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MRI对伽玛刀治疗脑转移瘤及瘤周水肿疗效的分析

郭琪 王琮荫 张雪宁 郑晶晶 徐德生 张宜培

国际医学放射学杂志2012,Vol.35Issue(6):515-518,4.
国际医学放射学杂志2012,Vol.35Issue(6):515-518,4.DOI:10.3784/j.issn.1674-1897.2012.06.L0602

MRI对伽玛刀治疗脑转移瘤及瘤周水肿疗效的分析

MR imaging response of cerebral metastases and peritumoral edema after Gamma Knife surgery

郭琪 1王琮荫 1张雪宁 1郑晶晶 1徐德生 1张宜培1

作者信息

  • 1. 300211,天津医科大学第二医院放射科
  • 折叠

摘要

Abstract

Objective To evaluation the treatment response of Gamma Knife surgery (GKS) for the control of cerebral metastases and peritumoral edema using standard MRI. Method 42 consecutive patients with 75 metastatic lesions were recruited in this study (28 men, 14 women; mean age 60 ±12 years). Gadolinium enhancement T,WI scans were performed on one day before and three months after GKS. Treatment response was evaluated by calculating the changes of tumor volume and edema index before and after GKS. Results Mean tumor volumes on the baseline and post treatment were 7.0 cm3 and 3.3 cm3 respectively. Mean peritumoral edema indexes were 9.9 and 4.3 respectively. Tumor growth control rate and peritumoral edema control rate were 91% and 85% respectively. Conclusion GKS is effective for both brain metastasis and peritumoral edema, and the tumor volume influences GKS efficacy. Conventional MRI provides useful information to predict treatment response of GKS for cerebral metastasis.

关键词

脑转移瘤/瘤周水肿/磁共振成像/伽玛刀/水肿指数

Key words

Metastatic brain tumors/ Peritumoral brain edema/ Magnetic resonance imaging/ Gamma Knife surgery/Edema index

引用本文复制引用

郭琪,王琮荫,张雪宁,郑晶晶,徐德生,张宜培..MRI对伽玛刀治疗脑转移瘤及瘤周水肿疗效的分析[J].国际医学放射学杂志,2012,35(6):515-518,4.

基金项目

天津市卫生局科研基金项目(2010KZ92) (2010KZ92)

国际医学放射学杂志

OACSTPCD

1674-1897

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