The diagnosis of sporadic Creutzfeldt-Jakob disease （sCJD） is extremely difficult. Diffusion-weighted imaging has been shown to be the most sensitive technique for the detection of signal alterations in sCJD patient...The diagnosis of sporadic Creutzfeldt-Jakob disease （sCJD） is extremely difficult. Diffusion-weighted imaging has been shown to be the most sensitive technique for the detection of signal alterations in sCJD patients. The present study analyzed the diagnostic value of diffusion-weighted imaging and fluid-attenuated inversion recovery sequence in the early stage of sCJD in one female patient and correlated the clinical symptoms during disease course and magnetic resonance manifestations. Thalamic and basal ganglia hyperintensities were observed on magnetic resonance images in a very early stage, i.e., when the clinical typical manifestations of the disease were not present. With the progression of the disease, cortical and basal ganglia hyperintensities were observed on magnetic resonance images, showing an obvious cerebral atrophy. These findings suggest that diffusion-weighted imaging and fluid-attenuated inversion recovery sequence are helpful in diagnosing sCJD.展开更多
Objective:Late gadolinium enhancement(LGE) patterns of cardiovascular magnetic resonance (CMR) relying on PSIR(phase-sensitive inversion recovery sequence) techniques had been used to determine the characteristics of ...Objective:Late gadolinium enhancement(LGE) patterns of cardiovascular magnetic resonance (CMR) relying on PSIR(phase-sensitive inversion recovery sequence) techniques had been used to determine the characteristics of LGE in apical hypertrophic cardiomyopathy(ApHCM). Methods:Forty patients pure ApHCM[age,(60.2±10.4) years,31 men]were enrolled.LGE images were acquired using PSIR,and analyzed using a 17-segment model.Summing the LGE areas in all short axis slices yielded the total volume of late enhancement,which was subsequently presented as a proportion of total LV myocardium(%LGE).Results:Mean maximal apical wall thickness was(17.9±2.3) mm,and mean left ventricular(LV) ejection fraction was(67.7±8.0)%.LGE was detected in 130 segments of 30 patients(75.0%),occupying(4.9±5.5)% of LV myocardium.LGE was mainly detected at the junction between left and right ventricles in 12(30%) and at the apex in 28(70%),although LGE-positive areas were widely distributed,and not limited to the apex.Focal LGE at the non-hypertrophic LV segments was found in some ApHCM patients,even without LGE of hypertrophied apical segments.Conclusions:LGE was frequently observed not only in the thickened apex of the heart but also in other LV segments,irrespective of the presence or absence of hypertrophy.The simple presence of LGE on CMR was not representative of adverse prognosis in this population.展开更多
Fluid-attenuated inversion recovery （FLAIR） vascular hyperintensity （FVH） is used to assess leptomeningeal collateral circulation, but clinical outcomes of patients with FVH can be very different. The aim of the p...Fluid-attenuated inversion recovery （FLAIR） vascular hyperintensity （FVH） is used to assess leptomeningeal collateral circulation, but clinical outcomes of patients with FVH can be very different. The aim of the present study was to assess a FVH score and explore its relationship with clinical outcomes. Patients with acute ischemic stroke due to middle cerebral artery M1 occlusion underwent magnetic resonance imaging and were followed up at 10 days （National Institutes of Health Stroke Scale） and 90 days （modified Rankin Scale） to determine short-term clinical outcomes. Effective collateral circulation indirectly improved recovery of neurological function and short-term clinical outcome by extending the size of the pial penumbra and reducing infarct lesions. FVH score showed no correlation with 90-day functional clinical outcome and was not sufficient as an independent predictor of short-term clinical outcome.展开更多
The diagnosis of the recurrent optic neuritis is commonly established clinically,and sometimes it could be challenging because the involved optic nerve does not always show significant enhancement on conventional cont...The diagnosis of the recurrent optic neuritis is commonly established clinically,and sometimes it could be challenging because the involved optic nerve does not always show significant enhancement on conventional contrast enhanced-T1 weighted imaging（CE-T1W1）.In this paper,we reported a middle-aged female with early diagnosis of recurrent optic neuritis using contrast-enhanced T2 fluid-attenuated inversion recovery imaging（CET2FLAIR）.The involved optic nerve presented evident enhancement on CE-T2FLAIR and no enhancement on CE-T1W1.This case suggested that the CE-T2FLAIR may be a useful diagnostic tool specifically for the recurrent optic neuritis in clinical practice.展开更多
目的探讨急性脑梗死(ACI)患者弥散加权成像(DWI)病变体积(VDWI)、T2液体衰减反转恢复序列(T2Flair)病变体积(VFlair)与发病时间的关系,及ACI患者DWI与磁敏感加权成像(SWI)区域显示一致程度与预后的关系。方法选取2019年8月至2021年12月...目的探讨急性脑梗死(ACI)患者弥散加权成像(DWI)病变体积(VDWI)、T2液体衰减反转恢复序列(T2Flair)病变体积(VFlair)与发病时间的关系,及ACI患者DWI与磁敏感加权成像(SWI)区域显示一致程度与预后的关系。方法选取2019年8月至2021年12月包钢集团第三职工医院收治的93例ACI患者作为研究对象。运用线性回归分析VFlair、VDWI的体积差与发病时间(T)的关系,分析DWI图像、SWI图像显示区域一致程度与预后的关系。结果线性回归分析结果显示,症状出现6 h内ACI患者VFlair、VDWI与发病时间(T)存在以下关系:(VFlair−VDWI)/VDWI=−0.573+0.103×T;症状出现6~48 h ACI患者VFlair、VDWI与T存在以下关系:(VFlair−VDWI)/VDWI=−0.049+0.013×T。DWI-SWI图像显示区域一致22例,溶栓有效12例(54.55%);DWI-SWI图像显示区域不一致19例,溶栓有效4例(21.05%),两者比较差异有统计学意义(P<0.05)。结论ACI患者VFlair与VDWI差异能有效预测ACI患者发病时间,DWI-SWI区域显示一致程度能够较好预测ACI患者的预后。展开更多
文摘The diagnosis of sporadic Creutzfeldt-Jakob disease （sCJD） is extremely difficult. Diffusion-weighted imaging has been shown to be the most sensitive technique for the detection of signal alterations in sCJD patients. The present study analyzed the diagnostic value of diffusion-weighted imaging and fluid-attenuated inversion recovery sequence in the early stage of sCJD in one female patient and correlated the clinical symptoms during disease course and magnetic resonance manifestations. Thalamic and basal ganglia hyperintensities were observed on magnetic resonance images in a very early stage, i.e., when the clinical typical manifestations of the disease were not present. With the progression of the disease, cortical and basal ganglia hyperintensities were observed on magnetic resonance images, showing an obvious cerebral atrophy. These findings suggest that diffusion-weighted imaging and fluid-attenuated inversion recovery sequence are helpful in diagnosing sCJD.
基金Supported by Haikou Key Science and Technology Project (2012-075)Haikou Science and Technology Planning Project(2009-049-1)Science and Technology Fund of Haikou Health Bureau(2010-SWY-13-058)
文摘Objective:Late gadolinium enhancement(LGE) patterns of cardiovascular magnetic resonance (CMR) relying on PSIR(phase-sensitive inversion recovery sequence) techniques had been used to determine the characteristics of LGE in apical hypertrophic cardiomyopathy(ApHCM). Methods:Forty patients pure ApHCM[age,(60.2±10.4) years,31 men]were enrolled.LGE images were acquired using PSIR,and analyzed using a 17-segment model.Summing the LGE areas in all short axis slices yielded the total volume of late enhancement,which was subsequently presented as a proportion of total LV myocardium(%LGE).Results:Mean maximal apical wall thickness was(17.9±2.3) mm,and mean left ventricular(LV) ejection fraction was(67.7±8.0)%.LGE was detected in 130 segments of 30 patients(75.0%),occupying(4.9±5.5)% of LV myocardium.LGE was mainly detected at the junction between left and right ventricles in 12(30%) and at the apex in 28(70%),although LGE-positive areas were widely distributed,and not limited to the apex.Focal LGE at the non-hypertrophic LV segments was found in some ApHCM patients,even without LGE of hypertrophied apical segments.Conclusions:LGE was frequently observed not only in the thickened apex of the heart but also in other LV segments,irrespective of the presence or absence of hypertrophy.The simple presence of LGE on CMR was not representative of adverse prognosis in this population.
基金supported by the National Natural Science Foundation of China,No.81371521
文摘Fluid-attenuated inversion recovery （FLAIR） vascular hyperintensity （FVH） is used to assess leptomeningeal collateral circulation, but clinical outcomes of patients with FVH can be very different. The aim of the present study was to assess a FVH score and explore its relationship with clinical outcomes. Patients with acute ischemic stroke due to middle cerebral artery M1 occlusion underwent magnetic resonance imaging and were followed up at 10 days （National Institutes of Health Stroke Scale） and 90 days （modified Rankin Scale） to determine short-term clinical outcomes. Effective collateral circulation indirectly improved recovery of neurological function and short-term clinical outcome by extending the size of the pial penumbra and reducing infarct lesions. FVH score showed no correlation with 90-day functional clinical outcome and was not sufficient as an independent predictor of short-term clinical outcome.
文摘The diagnosis of the recurrent optic neuritis is commonly established clinically,and sometimes it could be challenging because the involved optic nerve does not always show significant enhancement on conventional contrast enhanced-T1 weighted imaging（CE-T1W1）.In this paper,we reported a middle-aged female with early diagnosis of recurrent optic neuritis using contrast-enhanced T2 fluid-attenuated inversion recovery imaging（CET2FLAIR）.The involved optic nerve presented evident enhancement on CE-T2FLAIR and no enhancement on CE-T1W1.This case suggested that the CE-T2FLAIR may be a useful diagnostic tool specifically for the recurrent optic neuritis in clinical practice.
文摘目的探讨MR液体衰减反转恢复序列(fluid-attenuated inversion-recovery,FLAIR)-扩散加权成像序列(diffusion-weighted imaging,DWI)不匹配指导发病时间未知的急性缺血性脑卒中患者静脉溶栓治疗的应用价值。方法回顾性分析2021年1月至2023年12月就诊的发病时间未知的急性缺血性脑卒中患者73例。在进行溶栓前,每个患者都进行头颅MR检查,FLAIR-DWI不匹配者进入溶栓组,无FLAIR-DWI不匹配者进入未溶栓组进行对照研究,并分析预后转归的影响因素。结果溶栓组的神经功能好转(NIHSS≥4分,54.83%vs28.57%,χ^(2)=7.432,P=0.016)以及3个月后的mRS评分,较未溶栓组有显著差异(2.39±1.74 vs 4.43±1.81,χ^(2)=-5.382,P=0.031)。多因素回归分析的结果发现静脉溶栓(OR=1.271,95%CI:1.026~1.451,P=0.005)和神经功能好转(NIHSS≥4分,OR=1.131,95%CI:0.548~2.113,P=0.019)为预测发病时间未知的急性缺血性脑卒中患者预后的预测因子。结论对于发病时间未知的急性缺血性脑卒中患者,FLAIR-DWI不匹配可指导静脉溶栓,且具有重要的临床意义。
文摘目的探讨急性脑梗死(ACI)患者弥散加权成像(DWI)病变体积(VDWI)、T2液体衰减反转恢复序列(T2Flair)病变体积(VFlair)与发病时间的关系,及ACI患者DWI与磁敏感加权成像(SWI)区域显示一致程度与预后的关系。方法选取2019年8月至2021年12月包钢集团第三职工医院收治的93例ACI患者作为研究对象。运用线性回归分析VFlair、VDWI的体积差与发病时间(T)的关系,分析DWI图像、SWI图像显示区域一致程度与预后的关系。结果线性回归分析结果显示,症状出现6 h内ACI患者VFlair、VDWI与发病时间(T)存在以下关系:(VFlair−VDWI)/VDWI=−0.573+0.103×T;症状出现6~48 h ACI患者VFlair、VDWI与T存在以下关系:(VFlair−VDWI)/VDWI=−0.049+0.013×T。DWI-SWI图像显示区域一致22例,溶栓有效12例(54.55%);DWI-SWI图像显示区域不一致19例,溶栓有效4例(21.05%),两者比较差异有统计学意义(P<0.05)。结论ACI患者VFlair与VDWI差异能有效预测ACI患者发病时间,DWI-SWI区域显示一致程度能够较好预测ACI患者的预后。
