资源类型:
期刊
收录情况:
◇ 统计源期刊
◇ 北大核心
文章类型:
论著
作者:
Chen, H.-Y[]
*
;
Chen, X.-Z[]
;
Ru, X.-J[]
;
Zhang, Y.-Q[]
;
Wang, X.-P[]
;
Huang, W[]
;
Ren, X.-H[]
;
Lin, S[]
;
Li, Y[]
;
Wu, T[]
;
Liu, Y.-O[]
;
机构:
[a]Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China
重点科室
医技科室
放射科
首都医科大学附属天坛医院
[b]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China
重点科室
诊疗科室
神经外科
首都医科大学附属天坛医院
[c]Information Centre, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China
首都医科大学附属天坛医院
[d]Beijing Neurosurgical Institute, Capital Medical University, Beijing, 100070, China
研究所
北京市神经外科研究所
首都医科大学附属天坛医院
[e]Department of Neurosurgery, Beijing Puren Hospital, Beijing, 100062, China
[f]GE Medical System Trade Development(Shanghai) Limited Company, Shanghai, 100176, China
出处:
2019,19(11):
ISSN:
1672-6731
关键词:
Glioblastoma
Magnetic resonance imaging
Prognosis
摘要:
Objective: To investigate the prognostic value of dynamic susceptibility contrast-enhanced MRI (DSC-MRI), 3D-arterial spin labeling (3D-ASL) and intravoxel incoherentmotion (IVIM) in glioblastoma. Methods: From August 2016 to October 2017, a total of 34 patients with glioblastoma were enrolled. According to the overall survival (OS), they were divided into < 14 months group (17 cases) and ≥ 14 months group (17 cases). MRI conventional sequences, DSC-MRI, 3D-ASL, IVIM were acquired before operation. Multiple regions of interest (ROIs) were placed in the tumor-enhanced region and the peritumoral region, and recorded the values of DSC-maximum relative cerebral blood volume (DSC-rCBVmax) and relative cerebral blood flow (DSC-rCBF), ASL-cerebral blood flow (ASL-CBF), IVIM-perfusion fraction (PF). Receiver operating characteristic (ROC) curve was used to evaluated the prognostic value of the imaging indicators. Results: There were no significant differences in ASL-CBF, IVIM-PF, DSC-rCBF and DSC-rCBVmax between the OS < 14 months group and the OS ≥ 14 months group in tumor-enhanced region (P>0.05, for all). In the peritumoral region, the IVIM-PF of the patients in OS < 14 months was lower (P=0.011) while DSC-rCBF (P=0.009) and DSC-rCBVmax (P=0.012) were higher than OS ≥ 14 months group. The area under the ROC curve was 0.579 (95% CI:0.372-0.787, P=0.453), 0.763 (95% CI:0.588-0.937, P=0.013) and 0.746 (95% CI:0.565-0.926, P=0.020) respectively, suggesting that DSC-rCBF and DSC-rCBVmax have better reference value for prognosis. Conclusions: The imaging indicators of DSC-MRI have an effect on the OS of glioblastoma, while IVIM and ASL have not shown an effect on overall survival. Copyright © 2019 by the Editorial Board of Chinese Journal of Contemporary Neurology and Neurosurgery.
第一作者:
Chen, H.-Y
推荐引用方式(GB/T 7714):
Chen H.-Y,Chen X.-Z,Ru X.-J,等.The comparative study of multimodal MRI techniques in prognosis of glioblastoma[J].2019,19(11):