文献詳細
特集 血管腫
文献概要
はじめに
本稿では,脳,海綿静脈洞,眼窩に生じる血管腫海綿状血管腫と血管奇形の画像診断につき概説する。また,特に近年,広く用いられるようになった3-tesla(3T)MRIと磁化率強調画像(susceptibility weighted imaging:SWI)の最近の知見についても述べる。3T MRIは中枢神経系の画像診断に有用であり,多くの撮像法が臨床のルーチンとして可能となってきたが,そのうち,出血や静脈-脳組織間の酸素飽和度差を検出できるSWIにも期待が集まっており,血管奇形・血管腫の診断に有用である。
本稿では,脳,海綿静脈洞,眼窩に生じる血管腫海綿状血管腫と血管奇形の画像診断につき概説する。また,特に近年,広く用いられるようになった3-tesla(3T)MRIと磁化率強調画像(susceptibility weighted imaging:SWI)の最近の知見についても述べる。3T MRIは中枢神経系の画像診断に有用であり,多くの撮像法が臨床のルーチンとして可能となってきたが,そのうち,出血や静脈-脳組織間の酸素飽和度差を検出できるSWIにも期待が集まっており,血管奇形・血管腫の診断に有用である。
参考文献
1) Labauge P, Denier C, Bergametti F, Tournier-Lasserve E: Genetics of cavernous angiomas. Lancet Neurol 6: 237-244, 2007
2) Washington CW, McCoy KE, Zipfel GJ: Update on the natural history of cavernous malformations and factors predicting aggressive clinical presentation. Neurosurg Focus 29: E7, 2010
3) Mottolese C, Hermier M, Stan H, Jouvet A, Saint-Pierre G, et al: Central nervous system cavernomas in the pediatric age group. Neurosurg Rev 24: 55-71, 2001
4) 砂田一郎, 中林博道, 土田和幸, 田中あけみ: 家族性脳内海綿状血管腫の父子例と日本人での発症報告. No Shinkei Geka 29: 359-365, 2001
5) 木村輝雄, 佐古和廣, 石崎智章, 橋詰清隆, 米増祐吉, 他: 脳・脊髄に発生した家族性多発性海綿状血管腫―一家系例の報告と文献的考察―. No To Shinkei 48: 955-959, 1996
6) 山村邦夫, 梶川 博, 和田 学, 梶川咸子, 住岡真也, 他: 脳内海綿状血管腫の家族発生―兄弟例の報告―. No Shinkei Geka 23: 1105-1109, 1995
7) Mulliken JB, Glowacki J: Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg 69: 412-422, 1982
8) Zabramski JM, Wascher TM, Spetzler RF, Johnson B, Golfinos J, et al: The natural history of familial cavernous malformations: results of an ongoing study. J Neurosurg 80: 422-432, 1994
9) Lehnhardt FG, von Smekal U, Ruckriem B, Stenzel W, Neveling M, et al: Value of gradient-echo magnetic resonance imaging in the diagnosis of familial cerebral cavernous malformation. Arch Neurol 62: 653-658, 2005
10) Sato K, Kubota T: Large calcified cystic cavernous angioma in the thalamus―case report. Neurol Med Chir (Tokyo) 35: 100-103, 1995
11) Kadota O, Sakaki S, Kumon Y, Ohta S, Kohno K: Large cystic cavernous angioma of the cerebellum―case report. Neurol Med Chir (Tokyo) 34: 768-772, 1994
12) Ohba S, Shimizu K, Shibao S, Nakagawa T, Murakami H: Cystic cavernous angiomas. Neurosurg Rev 33: 395-400, 2010
13) Kivelev J, Niemela M, Kivisaari R, Hernesniemi J: Intraventricular cerebral cavernomas: a series of 12 patients and review of the literature. J Neurosurg 112: 140-149, 2010
14) Stavrinou LC, Stranjalis G, Flaskas T, Sakas DE: Trigonal cavernous angioma: a short illustrated review. Acta Neurochir (Wien) 151: 1517-1520, 2009
15) Carrasco R, Pedrosa M, Pascual JM, Navas M, Liberal R, et al: Cavernous angiomas of the lateral ventricles. Acta Neurochir (Wien) 151: 149-154, 2009
16) Shi J, Hang C, Pan Y, Liu C, Zhang Z: Cavernous hemangiomas in the cavernous sinus. Neurosurgery 45: 1308-1314, 1999
17) Zhou LF, Mao Y, Chen L: Diagnosis and surgical treatment of cavernous sinus hemangiomas: an experience of 20 cases. Surg Neurol 60: 31-36, 2003
18) Chung EM, Smirniotopoulos JG, Specht CS, Schroeder JW, Cube R: From the archives of the AFIP: Pediatric orbit tumors and tumorlike lesions: nonosseous lesions of the extraocular orbit. Radiographics 27: 1777-1799, 2007
19) Poetke M, Frommeld T, Berlien HP: PHACE syndrome: new vies on diagnostic criteria. Eur J Pediatr Surg 12: 366-374, 2002
20) Sarwar M, McCormick WF: Intracerebral venous angioma. Case report and review. Arch Neurol 35: 323-325, 1978
21) Ruz DS, Yilmaz H, Gailloud P: Cerebral developmental venous anomalies: current concepts. Ann Neurol 66: 271-283, 2009
22) Lee C, Pennington MA, Kenney CM 3rd: MR evaluation of developmental venous anomalies: medullary venous anatomy of venous angiomas. AJNR Am J Neuroradiol 17: 61-70, 1996
23) Santucci GM, Leach JL, Ying J, Leach SD, Tomsick TA: Brain parenchymal signal abnormalities associated with developmental venous anomalies: detailed MR imaging assessment. AJNR Am J Neuroradiol 29: 1317-1323, 2008
24) Sayama CM, Osborn AG, Chin SS, Couldwell WT: Capillary telangiectasias: clinical, radiographic, and histopathological features. J Neurosurg 113: 709-714, 2010
25) Castillo M, Morrison T, Shaw JA, Bouldin TW: MR imaging and histologic features of capillary telangiectasia of the basalganglia. AJNR Am J Neuroradiol 22: 1553-1555, 2001
26) 浦山慎一: 3T MR Physics. 日本磁気共鳴医学会雑誌 28: 231-243, 2008
27) Haacke EM, Xu Y, Cheng YC, Reichenbach JR: Susceptibility weighted imageing (SWI). Magn Reson Med 52: 612-618, 2004
28) 平井俊範, 山下康行: 3TMRIにおける脳のルーチン撮像プロトコル. 日本磁気共鳴医学会雑誌28: 244-254, 2008
29) 井田正博, 吉沢 寿, 元良健一: SWIから学ぶMRの原理と臨床. 日本磁気共鳴医学会雑誌28: 303-318, 2008
30) Campbell PG, Jabbour P, Yadla S, Awad IA: Emerging clinical imaging techniques for cerebral cavernous malformations: a systemic review. Neurosurg Focus 29: E6, 2010
31) de Souza JM, Domingues RC, Cruz LC Jr, Domingues FS, Iasbeck T, et al: Susceptibility-weighted imaging for the evaluation of patients with familial cerebral cavernous malformations: a comparison with t2-weighted fast spin-echo and gradient-echo sequences. AJNR Am J Neuroradiol 29: 154-158, 2008
32) Tsui YK, Tsai FY, Hasso AN, Greensite F, Nguyen BV: Susceptibility-weighted imaging for differential diagnosis of cerebral vascular pathology: a pictorial review. J Neurol Sci 287: 7-16, 2009
掲載誌情報