输液MRI用于区分大脑转移性病变和质瘤:基于证据的审查
Mohammed A Azab1, Nour El-Gohary1, Oday Atallah2
1Department of Neurosurgery, Cairo University Hospital, Ciro, Egypt.
概括
输液磁共振成像 (MRI) 为诊断大脑转移提供了一个有希望的非侵入性方法. 这种技术有助于确认诊断和监测脑转移性病变患者的治疗反应.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 大脑病变呈现多种病理,大脑转移是常见的和诊断上具有挑战性的实体.
- 大脑转移显著影响患者的生存率 (40%的病例),需要准确的诊断以进行适当的管理,包括手术.
- 非侵入性诊断方法对于医学上不适合进行手术的患者至关重要.
研究的目的:
- 对 perfusion-magnetic resonance imaging (MRI) 在诊断大脑转移性病变方面的实用性进行首次基于证据的审查.
- 探索先进的MRI技术在改善大脑转移的诊断和管理中的作用.
主要方法:
- 在PubMed/Medline,Scopus和Google Scholar中使用相关关键字进行了系统的文献搜索.
- 根据系统性审查和元分析 (PRISMA) 准则的首选报告项目,评估了研究的资格.
- 考克伦偏差风险评估工具被用来评估所包含的研究的质量.
主要成果:
- 在最初识别的2989篇文章中,31篇研究符合质量综合的纳入标准.
- 使用人口,干预,比较器和结果 (PICO) 框架编制了包含的研究的详细摘要.
结论:
- 正确的诊断,亚型和治疗大脑转移的监测是神经外科医生,神经放射学家和瘤学家面临的复杂挑战.
- 磁力共振成像技术的进步,特别是基于 perfusion 的磁力共振成像技术,有望提高诊断能力和对大脑转移的患者随访.
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