期刊文献+

脑多发性硬化几个MRI征象的再复习及其意义 被引量:4

Review some MRI signs of multiple sclerosis and its clinical significance
下载PDF
导出
摘要 目的探讨脑多发性硬化几个MRI征象并结合文献进行复习,再认识其意义,以提高正确诊断率。方法选取2009年1月至2011年3月在我院住院诊治并确诊的脑多发性硬化患者41例。其中,男18例,女23例。年龄11~52岁,病程1个月~5年。所有患者均行MRI检查。结果除了常规报道的影像学表现外,多发性硬化还可以表现为融冰征、膏药征、树征、轨迹征、犄角征和倒逗点征。结论这些MS征象对提高诊断的正确性很有价值。 Objective:To investigate some MRI signs of the multiple sclerosis and review the literature,so as to elevate the rate of correct diagnosis.Materials and Methods:A total of 41 subjects with final diagnosis of multiple sclerosis were selected between January 2009 and March 2011 as case group.The sex ratio was 18 males to 23 females.The age ranged from 11 to 52 years old,and the course of disease was from one month to five years.All the patients underwent MRI examination.Results:In addition to conventional imaging manifestations,the multiple sclerosis often presented ice-melting sign,plaster sign,tree sign,path sign,horn sign and converse comma sign.Conclusion:These signs of multiple sclerosis have important value for the correct diagnosis.
出处 《磁共振成像》 CAS 2011年第4期260-263,共4页 Chinese Journal of Magnetic Resonance Imaging
关键词 多发性硬化 脱髓鞘 磁共振成像 Multiple sclerosis Demyelination Magnetic resonance imaging
  • 相关文献

参考文献11

  • 1Rovira A,Tintoré M,Alvarez-Cerme(n)o JC,et al.Recommendations for using and interpreting magnetic resonance imaging in multiple sclerosis.Neurologia,2010,25(4):248-265.
  • 2Polman CH,Reingold SC,Banwell B,et al.Diagnostic criteria for multiple sclerosis:2010 revisions to the McDonald criteria.Ann Neurol,2011,69(2):292-302.
  • 3Callen DJ,Shroff MM,Branson HM,et al.MRI in the diagnosis of pediatric multiple sclerosis.Neurology,2009,72(11):961-967.
  • 4Bilello M,Suri N,Krejza J,et al.An approach to comparing accuracies of two FLAIR MR sequences in the detection of multiple sclerosis lesions in the brain in the absence of gold standard.Acad Radiol,2010,17(6):686-695.
  • 5任增光.多发性硬化的MRI早期诊断及临床表现[J].医学影像学杂志,2010,20(5):753-754. 被引量:8
  • 6Popescu BF,Bunyan RF,Parisi JE,et al.A case of multiple sclerosis presenting with inflammatory cortical demyelination.Neurology,2011,76(20):1705-1710.
  • 7Kuhlmann T,Goldschmidt T,Antel J,et al.Gender differences in the histopathology of MS? J Neurol Sci,2009,286(1-2):86-91.
  • 8初曙光,沈天真,陈星荣.多发性硬化患者的脑部磁共振成像表现[J].中华神经科杂志,2005,38(3):167-170. 被引量:13
  • 9彭湘晖.脑内多发性硬化46例MRI表现分析[J].中国误诊学杂志,2009,9(31):7712-7712. 被引量:2
  • 10D Goldberg-Zimring,B Shalmon,KH Zou,et al.Assessment of Multiple Sclerosis Lesions with Spherical Harmonics:Comparison of MR Imaging and Pathologic Findings.Radiology,2005,235(3):l036-1044.

二级参考文献26

  • 1刘士远,肖湘生.多发性硬化30例MRI征象分析[J].中华放射学杂志,1993,27(11):747-750. 被引量:6
  • 2曹志坚,王伟,李来友.多发性硬化MRI影像学分析[J].浙江临床医学,2005,7(6):656-656. 被引量:8
  • 3郭学军,刘鹏程,刘汉桥,邹立秋,冯飞,罗莉丽.多发性硬化的MRI诊断价值[J].现代医用影像学,2006,15(3):97-100. 被引量:6
  • 4Daniel Goldberg-Zimring,Ph D,Bruria Shalmon, MD,et al. Assessment of Multiple Sclerosis Lesions with Spherical Harmonics:Comparison of MR Imaging and Pathologic Findings[J]. Radiology, 2005,235 : 1036-1044.
  • 5S. Howard Lee, Krishna C. V. G. Rao. Robert A. Zimmerman 主编,鱼博浪,梁星原主译.颅脑MR和CT诊断学[M].4版.西安:世界图书出版西安分公司,2001:558-562.
  • 6Poser CM,Paty DW,Scheinberg L,et al.New diagnostic criteria for multiple sclerosis guidelines for research protocols[J].Ann Neurol,1983,13:227.
  • 7Runge VM,Price AC,Krishner HS,et al.Evaluation of multiple sclerosis by magnetic resonance imaging[J].Radiographics,1986,6:203.
  • 8Bner F,Millner MM,Justich E.Multiple sclerosis in children:value of serial MR studies to monitor patients[J].ANJR,1990,11:1023.
  • 9McDonld WL, Compston A, Edan G, et al. Recommended diagnostic criteria for. multiple sclerosis: guidelines from the international panel on the diagnosis of multiple sclerosis. Ann Neural.2001, 50: 121- 127.
  • 10Waxman SG. Demyelinatlng diseases- new pathological insights,new therapeutic targets, N Engl J Med, 1998, 338 : 323 - 325.

共引文献24

同被引文献43

  • 1高玲,何庆,刘祚国.多发性硬化的CT和MRI诊断[J].中国CT和MRI杂志,2006,4(4):18-20. 被引量:9
  • 2段云云,李坤成,于春水,秦文.多发性硬化的磁共振波谱研究[J].中国医学影像技术,2006,22(1):67-69. 被引量:15
  • 3郭学军,刘鹏程,刘汉桥,邹立秋,冯飞,罗莉丽.多发性硬化的MRI诊断价值[J].现代医用影像学,2006,15(3):97-100. 被引量:6
  • 4Kollia K, Maderwald S, Putzki N, et al. First clinical study on ultra- high-field MR imaging in patients with multiple sclerosis: comparison of 1.5 T and 7.0 T. AJNR Am J Neuroradiol, 2009, 30(4): 699-702.
  • 5Mcdonald WI, Compston A, Edan G, et al. Recommended diagnostic criteria for multiple sclerosis: guidelines from the international panel on the diagnosis of multiple sclerosis. Ann Neurol, 2001, 50(1): 1271-1277.
  • 6Balashov KE, Aung LL, Dhib-Jalbut S, et al. Acute multiple sclerosis lesion: conversion of restricted diffusion due to vasogenic edema. J Neuroimaging, 2011, 21(2): 202-204.
  • 7Vikhoff-Baaz B, Malmgren K, Jonsson L, et al. Lateralisation with magnetic resonance spectroscopic imaging in temporal lobe epilepsy: an evaluation of visual and region.of-interest analysis of metabolite concentration images. Neuroadiologv. 2001.43(9): 721-727.
  • 8Clarke CE, Lowry M. Systematic review of proton magnetic resonance spectroscopy of the striatum in parkinsonian syndromes. Eur J Neurol, 2001, 8(6): 573-577.
  • 9Kollia K, Maderwald S, Putzki N, et al. First Clinical Study on Ultra-High-Field MR Imaging in Patients with Multiple Sclerosis: Comparison of 1. ST and 7T[J]. AJNR Am J Neuroradiol, 2009,30(4):699- 702.
  • 10Mcdonald WI, Compston A, Edan G, et al. Recommended diagnostic criteria for multiple sclerosis: guidelines from the international panel on the diagnosis of multiple sclerosis[J]. AnnNeurol, 2001, 50 (1) : 1271-1277.

引证文献4

二级引证文献12

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部