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磁共振T2WI对垂体腺瘤质地的评估

武春雪 蒙茗 王政 王朝朝 陈绪珠 李储忠 马军

磁共振成像2017,Vol.8Issue(10):721-725,5.
磁共振成像2017,Vol.8Issue(10):721-725,5.DOI:10.12015/issn.1674-8034.2017.10.001

磁共振T2WI对垂体腺瘤质地的评估

MRI evaluation of pituitary macroadenomas tumor consistency

武春雪 1蒙茗 1王政 1王朝朝 1陈绪珠 1李储忠 2马军1

作者信息

  • 1. 首都医科大学附属北京天坛医院放射科,北京 100050
  • 2. 首都医科大学附属北京天坛医院神经外科,北京 100050
  • 折叠

摘要

Abstract

Objective: To assess the role of the preoperative MR signal in predicting the tumor consistency of pituitary macroadenomas. Materials and Methods:According to the surgical findings, 120 pituitary macroadenomas were divided into three types: hard, soft and mixed type. Patient's age, maximum diameter of tumor, the ratios of signal intensity of tumor to the white matter of temporal lobe in solid tumors were compared in different types. Surgical approach and resection degree in three types tumors were analyzed comparatively. Categorical variables were examined with the chi-square; continuous-scale data were analyzed with the analysis of variance. Results: 12 of 13 non-solid tumors were soft. All non-solid tumors received total or subtotal transsphenoidal hypophysectomy. In 107 solid tumors, the ratios of T2-weighted signal intensity of tumors to the white matter of temporal lobe in soft type was higher than other types (P=0.005, 0.000, respectively). Resection degree of soft tumors was higher than hard tumors (χ2=14.13, P=0.003). Conclusion: The ratios of T2-weighted signal intensity of pituitary macroadenomas to the white matter can be used as an indicator to preoperatively assess the consistency of pituitary tumors, which can help to find the appropriate surgical approach.

关键词

磁共振成像/垂体腺瘤/质地/手术方式

Key words

Magnetic resonance imaging/Pituitary macroadenomas/Consistency/Surgical approach

分类

医药卫生

引用本文复制引用

武春雪,蒙茗,王政,王朝朝,陈绪珠,李储忠,马军..磁共振T2WI对垂体腺瘤质地的评估[J].磁共振成像,2017,8(10):721-725,5.

基金项目

国家自然科学基金面上项目(编号:61771325) (编号:61771325)

国家高技术研究发展计划(863计划)项目(编号:2015AA020504)This work was part of National Natural Science Foundation of China (No. 61771325) and National High Technology Research and Development Program of China (No. 2015AA020504). (863计划)

磁共振成像

OACSCDCSTPCD

1674-8034

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