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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medvis</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинская визуализация</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Visualization</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1607-0763</issn><issn pub-type="epub">2408-9516</issn><publisher><publisher-name>RDS-Media Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24835/1607-0763-2019-3-8-18</article-id><article-id custom-type="elpub" pub-id-type="custom">medvis-790</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ГОЛОВА И ШЕЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>HEAD AND NECK</subject></subj-group></article-categories><title-group><article-title>Протонная 3D-МР-спектроскопия в диагностике глиальных опухолей головного мозга</article-title><trans-title-group xml:lang="en"><trans-title>Proton 3D MR spectroscopy in the diagnosis of glial brain tumors</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тюрина</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Tyurina</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>младший научный сотрудник</p><p>125047 Москва, ул. 4-я Тверская-Ямская, 16, Российская Федерация</p><p>8-916-634-25-22</p></bio><bio xml:lang="en"><p>Junior Researcher</p><p>4-ya Tverskaya-Yamskaya str., 16, Moscow, Russia 125047</p><p>Phone: +7-916-634-25-22</p></bio><email xlink:type="simple">aturina@nsi.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пронин</surname><given-names>И. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Pronin</surname><given-names>I. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>академик РАН, доктор мед. наук, профессор</p><p>125047 Москва, ул. 4-я Тверская-Ямская, 16, Российская Федерация</p></bio><bio xml:lang="en"><p>Academician of the Russian Academy of Sciences, doct. of med. sci., Professor</p><p>4-ya Tverskaya-Yamskaya str., 16, Moscow, Russia 125047</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фадеева</surname><given-names>Л. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Fadeeva</surname><given-names>L. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>медицинский физик</p><p>125047 Москва, ул. 4-я Тверская-Ямская, 16, Российская Федерация</p></bio><bio xml:lang="en"><p>Medical Physicist</p><p>4-ya Tverskaya-Yamskaya str., 16, Moscow, Russia 125047</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баталов</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Batalov</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>младший научный сотрудник</p><p>125047 Москва, ул. 4-я Тверская-Ямская, 16, Российская Федерация</p></bio><bio xml:lang="en"><p>Junior Researcher</p><p>4-ya Tverskaya-Yamskaya str., 16, Moscow, Russia 125047</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Захарова</surname><given-names>Н. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakharova</surname><given-names>N. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор мед. наук, профессор РАН</p><p>125047 Москва, ул. 4-я Тверская-Ямская, 16, Российская Федерация</p></bio><bio xml:lang="en"><p>doct. of med. sci., Professor of Russian Academy of Sciences</p><p>4-ya Tverskaya-Yamskaya str., 16, Moscow, Russia 125047</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Подопроигора</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Podoprigora</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук</p><p>125047 Москва, ул. 4-я Тверская-Ямская, 16, Российская Федерация</p></bio><bio xml:lang="en"><p>cand. of med. sci.</p><p>4-ya Tverskaya-Yamskaya str., 16, Moscow, Russia 125047</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шульц</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Shults</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук</p><p>125047 Москва, ул. 4-я Тверская-Ямская, 16, Российская Федерация</p></bio><bio xml:lang="en"><p>cand. of med. sci</p><p>4-ya Tverskaya-Yamskaya str., 16, Moscow, Russia 125047</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Корниенко</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kornienko</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>академик РАН, доктор мед. наук, профессор</p><p>125047 Москва, ул. 4-я Тверская-Ямская, 16, Российская Федерация</p></bio><bio xml:lang="en"><p>Academician of the Russian Academy of Sciences, doct. of med. sci., Professor</p><p>4-ya Tverskaya-Yamskaya str., 16, Moscow, Russia 125047</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАУ “Национальный медицинский исследовательский центр нейрохирургии имени академика Н.Н. Бурденко” Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Autonomous Institution “N.N. Burdenko National Medical Research Center of Neurosurgery” of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>02</day><month>09</month><year>2019</year></pub-date><volume>0</volume><issue>3</issue><fpage>8</fpage><lpage>18</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Тюрина А.Н., Пронин И.Н., Фадеева Л.М., Баталов А.И., Захарова Н.Е., Подопроигора А.Е., Шульц Е.И., Корниенко В.Н., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Тюрина А.Н., Пронин И.Н., Фадеева Л.М., Баталов А.И., Захарова Н.Е., Подопроигора А.Е., Шульц Е.И., Корниенко В.Н.</copyright-holder><copyright-holder xml:lang="en">Tyurina A.N., Pronin I.N., Fadeeva L.M., Batalov A.I., Zakharova N.E., Podoprigora A.E., Shults E.I., Kornienko V.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://medvis.rdsmedia.ru/jour/article/view/790">https://medvis.rdsmedia.ru/jour/article/view/790</self-uri><abstract><p>Цель исследования: изучение возможностей протонной 3D-МР-спектроскопии в диагностике первичных глиальных опухолей головного мозга.Материал и методы. Всего было обследовано 63 пациента в возрасте от 20 до 60 лет с глиальными опухолями головного мозга различной степени злокачественности. Были оценены индексы соотношений основных метаболитов в опухолевой ткани и их сравнение с метаболитами, полученными в сером и белом веществе противоположного полушария мозга. Индексы соотношений основных метаболитов: Cho/Cr, NAA/Cr, Cho/NAA имели достоверные (p &lt; 0,005) различия при сравнении глиом низкой и высокой степени злокачественности.Результаты. Полученные данные доказывают эффективность метода протонной 3D-МР-спектроскопии в определении степени анаплазии глиальных опухолей головного мозга.</p></abstract><trans-abstract xml:lang="en"><p>The purpose of this study was an assessment of the proton 3D MR spectroscopy efficacy in diagnosis of primary glial brain tumors.Material and methods. Sixty three patients aged from 20 to 60 years with primary glial brain tumors of varying degrees of malignancy were examined. The ratios of main metabolites indices were evaluated with following comparison with the metabolites obtained in gray and white matter of the opposite hemisphere.The ratios of main metabolites: Cho/Cr, NAA/Cr, Cho/NAA showed significant (p &lt;0.005) differences in the groups of patients with low and high grade gliomas.Results. The obtained data proved the efficacy of the proton 3D MR-spectroscopy in predicting of the glial brain tumors malignancy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>протонная магнитно-резонансная спектроскопия</kwd><kwd>3D мультивоксельная МР-спектроскопия</kwd><kwd>серое вещество</kwd><kwd>белое вещество</kwd><kwd>глиомы низкой степени злокачественности</kwd><kwd>глиомы высокой степени злокачественности</kwd></kwd-group><kwd-group xml:lang="en"><kwd>proton magnetic resonance spectroscopy</kwd><kwd>3D multi-voxel spectroscopy</kwd><kwd>white matter</kwd><kwd>grey matter</kwd><kwd>brain tumors</kwd><kwd>glial tumors</kwd><kwd>low grade glioma</kwd><kwd>high grade glioma</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено при поддержке Российского фонда фундаментальных исследований (Грант РФФИ № 18-29-01018 мк).</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Корниенко В.Н., Пронин И.Н. 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