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서지반출
단발성 뇌 전이암과 다형성 교아세포종의 비교
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  • 단발성 뇌 전이암과 다형성 교아세포종의 비교
저자명
김현철
간행물명
대한방사선의학회지
권/호정보
1996년|34권 2호|pp.171-178 (8 pages)
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대한영상의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Purpose : The purpose of this study is to evaluate the MR images of solitary cerebral metastasis andglioblastoma multiforme to determine the differential findings. Materials and Methods : Ten cases of solitarycerebral metastasis and 14 cases of glioblastoma multiforme were retrospectively reviewed, all of which wereproved by pathologically. The MR findings were compared in regard to tumor size and location, degree of edema,enhancement pattern, and shape of rim enhancement. Results : Mean maximum diameter of solitary cerebral metastasiswas 3.85cm(s.d. 1.47). Metastatic lesions were located in corticomedullary junction(70%) with cerebellum in 2cases. The locations of glioblastoma multiforme were white matter(64%) without cerebellar involvement and the meanmaximum diameter was 5.43cm(s.d. 0.99). In solitary cerebral metastasis, the size of edema was larger than thetumor diameter in 50%, but glioblastoma multiforme did not show severe degree of edema. Rim enhancement seen in 7cases of solitary cerebral metastasis showed unilocular shape and complete rim in 6 cases, and even thickness andsmooth inner margin in 5 cases. Howevere, rim enhancement seen in 11 cases of glioblastoma multiforme showedmultilocular appearance with septa in all cases, incomplete rim in 5 cases, and uneven thickness and irregularinner margin in 10 cases. Conclusion : Tumor location, degree of edema, and rim enhancement pattern on Gd-enhancedMR may be useful in differentiation between solitary cerebral metastasis and glioblastoma multiforme.