๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #61

PRO ํ”Œ๋žœ ํ•„์š”

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

ํ™˜์ž ์ •๋ณด: 12 ์„ธ, ๋‚จ์„ฑ
์ ์‘์ฆ: ๋‘ํ†ต, ๊ธฐ๋ฉด

์†Œ๊ฒฌ

  • ์ขŒ์ธก ์‹œ์ƒ์— ์ค‘์‹ฌ์„ ๋‘” T1 ์ €์‹ ํ˜ธ, T2/FLAIR ๊ณ ์‹ ํ˜ธ์˜ ๋น„์กฐ์˜์ฆ๊ฐ• ์ข…๊ดด(4.6 x 5.5 x 5.8 cm)๋กœ, ์ขŒ์ธก ํŽธ์‹ฌ์„ฑ ์ค‘๋‡Œ๋กœ์˜ ํ•˜๋ฐฉ ์—ฐ์žฅ, ์ขŒ์ธก ๋‚ด์„ฌ์œ ๋ง‰ ํ›„๊ฐ์œผ๋กœ์˜ ์™ธ์ธก ์—ฐ์žฅ, ์ขŒ์ธก ์ „๋‘๋‘์ •์—ฝ ๋‡Œ์‹ค ์ฃผ์œ„ ๋ฐฑ์งˆ๋กœ์˜ ์ƒ๋ฐฉ ์—ฐ์žฅ์„ ๋ณด์ž„
  • ์ข…๊ดด์˜ ํ•˜๋ถ€ ๋ฐ ์ „์ƒ๋ฐฉ ๋ถ€์œ„์—์„œ ํŠนํžˆ ๋‘๋“œ๋Ÿฌ์ง€๋Š” ๋‚ด๋ถ€ ํ™•์‚ฐ ์ œํ•œ ๋ถ€์œ„
  • ์ œ3๋‡Œ์‹ค ํ›„๋ฐฉ ๋ฐ ๋Œ€๋‡Œ์ˆ˜๋„๊ด€ ์ˆ˜์ค€์—์„œ์˜ ํ์‡„์„ฑ ์ˆ˜๋‘์ฆ๊ณผ ๋‡Œ์‹ค ์ฃผ์œ„ ๋ถ€์ข… ๋ฐ ์ฒœ๋ง‰์ƒ ๊ณ ๋ž‘ ์†Œ์‹ค ๋™๋ฐ˜
  • ๋‘๊ฐœ๋‚ด์•• ์ƒ์Šน๊ณผ ๊ด€๋ จ๋œ ํ™•์žฅ๋œ ์‹œ์‹ ๊ฒฝ์ดˆ ๋ฐ ํ™•์žฅ๋œ Meckel๊ฐ•
  • ์–‘์ธก ํ•ด๋งˆ๊ณ์ด๋ž‘์—์„œ์˜ ํ™•์‚ฐ ์ œํ•œ ๋ถ€์œ„๋กœ, ํ—ˆํ˜ˆ์„ฑ ๊ฒฝ์ƒ‰, ์ตœ๊ทผ ๋ฐœ์ž‘ ํ™œ๋™์˜ ํ›„์œ ์ฆ, ๋˜๋Š” ๊ฐ€๋Šฅ์„ฑ์€ ๋‚ฎ์ง€๋งŒ ์ถ”๊ฐ€์ ์ธ ์ข…์–‘ ์นจ๋ฒ” ๋ถ€์œ„๋ฅผ ๋‚˜ํƒ€๋‚ผ ์ˆ˜ ์žˆ์Œ

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

Large, relatively homogeneous T2/FLAIR hyperintense mass centered in the left thalamus (red arrow), consistent with a diffuse midline glioma.

Large, relatively homogeneous T2/FLAIR hyperintense mass centered in the left thalamus (red arrow), consistent with a diffuse midline glioma.

Area of relatively low ADC in the anterosuperior portion of the mass (red arrow), likely correlating with an area of higher cellularity.

Area of relatively low ADC in the anterosuperior portion of the mass (red arrow), likely correlating with an area of higher cellularity.

์ง„๋‹จ

๋ฏธ๋งŒ์„ฑ ์ •์ค‘์„  ์‹ ๊ฒฝ๊ต์ข…

๊ฐ๋ณ„์ง„๋‹จ

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

ํ•ต์‹ฌ ํฌ์ธํŠธ

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

์‚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.