Imaging Features of Immunodeficiency-Associated Primary CNS Lymphoma: A Review.

IF 2.9 3区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-02-01 Epub Date: 2024-06-20 DOI:10.1177/08465371241259951
Nima Omid-Fard, Paulo Puac-Polanco, Carlos Hernando Torres, Leslie Hamilton, Thanh Binh Nguyen
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Abstract

In the immunocompromised setting, there are distinct radiologic findings of primary central nervous system lymphoma (PCNSL), including necrotic ring-enhancing lesions, increased propensity for intralesional haemorrhage, and multiplicity. In this clinical context, advanced imaging with MR perfusion, spectroscopy, and diffusion-weighted imaging can be used to increase accuracy in the diagnosis of lymphoma over mimics such as high-grade glioma, metastases, or infection. This review summarizes the histology and pathophysiology of PCNSL in immunodeficient hosts, which provide a basis for its imaging appearances, prognosis, and treatment. This discussion is important for the general radiologist as the incidence of immunodeficiency-related PCNSL may be increasing.

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免疫缺陷相关原发性中枢神经系统淋巴瘤的影像学特征:综述。
在免疫功能低下的情况下,原发性中枢神经系统淋巴瘤(PCNSL)有明显的放射学表现,包括坏死性环状强化病变、区域内出血倾向增加和多发性。在这种临床背景下,先进的磁共振灌注成像、光谱成像和弥散加权成像技术可用于提高淋巴瘤诊断的准确性,而不是像高级别胶质瘤、转移瘤或感染这样的模拟病。本综述总结了免疫缺陷宿主 PCNSL 的组织学和病理生理学,为其影像学表现、预后和治疗提供了依据。由于免疫缺陷相关 PCNSL 的发病率可能会增加,因此这一讨论对普通放射科医生来说非常重要。
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来源期刊
CiteScore
6.20
自引率
12.90%
发文量
98
审稿时长
6-12 weeks
期刊介绍: The Canadian Association of Radiologists Journal is a peer-reviewed, Medline-indexed publication that presents a broad scientific review of radiology in Canada. The Journal covers such topics as abdominal imaging, cardiovascular radiology, computed tomography, continuing professional development, education and training, gastrointestinal radiology, health policy and practice, magnetic resonance imaging, musculoskeletal radiology, neuroradiology, nuclear medicine, pediatric radiology, radiology history, radiology practice guidelines and advisories, thoracic and cardiac imaging, trauma and emergency room imaging, ultrasonography, and vascular and interventional radiology. Article types considered for publication include original research articles, critically appraised topics, review articles, guest editorials, pictorial essays, technical notes, and letter to the Editor.
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