评估神经参与chordomas和chondrosarcomas:一个回顾性成像研究研究
Tatsushi Oura1, Taro Shimono2, Daisuke Horiuchi2
1Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan. r.ot.tatsushi@gmail.com.
Neuroradiology
|February 26, 2024
概括
与冠状瘤相比,冠状瘤更频繁地涉及神经 (CNI),并且发生在中线之外. 像CNI,位置和ADC值这样的成像特征有助于区分这些头骨底部瘤.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 神经外科 神经外科
背景情况:
- 神经干扰 (CNI) 影响头部和部瘤治疗和预后.
- 头骨底部冠状瘤和冠状沙瘤中CNI的发病率尚未得到充分确立.
- 区分这些瘤对于适当的管理至关重要.
研究的目的:
- 为了评估和比较头骨底部胆固醇瘤和胆固醇瘤的成像特征.
- 专门研究和对比这两种瘤类型之间的神经干扰 (CNI) 的发生率.
- 识别可帮助区分冠状腺瘤和冠状腺癌的成像特征.
主要方法:
- 在2007-2023年间对42名患者 (26名冠状腺瘤,16名冠状腺瘤) 进行了回顾性分析.
- 评估成像特征,包括瘤大小,位置,化,T2信号,ADC值,增强和CNI.
- 使用费舍尔精确测试或曼-惠特尼U测试和赔率比率计算的统计比较.
主要成果:
- 与冠状腺瘤相比,冠状腺瘤的CNI发病率 (63%对8%) 和离中线位置 (86%对13%) 显著更高.
- 慢性沙瘤中的平均ADC值显著高于慢性沙瘤.
- CNI (OR=20.00),位置 (OR=53.70) 和平均ADC (OR=1.01) 与冠状腺瘤有显著的相关性.
结论:
- 冠状元瘤的发生率较高,与冠状元瘤相比,冠状元瘤的发病率和离中线位置高.
- 图像检测结果,包括CNI,瘤位置和平均ADC值,对于区分骨底部冠状瘤和冠状腺瘤有价值.
- 这些成像生物标志物可以指导诊断和治疗决策.
相关概念视频
01:19Cranial Nerves: Overview and Anatomy
5.4K
The cranial nerves are an important part of the complex network of nerves in the human body. These nerves emerge directly from the brain and are responsible for transmitting essential information between the brain and various parts of the head and neck. There are 12 pairs of cranial nerves, systematically numbered using Roman numerals from I to XII, beginning from the anterior and moving to the posterior of the brain. Each cranial nerve is uniquely identified by names that reflect its function...
5.4K
01:22Cranial Nerves: Types Part II
5.2K
Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves. While the first six innervate the head and neck, the latter six nerves innervate the head and neck, as well as organs and tissues in the thoracic and abdominal cavities. They facilitate communication, expression, and autonomic control within the human body.
Facial Nerve (Cranial Nerve VII)
Cranial nerve VII, or the facial nerve,...
Facial Nerve (Cranial Nerve VII)
Cranial nerve VII, or the facial nerve,...
5.2K
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
589
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
589
01:27Imaging Studies III: Computed Tomography
893
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
893
01:19Imaging Studies VII: Vascular Imaging
558
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
558