没有对比的MRI是否足以检测手术后脑膜瘤残留物?
S Motillon Alonso1, F Lersy1, F D Ardellier2
1Radiology 2 Department, Strasbourg University Hospital, Hautepierre Hospital, Strasbourg, France.
Journal of neuroradiology = Journal de neuroradiologie
|August 20, 2023
概括
未增强的MRI有效地检测到手术后的大脑瘤残留物. 这种方法显示出高灵敏度,特别是与基线增强扫描相比,减少了对加多基对比剂的需求.
科学领域:
- 神经辐射学神经辐射学
- 瘤成像学成像学
背景情况:
- 与对比度增强的MRI是大脑脑膜瘤随访的标准.
- 对于使用基于加多的对比剂 (GBCA) 存在担忧.
- 需要使用替代的成像协议.
研究的目的:
- 评估非GBCA的MRI协议,以检测术后脑膜瘤残留物.
- 评估未增强的MRI序列的灵敏度和特异性.
主要方法:
- 包括已成年患者,切除了形或凸性脑膜瘤.
- 使用专门的MRI协议,使用非对比和后对比序列.
- 三名观察员评估了未增强扫描与增强扫描中的残留物存在.
主要成果:
- 包括51名患者;37人有瘤残留物.
- 没有增强的序列盲目识别了87%的残留物.
- 鉴定增加到93%与比较基线增强的MRI.
- 遗漏的残留物通常很小.
结论:
- 未增强的MRI是高度敏感和特定的术后脑膜瘤后续检查.
- 比较基线增强型MRI进一步提高了检测率.
- 这种方法尽量减少GBCA在例行随访中的暴露.
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