CAJ | 학술논문

目的：分析Rasmussen脑炎的MRI影像特，评价MRI在Rasmussen脑炎的诊断与预后评估中的应用价值。方法收集经临床病理证实为Rasmussen脑炎的患者7例，对其进行横断面、矢状面及垂直于海马长轴的斜冠状脉扫描，获取T1WI、T2WI和FLAIR系列图像，分析MRI图像特点，并与临床病理结果对照，探讨MRI在Rasmussen脑炎诊断和预后评估中的价值。结果本研究中的7例患者，MRI影像显示5例患者的患侧侧脑室体部扩大的，6例患者的颞角扩大，6例患者的外侧裂增宽，6例患者的局部脑沟增宽、脑回变小，5例壳核、尾状核萎缩；7例患者灰质区和白质区T2WI和FLAIR系列呈高信号， T1WI系列呈不均匀低信号；随着病变的进展，MRI影像可见病变侧半球萎缩性改变加重和范围扩大，皮层信号改变较大。结论 Rasmussen脑炎患者的MRI影像具有一定的特征性，可较为准确的检查出病变的进展情况，在对该病的诊断及预后评估中具有较高的应用价值。
목적：분석Rasmussen뇌염적MRI영상특，평개MRI재Rasmussen뇌염적진단여예후평고중적응용개치。방법수집경림상병리증실위Rasmussen뇌염적환자7례，대기진행횡단면、시상면급수직우해마장축적사관상맥소묘，획취T1WI、T2WI화FLAIR계렬도상，분석MRI도상특점，병여림상병리결과대조，탐토MRI재Rasmussen뇌염진단화예후평고중적개치。결과본연구중적7례환자，MRI영상현시5례환자적환측측뇌실체부확대적，6례환자적섭각확대，6례환자적외측렬증관，6례환자적국부뇌구증관、뇌회변소，5례각핵、미상핵위축；7례환자회질구화백질구T2WI화FLAIR계렬정고신호， T1WI계렬정불균균저신호；수착병변적진전，MRI영상가견병변측반구위축성개변가중화범위확대，피층신호개변교대。결론 Rasmussen뇌염환자적MRI영상구유일정적특정성，가교위준학적검사출병변적진전정황，재대해병적진단급예후평고중구유교고적응용개치。
Objective Analysis of Rasmussen encephalitis MRI imaging, to evaluate MRI in the diagnosis and prognosis evaluation of Rasmussen encephalitis application value. Methods Collection for Rasmussen encephalitis patients confirmed by clinical pathology in 7 cases, on the transverse, sagittal and vertical long axis of the cornu ammonis oblique coronary arteries and veins of scanning, T1WI, T2WI and FLAIR series of image, analyzing the characteristics of the MRI image, and contrast with the clinical pathologic results, to explore the value of MRI in Rasmussen encephalitis diagnosis and prognosis assessment.Results 7 patients in this study, MRI image showed 5 cases of lateral ventricles body expanded, temporal Angle of 6 patients, 6 patients with the lateral fissure broadening, 6 cases with local widened the sulci and gyri smaller, 5 cases of putamen and caudate nucleus atrophy; 7 cases of patients with gray and white matter T2WI and FLAIR series has high signal, T1WI series is uneven low signal; With the progress of the lesion, MRI image visible lesions hemisphere atrophic changes increase and expanded, cortex signal change is larger.Conclusion Rasmussen encephalitis patients MRI images have a certain characteristic, can more accurately detect the progress of disease, in the evaluation of the diagnosis and prognosis of the disease has a high application value.