Head and Neck Imaging

Magnetic Resonance Imaging of T-cell Lymphoma in Primary Central Nervous System

Author:QUAN Guo-biao, ZHANG Kang-sheng, ZHOU Wei-wen, et al.

affiliation:Zhanjiang Second People's Hospital, Zhanjiang 524003, Guangdong Province, China

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Abstract

Objective To investigate the imaging features of intracranial primary central nervous system T-cell lymphoma (T-PCNSL). Methods Retrospective analysis of 2 cases of pathologically confirmed T-PCNSL MRI and MRS and performance. Results T-PCNSL imaging features are as follows: occur in deep brain tissue, such as frontal lobe, corpus callosum and basal ganglia. MRI on the lesion was equal, low signal, T2 was equal, slightly lower signal, clear boundary. Enhance the performance was significantly enhanced, the characteristics of the performance, including "missing sign." On the 1 H-MRS, T-PCNSL was characterized by the presence of high lactic acid and lipid peaks, increased choline/creatine (Cho/Cr) ratio, and N-acetylaspartic acid/creatine (NAA/Cr) ratio decreased. Conclusion The MRI of T-PCNSL has certain characteristic manifestation.

【Keyword】Primary; Central Nervous System; T Cell Lymphoma; Magnetic Resonance Imaging

【Chart number】R322.81

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2018.01.011