医学影像学杂志
醫學影像學雜誌
의학영상학잡지
JOURNAL OF MEDICAL IMAGING
2015年
2期
204-206,217
,共4页
许昌%孟红秀%陈亮%姜兴岳%王培源%李泉%王萍%卞佳
許昌%孟紅秀%陳亮%薑興嶽%王培源%李泉%王萍%卞佳
허창%맹홍수%진량%강흥악%왕배원%리천%왕평%변가
磁共振成像%海马硬化%癫痫
磁共振成像%海馬硬化%癲癇
자공진성상%해마경화%전간
Magnetic resonance imaging%Spectroscopy image%Sclerosis of hippocampus%Epilepsy
目的:评价磁共振多体素频谱技术在早期海马硬化中的应用价值。方法对28例单侧颞叶癫痫患者行常规MR 及双侧海马区多体素频谱检查,测量双侧海马区域 N‐乙酰天门冬氨酸、胆碱、肌酸的信号强度,分析双侧海马区代谢物的分布情况。结果①常规 MR 检查示4例单侧海马萎缩,4例诊断侧别不一致,20例海马形态学未见改变;②患侧NAA 、NAA/Cho 、NAA/Cr 、NAA/(Cho + Cr)值较对侧均明显降低,差异有统计学意义。结论多体素磁共振频谱技术能够早期发现海马硬化,进而可对癫痫灶进行准确定位。
目的:評價磁共振多體素頻譜技術在早期海馬硬化中的應用價值。方法對28例單側顳葉癲癇患者行常規MR 及雙側海馬區多體素頻譜檢查,測量雙側海馬區域 N‐乙酰天門鼕氨痠、膽堿、肌痠的信號彊度,分析雙側海馬區代謝物的分佈情況。結果①常規 MR 檢查示4例單側海馬萎縮,4例診斷側彆不一緻,20例海馬形態學未見改變;②患側NAA 、NAA/Cho 、NAA/Cr 、NAA/(Cho + Cr)值較對側均明顯降低,差異有統計學意義。結論多體素磁共振頻譜技術能夠早期髮現海馬硬化,進而可對癲癇竈進行準確定位。
목적:평개자공진다체소빈보기술재조기해마경화중적응용개치。방법대28례단측섭협전간환자행상규MR 급쌍측해마구다체소빈보검사,측량쌍측해마구역 N‐을선천문동안산、담감、기산적신호강도,분석쌍측해마구대사물적분포정황。결과①상규 MR 검사시4례단측해마위축,4례진단측별불일치,20례해마형태학미견개변;②환측NAA 、NAA/Cho 、NAA/Cr 、NAA/(Cho + Cr)치교대측균명현강저,차이유통계학의의。결론다체소자공진빈보기술능구조기발현해마경화,진이가대전간조진행준학정위。
Objective To evaluate the value of multivoxel magnetic resonance spectroscopy in diagnosing hippocampal sclerosis early .Methods 28 patients were performed routine MRI and multivoxel magnetic resonance spectroscopy at bi‐lateral hippocampal areas .We measured N‐acetylaspartate acid (NAA) ,choline‐containing compounds (Cho) and Creatine (Cr) signal intensity in bilateral hippocampal areas .The distribution of metabolites in bilateral hippocampal areas would be analyzed .Results ① The diagnosis by the routine MR images in four cases was unilateral hippocampal atrophy and it was a consensus ,but four cases were inconsistency in the orientation of the disease side ,twenty cases were consider no mor‐phological changes in the hippocampus ; ② NAA ,the ratios of NAA / Cho ,NAA/Cr ,and NAA / (Cr + Cho) were de‐creased on ipsilateral side .Conclusion MRS is sensitive to the diagnosis of neuron abnormality and coincident well with the pathological results .It can provide useful information for presurgical diagnosis of hippocampal sclerosis .