992,65 (778) :918 - 928.
-
6Hajfial JV, De Coene B, Lewis PD, et al. High signal regiorts in normal white matter shown by heavily T2 - weighted CSF nuUed IR sequences [J]. JCAT,1992,16(4):506- 513.
-
7梁霁,郑金瓯.放射性脑病48例的影象学特征[J].广西医学,2007,29(12):1927-1928. 被引量:9
-
8梁长虹,李国业,黄飚,黄美萍,郑君惠,谭绍恒,曾琼新.鼻咽癌放射治疗后脑干放射性损伤的MRI表现[J].中华放射学杂志,1998,32(8):533-536. 被引量:21
-
9刘雅洁,易俊林,欧阳汉,蔡伟明,徐国镇.鼻咽癌放射治疗后放射性脑病的MRI表现[J].中华放射肿瘤学杂志,2000,9(4):225-228. 被引量:48
-
10邓珊.鼻咽癌放射性脑病15例临床分析[J].广西医学,2001,23(2):362-362. 被引量:2
引证文献3
-
1陈颖,祝爱峰,孙惠珍.低场MRI在放射性脑病诊断中的应用[J].实用诊断与治疗杂志,2006,20(3):192-193. 被引量:7
-
2谢艺才,李耀志,高健全.鼻咽癌放射性脑病57例的MRI诊断[J].广西医学,2009,31(1):50-51. 被引量:1
-
3苏江,龙光宇.磁共振FLAIR序列在鼻咽癌放射性脑病中的应用价值[J].右江民族医学院学报,2010,32(1):64-65.
二级引证文献8
-
1张继良,徐俊玲,史大鹏,闫峰山,窦社伟,连建敏.不典型小脑梗死的MRI表现[J].实用诊断与治疗杂志,2007,21(2):90-92. 被引量:8
-
2李建华,陈刚.儿童脑室周围白质软化症的MRI诊断[J].实用诊断与治疗杂志,2007,21(3):208-209. 被引量:1
-
3陈颖,李娜,贾守强,王永秀,孙慧珍.放射性脑病相关发生因素低场MR研究[J].实用诊断与治疗杂志,2007,21(5):357-358. 被引量:3
-
4常念欢,李建文,杨娜.中老年小脑半球梗死12例分析[J].中国误诊学杂志,2008,8(9):2229-2230.
-
5刘志英,唐聚花,李慧霞.眩晕病例60例临床分析[J].中国实用医药,2008,3(25):82-83. 被引量:2
-
6任家庚,柴洪波,易寅华,高洪波.卵巢囊性畸胎瘤在低场MRI中的表现[J].牡丹江医学院学报,2008,29(6):32-33. 被引量:3
-
7王大成.药物和高压氧联合治疗放射性脑病27例疗效观察[J].广西医学,2010,32(5):581-582. 被引量:3
-
8吴建珩,李晓辉,单峤,李培栋.放射性脑病的临床与MRI研究[J].中国现代医学杂志,2014,24(22):75-77. 被引量:2
-
1姜炜.血管的辐射损伤[J].国外医学(放射医学核医学分册),2005,29(1):37-40. 被引量:11
-
2李朝军.头颈部疾病的超声诊断[J].临床超声医学杂志,1994,5(2):62-66. 被引量:1
-
3刘阳,李进让.磁共振血管造影在头颈部疾病诊断中的应用[J].国外医学(耳鼻咽喉科学分册),2000,24(1):11-12. 被引量:1
-
4陈明,王淑芳,叶青,林振石.耳鼻咽喉科和头颈部疾病的Nd:YAG激光治疗(附3021例报告)[J].福建医药杂志,1996,18(2):6-9.
-
5石新东,赵洪洋.地塞米松与甲泼尼龙治疗放射性脑水肿的差异[J].中华神经外科杂志,2007,23(5):398-399. 被引量:3
-
6王禄平,苏永勇.星状神经节阻滞治疗头颈部疾患69例报告[J].自贡医药,1997,19(2):25-25.
-
7王立红.颅脑损伤患者夜间病情观察与护理[J].华北煤炭医学院学报,2007,9(1):98-99.
-
8鲜军舫,王振常,杨本涛.创新及规范头颈部CT和MRI检查,提高诊断和研究水平[J].放射学实践,2011,26(3):246-247. 被引量:8
-
9耿道颖,陈增爱,沈天真.放射性脑病的临床病理与影像学[J].国外医学(临床放射学分册),2001,24(3):161-165. 被引量:22
-
10程惠华,陈樟树,魏文,陆志范,涂小煌.康泉改进方案预防原发性肝癌化疗栓塞术后恶心呕吐的临床观察[J].中国癌症杂志,1997,7(3):189-191. 被引量:3