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首页> 外文期刊>Radiology >Musculoskeletal neoplasm: perineoplastic edema versus tumor on dynamic postcontrast MR images with spatial mapping of instantaneous enhancement rates.
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Musculoskeletal neoplasm: perineoplastic edema versus tumor on dynamic postcontrast MR images with spatial mapping of instantaneous enhancement rates.

机译:肌肉骨骼肿瘤:动态对比后MR图像上的肿瘤增生性水肿与肿瘤的关系,并具有瞬时增强率的空间映射。

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PURPOSE: To evaluate the utility of fast, contrast-enhanced, sequential magnetic resonance (MR) imaging in differentiating between extraosseous tumor and perineoplastic edema. MATERIALS AND METHODS: Fourteen patients underwent sequential MR imaging (3.5 seconds per image) after bolus administration of gadopentetate dimeglumine. Initial rates of enhancement (initial slope) were calculated on a pixel-by-pixel basis and displayed as a "slope image"' in which pixel intensity reflected the slope value. Close correlation with wedge biopsy specimens was performed. RESULTS: Mean initial slope values were viable extraosseous tumor, 9.33 (standard deviation, 2.23); infiltrated muscle, 9.07 (2.31); edematous muscle without tumor infiltration, 5.48 (1.27); normal muscle, 1.11 (0.65). Differences in initial slope between all neoplastic and nonneoplastic tissues were statistically significant. Within individual patients, initial slope of edematous muscle was always 20% or more lower than that of neoplastic tissue. Slope images highlighted areas of viable extraosseous tumor and infiltrated muscle against edematous and normal tissues. CONCLUSION: Computer-generated slope images derived from sequential postcontrast MR images allow differentiation between tumor and nonneoplastic edema and may thereby guide the surgeon in planning limb-sparing procedures.
机译:目的:评估快速,增强对比,顺序磁共振(MR)成像在骨外肿瘤与会阴水肿之间的区别。材料与方法:14例患者在推注加多戊酸二甲双胍后接受了连续MR成像(每幅图像3.5秒)。增强的初始速率(初始斜率)是逐像素计算的,并显示为“斜率图像”,其中像素强度反映了斜率值。与楔形活检标本密切相关。结果:平均初始斜率值是可行的骨外肿瘤,9.33(标准差,2.23)。浸润的肌肉9.07(2.31);没有肿瘤浸润的水肿肌肉,5.48(1.27);正常肌肉1.11(0.65)。所有赘生性和非赘生性组织之间的初始斜率差异具有统计学意义。在个别患者中,水肿肌肉的初始斜率总是比赘生性组织低20%或更高。斜坡图像突出显示了针对水肿和正常组织的活骨性肿瘤和浸润的肌肉区域。结论:从连续的造影后MR图像获得的计算机生成的斜率图像可以区分肿瘤性和非肿瘤性水肿,从而可以指导外科医生规划肢体保留程序。

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