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原发性中枢神经系统非霍奇金淋巴瘤的影像学特征

姜宇 周仁华 李晶 沈骏 徐建红 鞠强国 侍永伟

临床神经病学杂志2018,Vol.31Issue(1):26-28,3.
临床神经病学杂志2018,Vol.31Issue(1):26-28,3.

原发性中枢神经系统非霍奇金淋巴瘤的影像学特征

Imaging features of primary non-Hodgkin's lymphoma of the central nervous system

姜宇 1周仁华 1李晶 1沈骏 1徐建红 1鞠强国 1侍永伟1

作者信息

  • 1. 225300 泰州市第四人民医院神经内科
  • 折叠

摘要

Abstract

Objective To explore the imaging features of patients with primary non-Hodgkin's lymphoma of the central nervous system(PCNSNHL).Methods Clinical data of 12 patients with PCNSNHL were analyzed retrospectively.Results MRI showed equal or lower signal on T 1WI, and equal or higher signal on T 2WI.The space-occupying lesion showed massive homogeneous enhancement and peripheral edema,and the range of edema was disproportionate to lesion size.The dynamic enhanced MRI of space-occupying lesion in early stage showed low signal on T1,high signal on T2.1H-magnetic resonance spectroscopy(1 H-MRS)of 5 cases showed choline(Cho)peak of enhanced regions was significantly increased, and N-acetyla spartate(NAA)peak of enhanced regions was significantly decreased.Conclusions MRI features of PCNSNHL are"sharp angle sign","notch sign"on enhanced T1, or inhomogeneous enhancement.1H-MRS shows choline(Cho)peak of enhanced regions is significantly increased,and N-acetyla spartate(NAA)peak of enhanced regions is significantly decreased,even has lipid peak.

关键词

原发性中枢神经系统淋巴瘤/弥漫性大B细胞型非霍奇金淋巴瘤/影像学特征

Key words

primary central nervous system lymphoma/diffuse large B-cell non-Hodgkin's lymphoma/imaging feature

分类

医药卫生

引用本文复制引用

姜宇,周仁华,李晶,沈骏,徐建红,鞠强国,侍永伟..原发性中枢神经系统非霍奇金淋巴瘤的影像学特征[J].临床神经病学杂志,2018,31(1):26-28,3.

临床神经病学杂志

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1004-1648

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