RU2017124352A - METHOD FOR DIAGNOSTIC OF RECESSED CONDITIONS OF PILOID BRAIN ASTROCYTES AFTER CARRYING OUT OF RADIATION THERAPY AND TREATMENT WHEN IDENTIFICATION OF RECOVERY OR OTHER CONDITIONS - Google Patents

METHOD FOR DIAGNOSTIC OF RECESSED CONDITIONS OF PILOID BRAIN ASTROCYTES AFTER CARRYING OUT OF RADIATION THERAPY AND TREATMENT WHEN IDENTIFICATION OF RECOVERY OR OTHER CONDITIONS Download PDF

Info

Publication number
RU2017124352A
RU2017124352A RU2017124352A RU2017124352A RU2017124352A RU 2017124352 A RU2017124352 A RU 2017124352A RU 2017124352 A RU2017124352 A RU 2017124352A RU 2017124352 A RU2017124352 A RU 2017124352A RU 2017124352 A RU2017124352 A RU 2017124352A
Authority
RU
Russia
Prior art keywords
tumor
radiation therapy
mri
increase
diagnosed
Prior art date
Application number
RU2017124352A
Other languages
Russian (ru)
Other versions
RU2017124352A3 (en
RU2681299C2 (en
Inventor
Юрий Юрьевич Трунин
Андрей Владимирович Голанов
Людмила Валентиновна Шишкина
Марина Владимировна Рыжова
Игорь Николаевич Пронин
Дмитрий Владиславович Фомичев
Елена Николаевна Трунина
Михаил Григорьевич Шнейдерман
Original Assignee
Юрий Юрьевич Трунин
Андрей Владимирович Голанов
Людмила Валентиновна Шишкина
Марина Владимировна Рыжова
Игорь Николаевич Пронин
Дмитрий Владиславович Фомичев
Елена Николаевна Трунина
Михаил Григорьевич Шнейдерман
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Юрий Юрьевич Трунин, Андрей Владимирович Голанов, Людмила Валентиновна Шишкина, Марина Владимировна Рыжова, Игорь Николаевич Пронин, Дмитрий Владиславович Фомичев, Елена Николаевна Трунина, Михаил Григорьевич Шнейдерман filed Critical Юрий Юрьевич Трунин
Priority to RU2017124352A priority Critical patent/RU2681299C2/en
Publication of RU2017124352A publication Critical patent/RU2017124352A/en
Publication of RU2017124352A3 publication Critical patent/RU2017124352A3/ru
Application granted granted Critical
Publication of RU2681299C2 publication Critical patent/RU2681299C2/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/055Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves  involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)

Claims (10)

1. Способ диагностики рецидивных состояний у пациентов с выявленными пилоидными астроцитомами интракраниальной локализации после курса лечения в виде лучевой терапии и/или радиохирургии,1. A method for the diagnosis of relapse in patients with identified piloid astrocytomas of intracranial localization after a course of treatment in the form of radiation therapy and / or radiosurgery, в котором пациента наблюдают с проведением контрольных МРТ головы с контрастным усилением (к/у), отличающийся тем, что:in which the patient is observed with the control of MRI of the head with contrast enhancement (f / y), characterized in that: в течение первых 12 месяцев после курса лучевой терапии и/или радиохирургии по данным МРТ головы с к/у в случае увеличения объема опухоли более чем на 20-25% при отсутствии клинического ухудшения диагностируют состояние псевдопрогрессии опухоли;during the first 12 months after a course of radiation therapy and / or radiosurgery according to an MRI of the head with to / in the case of an increase in tumor volume of more than 20-25% in the absence of clinical deterioration, the state of tumor pseudoprogression is diagnosed; в течение первых 12 месяцев после курса лучевой терапии и/или радиохирургии по данным МРТ головы с к/у в случае увеличения объема опухоли более чем на 20-25% с учетом как кистозного, так и солидного компонента опухоли и выявления расширения зоны накопления контрастного вещества на Т1-взвешенных изображениях, а также с расширением зоны измененного сигнала на Т2-взвешенных изображениях диагностируют состояние между прогрессией опухоли и псевдопрогрессией и далее, если в динамике фиксируют клиническое ухудшение с дальнейшим увеличением объема опухоли, диагностируют рецидив пилоидной астроцитомы головного мозга, а если фиксируют дальнейшее увеличение объема опухоли при отсутствии клинического ухудшения, диагностируют состояние псевдопрогрессии.during the first 12 months after a course of radiation therapy and / or radiosurgery according to an MRI of the head with c / a in the case of an increase in tumor volume by more than 20-25%, taking into account both the cystic and solid components of the tumor and revealing the expansion of the accumulation zone of the contrast medium on T1-weighted images, as well as with the expansion of the zone of the changed signal on T2-weighted images, the condition between the tumor progression and pseudoprogression is diagnosed and further, if the dynamics record a clinical deterioration with a further increase in volume tumors, relapse of piloid astrocytoma of the brain is diagnosed, and if a further increase in tumor volume is detected in the absence of clinical deterioration, the state of pseudoprogression is diagnosed. 2. Способ лечения пациентов с выявленными пилоидными астроцитомами интракраниальной локализации после курса лучевой терапии и/или радиохирургии, где пациенты диагностированы по способу п. 1, характеризующийся тем, что:2. A method for the treatment of patients with identified piloid astrocytomas of intracranial localization after a course of radiation therapy and / or radiosurgery, where patients are diagnosed by the method of claim 1, characterized in that: при диагностировании состояния псевдопрогрессии специфическое противоопухолевое лечение не назначают и проводят дальнейшее динамическое контрольное обследование МРТ головы с к/у;when diagnosing the state of pseudoprogression, specific antitumor treatment is not prescribed and a further dynamic control examination of the MRI of the head with a / c is performed; при диагностировании увеличения объема опухоли на МРТ, сопровождающегося ухудшением состояния в виде нарастания очаговой и/или общемозговой неврологической симптоматики - состояние по шкале Карновского 80 баллов и выше, проводят противоотечную терапию с использованием дексаметазона 0,15 мг/кг массы тела в сутки, разделяя на 2-3 приема в течение 10-15 дней, стабилизируя состояние пациента, и проводят дальнейшее динамическое наблюдение;when diagnosing an increase in tumor volume on MRI, accompanied by a worsening condition in the form of an increase in focal and / or cerebral neurological symptoms - a state according to the Karnowski scale of 80 points or higher, anti-edema therapy is performed using dexamethasone 0.15 mg / kg body weight per day, divided into 2-3 doses for 10-15 days, stabilizing the patient's condition, and conduct further dynamic observation; при отсутствии эффекта от проводимой противоотечной терапии и дальнейшем ухудшении состояния - по шкале Карновского менее 80 баллов, а также при наличии признаков повышенного внутричерепного давления и/или окклюзионной гидроцефалии проводят устранение масс-эффекта хирургическим путем.in the absence of the effect of ongoing anti-edema therapy and further deterioration - on the Karnowski scale less than 80 points, as well as in the presence of signs of increased intracranial pressure and / or occlusal hydrocephalus, the mass effect is removed surgically. 3. Способ по п. 2, отличающийся тем, что при диагностировании рецидива опухоли направляют пациента на консультацию нейроонколога, радиолога и нейрохирурга для решения вопроса о дальнейшем противоопухолевом лечении пациента.3. The method according to p. 2, characterized in that when diagnosing a tumor recurrence, the patient is referred for consultation by a neurooncologist, radiologist and neurosurgeon to resolve the issue of further antitumor treatment of the patient. 4. Способ по п. 2, отличающийся тем, что в случае повторного удаления опухоли проводят анализ гистологического материала и его сопоставление с гистологическим материалом от первой операции, если она проводилась.4. The method according to p. 2, characterized in that in the case of repeated removal of the tumor, histological material is analyzed and compared with the histological material from the first operation, if it was performed.
RU2017124352A 2017-07-10 2017-07-10 Method of diagnostics of relapses states of pilocytic astrocytoma of the brain after the radiotherapy and treatment at detection of relapses or other conditions RU2681299C2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
RU2017124352A RU2681299C2 (en) 2017-07-10 2017-07-10 Method of diagnostics of relapses states of pilocytic astrocytoma of the brain after the radiotherapy and treatment at detection of relapses or other conditions

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
RU2017124352A RU2681299C2 (en) 2017-07-10 2017-07-10 Method of diagnostics of relapses states of pilocytic astrocytoma of the brain after the radiotherapy and treatment at detection of relapses or other conditions

Publications (3)

Publication Number Publication Date
RU2017124352A true RU2017124352A (en) 2019-01-11
RU2017124352A3 RU2017124352A3 (en) 2019-01-11
RU2681299C2 RU2681299C2 (en) 2019-03-05

Family

ID=65013821

Family Applications (1)

Application Number Title Priority Date Filing Date
RU2017124352A RU2681299C2 (en) 2017-07-10 2017-07-10 Method of diagnostics of relapses states of pilocytic astrocytoma of the brain after the radiotherapy and treatment at detection of relapses or other conditions

Country Status (1)

Country Link
RU (1) RU2681299C2 (en)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11354800B2 (en) * 2019-12-27 2022-06-07 Shanghai United Imaging Healthcare Co., Ltd. Systems and methods for error checking in radioitherapy treatment replanning
RU2020130849A (en) * 2020-09-18 2022-03-18 ОБЩЕСТВО С ОГРАНИЧЕННОЙ ОТВЕТСТВЕННОСТЬЮ "СберМедИИ" METHOD FOR DETECTING DEPRESSION ACCORDING TO STRUCTURAL MRI AND FUNCTIONAL MRI

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2473303C1 (en) * 2011-12-13 2013-01-27 Учреждение Российской академии медицинских наук Научно-исследовательский институт нейрохирургии имени академика Н.Н. Бурденко РАМН Method of determining risk of development of complications in early postoperative period in patients after ablation of tumours of basal-diencephalic localisation

Also Published As

Publication number Publication date
RU2017124352A3 (en) 2019-01-11
RU2681299C2 (en) 2019-03-05

Similar Documents

Publication Publication Date Title
Yordanova et al. Awake surgery for WHO Grade II gliomas within “noneloquent” areas in the left dominant hemisphere: toward a “supratotal” resection
RU2017124352A (en) METHOD FOR DIAGNOSTIC OF RECESSED CONDITIONS OF PILOID BRAIN ASTROCYTES AFTER CARRYING OUT OF RADIATION THERAPY AND TREATMENT WHEN IDENTIFICATION OF RECOVERY OR OTHER CONDITIONS
van den Berg et al. Alterations in theta-gamma coupling and sharp wave-ripple, signs of prodromal hippocampal network impairment in the TgF344-AD rat model
Stippich et al. Task-based presurgical functional MRI in patients with brain tumors
Choi et al. Astrocytoma in the third ventricle and hypothalamus presenting with parkinsonism
Koh et al. Cerebellum can be a possible generator of progressive myoclonus
Kellermann et al. Surgical management of pediatric epilepsy: decision-making and outcomes
Vicenzini et al. Current practice of brain death determination and use of confirmatory tests in an Italian University hospital: a report of 66 cases
RU2656182C1 (en) Method of diagnostics and monitoring of course of cerebral glyomas
Choi et al. The use of motor mapping to aid resection of eloquent gliomas
Choi et al. Focal cortical dysplasia in pediatric epilepsy
Söylemez et al. Extreme delta brush eeg pattern in a case with anti-NMDA receptor encephalitis
Hamer et al. Is an epilepsy presurgical evaluation necessary for mid‐grade and high‐grade brain tumors presenting with seizures?
Isanova et al. Resting-state fMRI study of patients with fragile X syndrome
Avecillas-Chasin Pallidothalamic pathway stimulation in DBS for dystonia
Incekara et al. Supratotal resection of glioblastoma
Peruzzi et al. The Evolving Role of Neurosurgical Intervention for Central Nervous System Tumors
Buus-Gehrig et al. Pontine tumor in a neonate: case report and analysis of the current literature
Boulter et al. Multimodal CT imaging of a posterior fossa stroke
Lee et al. Spinal arteriovenous malformation masquerating zoster sine herpete
Kim et al. Preoperative localization of the sensorimotor cortex and measurement of tumor perfusion in a single acquisition using ASL technique
Pilotto et al. Seizure characteristics and their treatment in pediatric brain tumour patients: A proposal for a service evaluation criteria
Chiarello et al. Usefulness of early electroencephalography (EEG) in acute central nervous system (CNS) complications of children treated for oncohematological disorders
Boris et al. NCOG-34. A DESCRIPTIVE ANALYSIS OF GLIOMATOSIS CEREBRI CASES, COMPARED ACCORDING TO IDH STATUS
Toldo et al. Cerebellar lesions associated to Tuberous Sclerosis: new insights from an Italian paediatric series

Legal Events

Date Code Title Description
MM4A The patent is invalid due to non-payment of fees

Effective date: 20200711