表皮样囊肿和蛛网膜囊肿具有相同的T1和T2特点,DWI应如何鉴别?

2021-12-30 放射沙龙 网络

两者的鉴别除了在常规T1加权和T2加权,根据形态和生长部位进行鉴别外,其主要的鉴别要点就是DWI,蛛网膜囊肿DWI低信号,ADC高信号,表皮样囊肿DWI高信号,ADC低信号。

商务(微信):fsslong4
 概述 
表皮样囊肿和蛛网膜囊肿,由于治疗方式不同,然而影像学鉴别至观重要,表皮样囊肿需要手术治疗,而蛛网膜囊肿不需要手术治疗,在影像学上,除了功能成像DWI外,两者在常规T1和T2上面的鉴别主要依靠囊肿的形态和部位进行鉴别,显而易见是远远不够的,有时候鉴别相对困难。
 发病机制 
蛛网膜囊肿
蛛网膜囊肿是包裹在蛛网膜与软膜之间的囊肿,根据发病原因可分为先天性和继发性,先天性和胚胎发育有关系,囊肿和蛛网膜下腔一般不相通。继发性主要由于炎症和外伤等引起的蛛网膜黏连所致,而且多数囊肿和蛛网膜下腔之间是相通的。
颅内表皮样囊肿
也称胆脂瘤或者珍珠瘤,它是在胚层来源的囊性占位性病变,肿块具有匍匐样钻孔,塑性生长的特点,包绕着神经和血管。
 临床表现 
蛛网膜囊肿
症状与囊肿的大小及所在部位有关。可无症状,或与其他占位性病变的症状相似。
表皮样囊肿
病程长,大多数病例主要表现为头晕,癫痫,影像上位脑积水,多数出现第7,第8,第9对脑神经受损,受损后出现相应的临床表现如三叉神经痛、听力丧失、面神经痛及头痛等临床症状。
 诊断要点 
蛛网膜囊肿
1、边界清晰,形态规则,无“钻缝”生长的特点;
2、FLAIR低信号;
3、呈圆形或者椭圆形;
4、T1低信号、T2高信号;
5、DWI低信号、ADC明显高信号;
6、增强扫描一般无强化。
表皮样囊肿
1、沿脑池腔隙性生长;
2、形态不规则,常呈“菜花样”;
3、T1中低信号,T2中高信号,白色表皮样囊肿除外;
4、FLAIR高信号;
5、DWI高信号、ADC低信号。
6、增强扫描一般无强化。
注:上图第一行为表皮样囊肿,第二行图为蛛网膜囊肿;
  总结  
两者的鉴别除了在常规T1加权和T2加权,根据形态和生长部位进行鉴别外,其主要的鉴别要点就是DWI,蛛网膜囊肿DWI低信号,ADC高信号,表皮样囊肿DWI高信号,ADC低信号。

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    2021-12-31 hyf028
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    2021-12-31 查查佳佳

    骨是体内最大的钙贮存库,PTH可提高破骨细

    0

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    2021-12-30 ms5000000518166734

    学习学习学习学习谢谢谢谢谢谢谢谢谢谢学习学习学习学习学习

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1946087, encodeId=0749194608e43, content=<a href='/topic/show?id=b4689022901' target=_blank style='color:#2F92EE;'>#表皮样#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90229, encryptionId=b4689022901, topicName=表皮样)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3ae503, createdName=pps20019, createdTime=Fri Mar 25 15:12:29 CST 2022, time=2022-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1654519, encodeId=e496165451957, content=<a href='/topic/show?id=5ab788e81d3' target=_blank style='color:#2F92EE;'>#蛛网膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88781, encryptionId=5ab788e81d3, topicName=蛛网膜)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Fri Apr 29 00:12:29 CST 2022, time=2022-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1958139, encodeId=824d19581398c, content=<a href='/topic/show?id=d6db9023003' target=_blank style='color:#2F92EE;'>#表皮样囊肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90230, encryptionId=d6db9023003, topicName=表皮样囊肿)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a9de34, createdName=shenxlcyp, createdTime=Wed Jan 05 20:12:29 CST 2022, time=2022-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1278731, encodeId=c0d312e8731ba, content=<a href='/topic/show?id=c3026349f4' target=_blank style='color:#2F92EE;'>#DWI#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6349, encryptionId=c3026349f4, topicName=DWI)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d40148, createdName=hyf028, createdTime=Fri Dec 31 23:12:29 CST 2021, time=2021-12-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1340860, encodeId=89d7134086012, content=<a href='/topic/show?id=74a140404de' target=_blank style='color:#2F92EE;'>#囊肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=40404, encryptionId=74a140404de, topicName=囊肿)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=32a12500167, createdName=12498ca5m83暂无昵称, createdTime=Fri Dec 31 23:12:29 CST 2021, time=2021-12-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1548014, encodeId=9e1d154801496, content=<a href='/topic/show?id=255be196711' target=_blank style='color:#2F92EE;'>#皮样囊肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71967, encryptionId=255be196711, topicName=皮样囊肿)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b01913981821, createdName=12498e0fm82暂无昵称, createdTime=Fri Dec 31 23:12:29 CST 2021, time=2021-12-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1179060, encodeId=2cf911e9060bb, content=骨是体内最大的钙贮存库,PTH可提高破骨细, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Fri Dec 31 07:47:14 CST 2021, time=2021-12-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1179018, encodeId=44cc11e9018d9, content=学习学习学习学习谢谢谢谢谢谢谢谢谢谢学习学习学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f03a5433387, createdName=ms5000000518166734, createdTime=Thu Dec 30 22:45:35 CST 2021, time=2021-12-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1178923, encodeId=7eef11e89239d, content=好文章,值得一读。, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Thu Dec 30 17:39:44 CST 2021, time=2021-12-30, status=1, ipAttribution=)]
    2021-12-30 yangchou

    好文章,值得一读。

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