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Objective To evaluate MRI in judging the therapeutic effect of argon-helium cryoablation therapy for prostate cancer. Methods The clinical data and imaging materials of 16 patients with prostate cancer , who had received ultrasound-guided argon-helium knife cryogenic treatment at authors ’ hospital during the period from March 2012 to Oct. 2014, were retrospectively and comprehensively analyzed. The preoperative and postoperative laboratory test results were compared with MRI findings, and the ablation effect was assessed, focusing on the surgical residue, metastasis, etc. Results One months after the surgery, MRI demonstrated that satisfactory ablation extent was obtained in all patients, the ablated tumor tissue was characterized by long-T2 signal and no obvious recurrence could be found on DWI and DCE-MRI. A slight decrease of PSA level was observed. Six months after the surgery, MRI revealed that the prostate size was significantly reduced, PSA level was markedly decreased and no obvious evidence of recurrence was observed. No severe postoperative complications, such as urethral necrosis, urethral stricture or urethro-rectal fistula, occurred. During the 6-month following-up time, one patient died from other causes. Conclusion MRI has excellent clinical application value in estimating the ablation extent and in judging postoperative recurrence or metastasis of prostate cancer after argon-helium cryoablation treatment.
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0 05), but MTT had significant difference( F =10 2, P
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Objective To describe the feat ures of Balo′s concentric sclerosis o n MRI and ~1?H-MRS. Methods Three patients of Balo′s concen tric sclerosis were rep orted on the basis of brain MRI and stereotactic brain biopsy. Proton MR spectro scopy was carried out on 1 patient. Results Multiple ring-li ke lesions of lam inated demyelination alternating with spared white matter were demonstrated in a ll 3 patients, and the lesions were best seen in post-contrast images. ~1 ?H-MR S showed a decreased NAA peak, an increased choline peak, and the presence of la rge lipid peak. Conclusion Balo′s concentric sclerosis has cha racteristic findi ngs on MRI and ~1?H-MRS. MRI is very useful in the diagnosis of Balo′s c oncentric sclerosis.
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Objective To investigate the conventional MRI and perfusion weighted imaging (PWI) features of central neurocytoma(CNC), and to evaluate the potentiality of them in diagnosing accuracy. Methods Three patients with CNC proved pathologically were collected, 4 patients with ependymoma were as control group, with conventional MRI and perfusion weighted imaging were performed in all of them. MRI features were observed, and relative regional cerebral blood volume (rrCBV) were calculated.Results CNCs were isosignal on T_1WI, hyperintense on T_2WI, minimal enhancment. Ependymomas were hypointense or isosignal on T_1WI, slightly hyperintense or hyperintense on T_2WI and minimal enhancement. On PWI, CNCs were obviously high-perfusion, rrCBV was 11.2, but which was 2.1 in ependymoma, there was statistically signifcant difference between two groups(P
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Objective To investigate the value of MR perfusion weighted imaging(PWI) features in typing meningioma preoperation.Methods MR perfusion weighted imaging was performed on 39 patients with pathologically proved meningioma.The relative regionalcerebral blood volume(rrCBV) and relative mean transit time(rMTT) were calculated.Results The rrCBV and rMTT of angioblastic meningiomas were 11.8 and 1.8,which were higher than that of the others subtype.The rrCBV of meningothelial meningiomas andtransitional meningiomas were 8.3,7.5 respectively,the rMTT of them were 1.5 and 1.3,there was statistically significant difference in rMTT between two groups,but no difference in rrCBV.The rrCBV of fibrous meningiomas was 4.0,which was lower than that of the others.Conclusion PWI is very useful in typing meninigioma preoperation.