CAJ | 학술논문

目的：：探讨星形胶质细胞瘤(AG)瘤-脑界面、瘤周水肿MRI像与临床病理之间的关系。方法：对78例AG患者MRI中瘤-脑界面、瘤周水肿的特征进行分析，判断星形胶质细胞瘤的类型和病理分级。结果：78例AG患者中，在加权像上，有11例未发现水肿，瘤周水肿发病率为85.9%；通过瘤周浸润增强分析，发现Ⅰ级与Ⅱ级和Ⅲ~Ⅳ级相比，强化程度和浸润程度有显著性差异(P<0.01)；在增强程度的差异也有统计学意义(P<0.05)；Ⅰ级AG与Ⅱ级和Ⅲ~Ⅳ级相比，有显著性差异(P<0.01)，而Ⅱ级与Ⅲ~Ⅳ级相比，无明显差异(P>0.05)。结论：瘤-脑界面MRI强化的形态和程度以及瘤周水肿均与AG细胞瘤的恶性程度有关。
목적：：탐토성형효질세포류(AG)류-뇌계면、류주수종MRI상여림상병리지간적관계。방법：대78례AG환자MRI중류-뇌계면、류주수종적특정진행분석，판단성형효질세포류적류형화병리분급。결과：78례AG환자중，재가권상상，유11례미발현수종，류주수종발병솔위85.9%；통과류주침윤증강분석，발현Ⅰ급여Ⅱ급화Ⅲ~Ⅳ급상비，강화정도화침윤정도유현저성차이(P<0.01)；재증강정도적차이야유통계학의의(P<0.05)；Ⅰ급AG여Ⅱ급화Ⅲ~Ⅳ급상비，유현저성차이(P<0.01)，이Ⅱ급여Ⅲ~Ⅳ급상비，무명현차이(P>0.05)。결론：류-뇌계면MRI강화적형태화정도이급류주수종균여AG세포류적악성정도유관。
Objective:Explore the the astrocytoma (AG) tumors-brain interface, and the relationship between peritumoral edema in MRI image and clinical pathology.Methods:Analysis of 78 cases AG patients MRI tumor-brain interface characteristics of peritumoral edema,determine the type and pathological grade of glioblastoma.Results:78 cases of AG patients,with weighted images,11 cases found no edema, peritumoral edema incidence rate of 85.9%;peritumoral infiltration enhanced analysis,we can find thatⅠand gradeⅡand gradeⅢ~Ⅳcompared to strengthen the extent and degree of infiltration significant difference (P<0.01);differences in the degree of enhancement is also statistically significant (P<0.05);Compared of gradeⅠAG gradeⅡand gradeⅢ~Ⅳ, a significant difference (P<0.01), gradeⅡand gradeⅢ~Ⅳwas no significant difference (P>0.05).Conclusion:The shape and extent of the tumor-brain interface MRI strengthen and peritumoral edema are related to the degree of malignancy of the AG cell tumor.