当前位置: 首页 > 详情页

MR Imaging Grading System for Skull Base Chordoma

文献详情

资源类型:

收录情况: ◇ SCIE

机构: [1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Tiantan Xili 6, Beijing 100050, Peoples R China; [2]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China; [3]Beijing Inst Brain Disorders, Ctr Brain Tumor, Beijing, Peoples R China; [4]Beijing Key Lab Brian Tumor, Beijing, Peoples R China; [5]Capital Med Univ, Beijing Neurosurg Inst, Dept Neuropathol, Beijing, Peoples R China; [6]China Natl Clin Res Ctr Neurol Dis, Ctr Brain Tumor, Beijing, Peoples R China; [7]Inst Brain Disorders, Beijing Key Lab Brain Tumor, Beijing, Peoples R China
出处:
ISSN:

摘要:
BACKGROUND AND PURPOSE: Skull base chordoma has been widely studied in recent years, however, imaging characteristics of this tumor have not been well elaborated. The purpose of this study was to establish an MR imaging grading system for skull base chordoma. MATERIALS AND METHODS: In this study, 156 patients with skull base chordomas were retrospectively assessed. Tumor-to-pons signal intensity ratios were calculated from pretreatment MR images R-T1 (ratio of tumor to pons signal intensity in T1 FLAIR sequence), R-T2 (ratio of tumor to pons signal intensity in T2 sequence) and R-EN (ratio of tumor to pons signal intensity in enhanced T1 FLAIR sequence), and significant ratios for overall survival and progression-free survival were selected to establish a grading system. Clinical variables among different MR imaging grades were then analyzed to evaluate the usefulness of the grading system. RESULTS: R-T2 (P < .001) and R-EN (P = .04) were identified as significant variables affecting progression-free survival. After analysis, the classification criteria were set as follows: MR grade I, R-T2 > 2.49 and R-EN 0.77; MR grade II, R-T2 > 2.49 and R-EN > 0.77, or R-T2 2.49 and R-EN 0.77; and MR grade III, R-T2 2.49 and R-EN > 0.77. MR grade III tumors had a more abundant tumor blood supply than MR grade I tumors (P < .001), and the intraoperative blood loss of MR grade III tumors was higher than that of MR grade I tumors (P = .002). Additionally, skull base chordoma progression risk increased by 2.071 times for every single MR grade increase (P < .001). CONCLUSIONS: A higher R-T2 value was a negative indicator of tumor progression, whereas a higher R-EN value was a positive risk factor of tumor progression. MR grade III tumors showed a more abundant blood supply than MR grade I tumors, and the risk of skull base chordoma progression increased with every single MR grade increase.

基金:
语种:
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2016]版:
大类 | 2 区 医学
小类 | 2 区 核医学 3 区 临床神经病学 3 区 神经成像
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 神经成像 3 区 核医学
JCR分区:
出版当年[2015]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q2 CLINICAL NEUROLOGY Q2 NEUROIMAGING
最新[2023]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q2 CLINICAL NEUROLOGY Q2 NEUROIMAGING

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

第一作者:
第一作者机构: [1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Tiantan Xili 6, Beijing 100050, Peoples R China; [2]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China; [3]Beijing Inst Brain Disorders, Ctr Brain Tumor, Beijing, Peoples R China; [4]Beijing Key Lab Brian Tumor, Beijing, Peoples R China;
通讯作者:
通讯机构: [1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Tiantan Xili 6, Beijing 100050, Peoples R China; [2]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China; [3]Beijing Inst Brain Disorders, Ctr Brain Tumor, Beijing, Peoples R China; [4]Beijing Key Lab Brian Tumor, Beijing, Peoples R China;
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:16409 今日访问量:0 总访问量:869 更新日期:2025-01-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 首都医科大学宣武医院 技术支持:重庆聚合科技有限公司 地址:北京市西城区长椿街45号宣武医院