- 연골육종 : 자기공명영상 소견과 병리학적 분류 및 등급과의 비교
- ㆍ 저자명
- 조성휘
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1996년|35권 5호|pp.811-817 (7 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Purpose : To evaluate the MR imaging findings of chondrosarcomas by correlation with pathologic classificationand grade. Materials and Methods : We performed MR imaging-pathologic correlation of nineteen chondrosarcomas.Conventional chondrosarcomas accounted for 15 cases (grade I : 6, II : 6, III : 3) and the mesenchymal anddedifferentiated types each accounted for two. MR signal intensity (SI) of the tumor on T1- and T2-weighted images(T1WI and T2WI, respectively), was classified as homogeneous or heterogeneous low-, iso- or high SI, and enhancingpattern as marginal, marginal and septal, marginal and nodular, or diffuse enhancement. Results : Eighteen casesof chondrosarcomas (95%) showed homogeneous or heterogeneous low- or iso SI on T1WI and high SI on T2WI. Low gradeconventional chondrosarcomas showed marginal and septal (n=8/10) or marginal (n=2/10) enhancement on Gd-enhancedMR images. Grade III conventional chondrosarcomas showed marginal or marginal and nodular enhancement.Dedifferentiated and mesenchymal chondrosarcomas showed marginal and nodular or diffuse enhancement. Conclusion :Chondrosarcomas showed iso- or low SI on T1WI and high SI on T2WI. Marginal and septal enhancement wasdemonstrated on Gd-enhanced MR images of grade I and II conventional chondrosarcomas. If a tumor showed amarginal and nodular or diffuse enhancing pattern, this suggested it was a of high grade chondrosarcoma.