๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #8

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ์ด ์ผ€์ด์Šค ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ ๋กœ๊ทธ์ธ
ํ™˜์ž ์ •๋ณด: 6 ์„ธ, ์—ฌ์„ฑ
์ ์‘์ฆ: ๋‘ํ†ต

์ฆ๋ก€ #8

์†Œ๊ฒฌ

CT

  • ์ œ4๋‡Œ์‹ค์— ์••๋ฐ• ํšจ๊ณผ๋ฅผ ๋ณด์ด๋Š” ๋ฐฐ์ธก ๊ต ๋ฐ ์ค‘์†Œ๋‡Œ๊ฐ์„ ์นจ๋ฒ”ํ•˜๋Š” ์ข…๊ดด์–‘ ์ €์Œ์˜ ์˜์—ญ
  • ์–‘์ธก ์ ‘ํ˜•๋™ ๋ฐ ํ›„์‚ฌ๊ณจ๋™์˜ ์ ๋ง‰ ๋น„ํ›„ ๋ฐ ์•ก์ฒด ์ €๋ฅ˜

MRI

  • ๊ต, ๋Œ€๋‡Œ๊ฐ์„ ํฌํ•จํ•œ ์ค‘๋‡Œ, ์ขŒ์ธก ํŽธ์‹ฌ ์—ฐ์ˆ˜, ์ขŒ์ธก์ด ์šฐ์ธก๋ณด๋‹ค ๋‘๋“œ๋Ÿฌ์ง„ ์ค‘์†Œ๋‡Œ๊ฐ์„ ์นจ๋ฒ”ํ•˜๋Š” ์ข…๊ดด์–‘ T2/FLAIR ์‹ ํ˜ธ ๊ณ ๊ฐ•๋„ ์˜์—ญ
  • ๊ต ๋ณต์ธก์—์„œ ์ƒ๋Œ€์  ํ™•์‚ฐ ์ œํ•œ ์˜์—ญ
  • ์ข…๊ดด๊ฐ€ ๊ต์ „์กฐ๋กœ ๋Œ์ถœํ•˜์—ฌ ๊ธฐ์ €๋™๋งฅ์„ ์ ์–ด๋„ ๋ถ€๋ถ„์ ์œผ๋กœ ๋‘˜๋Ÿฌ์‹ธ๊ณ  ์žˆ์Œ
  • ๋ช…ํ™•ํ•œ ์ˆ˜๋‘์ฆ ์—†์ด ์ œ4๋‡Œ์‹ค์— ๋Œ€ํ•œ ์••๋ฐ• ํšจ๊ณผ
  • ๋Œ€์‘ํ•˜๋Š” ์กฐ์˜์ฆ๊ฐ• ์—†์Œ

์ฃผ์„์ด ์žˆ๋Š” ์ด๋ฏธ์ง€ ๋ฐ ์ผ๋Ÿฌ์ŠคํŠธ

Homogeneous FLAIR hyperintense mass involving the entire pons and extending into the midbrain and medulla, which is a classic imaging appearance for a diffuse midline glioma.

Homogeneous FLAIR hyperintense mass involving the entire pons and extending into the midbrain and medulla, which is a classic imaging appearance for a diffuse midline glioma.

Area of mild restricted diffusion in the ventral pons, which demonstrated elevated cerebral blood volume on perfusion analysis (red arrows).

Area of mild restricted diffusion in the ventral pons, which demonstrated elevated cerebral blood volume on perfusion analysis (red arrows).

์ง„๋‹จ

๋ฏธ๋งŒ์„ฑ ์ •์ค‘์„  ๊ต์ข…

์ฃผ์š” ์˜์ƒ ์†Œ๊ฒฌ

์ฃผ์š” ์˜์ƒ ํŠน์ง•์„ ์ž ๊ธˆ ํ•ด์ œํ•˜๋ ค๋ฉด PRO ๋ฉค๋ฒ„๊ฐ€ ๋˜์„ธ์š”

๊ฐ๋ณ„์ง„๋‹จ

๊ฐ๋ณ„ ์ง„๋‹จ์„ ์ž ๊ธˆ ํ•ด์ œํ•˜๋ ค๋ฉด PRO ๋ฉค๋ฒ„๊ฐ€ ๋˜์„ธ์š”

๊ณ ์ฐฐ

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ํ† ๋ก  ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ

ํ•ต์‹ฌ ํฌ์ธํŠธ

ํ•ต์‹ฌ ํŒ์„ ์ž ๊ธˆ ํ•ด์ œํ•˜๋ ค๋ฉด PRO ๋ฉค๋ฒ„๊ฐ€ ๋˜์„ธ์š”

์ฐธ๊ณ ๋ฌธํ—Œ

  • Aboian MS, Solomon DA, Felton E, Mabray MC, Villanueva-Meyer JE, Mueller S, Cha S. Imaging characteristics of pediatric diffuse midline gliomas with histone H3 K27M mutation. AJNR Am J Neuroradiol 2017; 38(4): 795-800.

    • ์‚ฌ์ดํŠธ ํ”ผ๋“œ๋ฐฑ

    ์—ฌ๋Ÿฌ๋ถ„์˜ ํ”ผ๋“œ๋ฐฑ์€ CaseStacks ๊ฐœ์„ ์— ๋„์›€์ด ๋ฉ๋‹ˆ๋‹ค. ์˜๊ฒฌ, ์ œ์•ˆ ๋˜๋Š” ๋ฐœ์ƒํ•œ ๋ฌธ์ œ๋ฅผ ๊ณต์œ ํ•ด ์ฃผ์„ธ์š”.

    /5
    ํ”ผ๋“œ๋ฐฑ์„ ๋ณด๋‚ด์ฃผ์…”์„œ ๊ฐ์‚ฌํ•ฉ๋‹ˆ๋‹ค. ์†Œ์ค‘ํžˆ ๋ฐ˜์˜ํ•˜๊ฒ ์Šต๋‹ˆ๋‹ค.