Signal intensity of brain metastases on T2-weighted images: specificity for metastases from colonic cancers.

M Suzuki, T Takashima, M Kadoya, T Ueda, F Arakawa, F Ueda, J Yamashita, T Yamashima, A Nonomura
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引用次数: 11

Abstract

In this report, we present and discuss the signal intensity of brain metastases from colon cancer on both T1- and T2-weighted images. In five of 6 cases, metastases were seen as markedly hypointense areas on T2-weighted images. This finding should alert one to the possibility of a primary cancer of the colon. Some haemorrhagic metastases from other malignancies also showed marked hypointensity. They usually exhibited hyperintensity on T1-weighted images. A case of colon metastasis was also haemorrhagic, and in this case a hyperintense area was observed on T1-weighted images. The marked hypointense area corresponded to peripheral necrosis and probably some viable tumour. Aetiologically, such hypointensity was not induced by severe fibrosis, calcification or excessive iron deposition.

脑转移的t2加权图像信号强度:结肠癌转移的特异性。
在本报告中,我们提出并讨论了T1和t2加权图像上结肠癌脑转移的信号强度。在6个病例中,有5个转移灶在t2加权图像上表现为明显的低信号区。这一发现应该提醒人们注意结肠癌原发的可能性。一些其他恶性肿瘤的出血性转移灶也表现出明显的低密度。通常在t1加权图像上表现为高强度。一例结肠转移也有出血,在这个病例中,在t1加权图像上观察到一个高信号区。明显的低信号区对应于周围坏死和可能存在的肿瘤。在病因学上,这种低密度不是由严重的纤维化、钙化或过量的铁沉积引起的。
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