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1.
目的:探讨Alzheimer病(AD)患者与健康对照组脑组织容积和脑组织内N-乙酰天门冬氨酸(NAA)、胆碱(Cho)及肌-肌醇(Mi)的特征及异同。材料和方法:对临床确诊的13例AD患者和13例健康老人进行MRI脑组织分割分析,定量研究两组脑实质容积的变化。对两组各11例同时进行了磁共振波谱检查,定量分析两组的NAA、Cho及Mi的水平。结果:MRI脑组织分割分析显示AD组较对照组有明显的脑灰质丢失,两组脑白质的容积无明显差异。磁共振波谱分析(MRS)显示AD组NAA水平较对照组降低,Mi水平较对照组升高,两组的Chi水平无显著差异。结论:脑组织分割分析能够准确的反映AD患者脑灰质萎缩的范围;MRS能够准确提供AD患者脑部NAA、Cho和Mi的代谢情况,两者结合有助于AD的诊断。  相似文献   

2.
Alzheimer型痴呆的CT与MRI研究   总被引:1,自引:0,他引:1  
目的验证海马萎缩在Alzheimer型痴呆(DAT)中作为一种预测标志的价值,为临床提供辅助诊断方法。材料与方法选30名受检者全部通过简易精神状态检查(mini-mentalstateex-amination,MMSE),CT扫描观察海马周围裂的变化,并测量海马内侧的脑脊液池(HCSF),即测量环池内侧边到颞叶内侧边之间的距离。选其中13名行MRI扫描测量海马结构(HF)体积。结果在正常人中区分Alzheimer型痴呆病人最敏感的测量是MMSE,最特异性的测量是HCSF。HF体积与MMSE在正常组中无相关性,而在DAT组中有显著的相关关系。结论我们的研究表明:海马周围裂的扩大及海马体积缩小对临床诊断DAT是一个有用的放射学标志  相似文献   

3.
脑弥漫性轴索损伤的实验性研究   总被引:49,自引:0,他引:49  
目的:探讨急性期脑弥漫性轴索损伤(difuseaxonalinjury,DAI)的病理改变及与CT、MRI特征的相关性。材料和方法:本实验应用自行设计的“损伤加速机”对22只猫按两种大小不等的角加速度损伤,首次应用猫建立了DAI动物模型。结果:急性期(72小时内)DAI的病理表现为轴索的扭曲、肿胀、断裂及间质水肿。CT可见弥漫性脑肿胀、皮层下及脑深部小出血灶、蛛网膜下腔及脑室内出血。MRI可见弥漫性脑肿胀(脑白质在T1加权像上信号减低及脑沟、脑裂消失)和单发或多发脑白质小灶性损伤(脑白质在T2加权像上可见单发或多发小灶性高信号影)。离体脑白质磁共振波谱(magneticresonancespectroscopy,MRS)检查发现损伤后脑白质游离水相对含量明显高于正常对照组,损伤后结合水相对含量明显低于正常对照组,二者T1值均较正常对照组延长。结论:MRI对DAI的诊断价值明显优于CT。通过对CT、MR图像分析,可以间接推测DAI的病理改变及程度,有利于做出正确、全面的诊断和制定恰当的治疗方案。  相似文献   

4.
目的:运用梯度回波(GRE)的快速场回波(FFE)技术,对20例肝肿块进行Gd-DTPA动态增强,旨在探明不同肿块的增强规律,提高肝肿块的诊断和鉴别诊断能力。材料与方法:选取经过其他影像学检查未确诊的20例肝肿块,作常规自旋回波(SE)平扫后作Gd-DTPAFFE序列快速动态增强扫描,分别测量病灶信号强度(SIlesion),灶周正常肝脏信号强度(SIlivsr),背景噪声信号强度和标准差(SInoisec±s),计算不同病变不同时相的肝-病灶对比噪声比(C/N),描出不同肿块(本文只评价其中手术病理证实的13例肿块,包括肝细胞癌10例,局灶性结节增生3例的时间-病灶C/N曲线。结果:HCC与FNH两者曲线较接近(包括强化峰值和升降坡度),但在增强早期,HCC的C/N值高于FNH,3分钟以后二者强化值均下降,且FNH的C/N值大于0,HCC的C/N值小于0,此差异可持续15~20分钟。结论:不同的肝肿块,动态增强后的时间-C/N曲线不同,对HCC及FNH而言,增强早期(1分钟以内)及3分钟以后曲线差异较大,最有助于鉴别诊断。动态增强MR成像可作为肝脏常规SE序列成像的一种有效的补充方法。  相似文献   

5.
目的:探讨高压氧(HBO)对荷Lewis肺癌小鼠在化学治疗中的增效作用及其机理。方法:270只荷Lewis肺癌的C57小鼠被随机等分为空气对照组、高压氮氧组、HBO组、HBO-丝裂霉素组、HBO-环磷酰胺组、HBO-SOD组、丝裂霉素组、环磷酰胺组和SOD组共9个组。对Lewis肺癌小鼠使用化疗结合HBO疗法。采用电子自旋共振(ESR)技术直接检测Lewis肺癌组织中的氧自由基(OFR)含量,并且应用分光光度法测定其脂质过氧化物丙二醛(MDA)的含量,同时对各组动物荷瘤的体积、重量、坏死率及小鼠致死率进行了观察。结果:HBO组、HBO-丝裂霉素组及HBO-环磷酰胺组的动物与相应的对照组相比,肺癌组织中的OFR含量和MDA含量均显著增高(P<0.05~0.001);荷瘤组织坏死率高,且坏死所需时间短;动物成活率高;肿瘤体积和重量也显著小于对照组(P<0.05~0.001)。结论:荷Lewis肺癌小鼠经HBO暴露可以减缓荷瘤生长速度并加速癌细胞的坏死,丝裂霉素或环磷酰胺结合HBO治疗能显著增强药物的抗肿瘤作用,减轻药物的副作用和延长小鼠的生命。  相似文献   

6.
正常中国成人MRI海马结构体积测定   总被引:19,自引:1,他引:18  
目的讨论磁共振海马结构(hippocampalformation,HF)体积测量方法,制订正常成人HF体积范围。材料与方法52例正常成人做垂直于HF长轴的倾斜冠状位自旋回波(SE)序列T1加权像,其中25例还做相同位置的三维磁化准备快速梯度回波(threedimensionalmagnetizationpre-paredrapidgradientecho,3DMPRAGE)序列T1加权像。体积测量后界定在后连合,手工勾画出HF边缘获得面积,并依此获得HF体积。结果正常成人HF体积与年龄无关,在性别、利手之间均无显著性差异,右侧下限为2.62cm3,左侧为2.48cm3。3DMPRAGE序列较SE序列的对比度、对比噪声比、对比伪影比高,而两者信噪比无显著性差异。结论后连合作为HF体积测定后界较合适,HF正常值的制订有利于颞叶癫痫的定侧。3DMPRAGE序列较SE序列用于HF体积测定更为优越  相似文献   

7.
L┐ARGININEIMPROVESTHESPLANCHNICVASODILATATIONANDINTESTINALBLOODFLOWINENDOTOXEMIAXIAONan(肖南),CHENHui-sun(陈惠孙),HUDe-yao(胡德耀)LUS...  相似文献   

8.
Alzheimer型痴呆的MRI初步研究   总被引:9,自引:1,他引:8  
目的:探讨Alzheimer型痴呆(AD)患者脑部的MRI表现特征和诊断价值。方法:对10例AD患者和选择10例性别、年龄相关且无阳性神经系统体征的老年人进行MRI比较研究。测量两组的海马体积、钩间距、胼胝体面积和记录脑实质内有无异常信号。结果:1.AD组左、右侧平均海马体积明显小于对照组,且有统计学意义(P<0.05);2.AD组平均钩间距大于对照组,并有统计学差异(P<0.05);3.AD组胼胝体萎缩重于对照组;4.AD组T2WI图像上小斑状高信号(17个)略多于对照组(15个),两组无统计学差异(P>0.05)。结论:MRI能准确地显示AD的脑部形态学改变,有助于AD的明确诊断  相似文献   

9.
EXPERIMENTALSTUDYOFGUNSHOTINJURYOFTHESPINALCOKD:THEMECHANISMANDCLASSIFICATIONSiuShao-ting肯少汀ZhangLi-ren张立仁GeZhen-shan葛振山Cheng...  相似文献   

10.
ACOMPARISONINHEALINGOFSKULLDEFECTREPAIREDWITHFOURDIFFERENTKINDSOFGRAFTMATERIALSINRAB┐BITSDINGZhen-qi(丁真奇)1,TANFu-sheng(谭富生)2,...  相似文献   

11.
PURPOSETo compare brain tissue in patients with Alzheimer disease with that in elderly control subjects by using high-resolution MR imaging and quantitative tissue-segmentation techniques.METHODSMR imaging of the brain was performed in 21 patients with Alzheimer disease and 17 control subjects. A computerized segmentation program was used to quantify volumes of ventricular and sulcal cerebrospinal fluid (CSF), white matter, cortical gray matter, and white matter signal hyperintensity. Statistical analysis was performed using analysis of variance.RESULTSWe found a significant decrease in total brain tissue and cortical gray matter and an increase in the ventricular and sulcal CSF in Alzheimer patients compared with control subjects. There was no difference in the volume of white matter. More white matter signal hyperintensities were found in Alzheimer patients, and a significant interaction between age and group was noted. Neuropsychological test scores correlated significantly with sulcal CSF in patients with Alzheimer disease.CONCLUSIONSemiautomated segmentation of MR images of the brains of patients with Alzheimer disease reveals significant brain atrophy attributable to loss of cortical gray matter, which is compatible with the pathologic features of Alzheimer disease. There is also a significant increase in white matter signal hyperintensities. Tissue segmentation may increase our understanding of dementia but, as yet, when used alone, it does not play a role in the premorbid diagnosis of Alzheimer disease.  相似文献   

12.
The purpose of this study was the development and testing of a method for unsupervised, automated brain segmentation. Two spin-echo sequences were used to obtain relaxation rates and proton-density maps from 1.5 T MR studies, with two axial data sets including the entire brain. Fifty normal subjects (age range, 16 to 76 years) were studied. A Three-dimensional (3D) spectrum of the tissue voxels was used for automatic segmentation of gray matter (GM), white matter (WM), and cerebrospinal fluid (CSF) and for calculation of their volumes. Accuracy and reproducibility were tested with a three-compartment phantom simulating GM, WM, and CSF. In the normal subjects, a significant decrease of GM fractional volume and increased CSF volume with age were observed (P < 0.0001), with no significant changes in WM. This multi-spectral segmentation method permits reproducible, operator-independent volumetric measurements.  相似文献   

13.
BACKGROUND AND PURPOSE: Spectroscopic examination of multiple sclerosis (MS) patients has revealed abnormally low N-acetyl-aspartate (NAA) signal intensity, even in brain tissue that appears normal on high-resolution structural MR images but has yielded inconclusive evidence to distinguish the well-documented clinical differences between MS subtypes. This study used proton MR spectroscopic imaging (MRSI) and high-resolution MR imaging to characterize metabolite profiles in normal-appearing brain tissue of relapsing-remitting multiple sclerosis (RRMS) and secondary progressive (SP) MS. METHODS: Volumetric spiral MRSI was used together with high-resolution MR imaging to derive absolute measures of metabolite concentrations separately in normal-appearing supratentorial cerebral gray matter and white matter in five RRMS patients, five SPMS patients, and nine age-matched controls. Structural MR images were segmented into compartments of gray matter, white matter, CSF, and lesions, and metabolite signals per unit of tissue volume were calculated for gray matter and white matter separately. RESULTS: Only the SPMS group had significantly lower NAA concentrations in normal-appearing gray matter compared with concentrations in controls. NAA in normal-appearing white matter was equally reduced in RRMS and SPMS patients. The functional relevance of this brain metabolite measure was suggested by the observed but statistically nonsignificant correlation between higher disability scores on the Expanded Disability Status Scale and lower gray matter NAA concentrations. CONCLUSION: The otherwise occult abnormality in supratentorial gray matter in SPMS but not RRMS may explain the more severe physical and cognitive impairments afflicting patients with SPMS that do not correlate well with visible lesion burden.  相似文献   

14.
PURPOSE: To develop a strategy for structural brain imaging when using FSL software for segmentation and subsequent volumetry. MATERIALS AND METHODS: Three-dimensional (3D) structural MRI of 1-mm isotropic resolution was performed on a 3-Tesla clinical imaging system. Prescribed signal evolution of a multiple spin-echo (SE) sequence with variable refocusing flip angle for T2 weighting, and a modified driven equilibrium Fourier transform (MDEFT) sequence were used for T1 weighting. Postprocessing included rigid-body coregistration, brain extraction, and segmentation using the tools of the FSL 3.2 software package. RESULTS: T2 weighting provided reliable delineation of the subarachnoidal space, while T1 weighting provided better segmentation of gray matter (GM) and white matter (WM). The combination of T1-weighted (T1-w) and T2-w data allowed the identification of a T2-hypointense class of "nonbrain" (NB) representing larger vessels and structures of connective tissue, as well as partial volume of bone and air-filled cavities. CONCLUSION: Brain extraction on T2-w data and subsequent segmentation of the combined T1- and T2-w intensity distribution into four classes are recommended.  相似文献   

15.
目的:使用磁共振扩散加权成像(DWI)研究结节性硬化(TS)患者脑灰质和白质内病灶的扩散特点,并观察表观扩散系数(ADC)的变化。方法:对18例临床影像学诊断的TS患儿使用1.5TMR系统行DWI检查,测量大脑皮质和皮质下61个结节的ADC值和对照组15例正常儿童的正常白质的ADC值。结果:TS患儿大脑皮质和白质病灶的ADC值明显高于健康儿童正常脑白质的ADC值,两者存在统计学差异(P<0.001)。其中4例TS伴发的室管膜下巨细胞星形细胞瘤ADC值与正常脑实质的相似,两者无统计学差异(P>0.05)。结论:DWI可提供TS患儿脑皮质和白质病灶的病理信息,TS脑白质内结节灶的高ADC值可区别常规MRI检查T1WI和T2WI信号与TS相似的其他疾病结节状病灶。  相似文献   

16.
FLAIR序列对脑梗塞的诊断价值   总被引:5,自引:0,他引:5  
目的:探讨长回波时间的液体抑制反转恢复脉冲序列(FLAIR)对脑梗塞的诊断及鉴别诊断价值。材料和方法:对21例经常规MRI诊断为脑梗塞的患者进行FLAIR序列成像,并与SE序列T2加权像比较。结果:在21例脑梗塞病例中,FLAIR显示病变较T2加权像清楚明确的17例(占81.0%)。T2加权像难以发现病灶的(>1个)15例占71.4%。结论:FLAIR序列对脑梗塞病变的显示具有更高的敏感性。特别适合于发现大脑半球表面、基底池周围、灰白质交界及脑室旁区的微小病变。且对梗塞病灶的分期、脑表面梗塞灶与蛛网膜下腔扩大,囊肿的鉴别有帮助。  相似文献   

17.
PURPOSE: We evaluated the impact of premature extrauterine life on brain maturation. PATIENTS AND METHODS: Twelve neonates underwent MR imaging at 40 (39.64 +/- 0.98) weeks (full term). Fifteen premature infants underwent 2 MR imaging examinations, after birth (preterm at birth) and at 40 weeks (41.03 +/- 1.33) (preterm at term). A 3D MR imaging technique was used to measure brain volumes compared with intracranial volume: total brain volume, cortical gray matter, myelinated white matter, unmyelinated white matter, basal ganglia (BG), and CSF. RESULTS: The average absolute volume of intracranial volume (269.8 mL +/- 36.5), total brain volume (246.5 +/- 32.3), cortical gray matter (85.53 mL +/- 22.23), unmyelinated white matter (142.4 mL +/-14.98), and myelinated white matter (6.099 mL +/-1.82) for preterm at birth was significantly lower compared with that for the preterm at term: the average global volume of intracranial volume (431.7 +/- 69.98), total brain volume (391 +/- 66,1), cortical gray matter (179 mL +/- 41.54), unmyelinated white matter (185.3 mL +/- 30.8), and myelinated white matter (10.66 mL +/- 3.05). It was also lower compared with that of full-term infants: intracranial volume (427.4 mL +/- 53.84), total brain volume (394 +/- 49.22), cortical gray matter (181.4 +/- 29.27), unmyelinated white matter (183.4 +/- 27.37), and myelinated white matter (10.72 +/- 4.63). The relative volume of cortical gray matter (30.62 +/- 5.13) and of unmyelinated white matter (53.15 +/- 4.8) for preterm at birth was significantly different compared with the relative volume of cortical gray matter (41.05 +/- 5.44) and of unmyelinated white matter (43.22 +/- 5.11) for the preterm at term. Premature infants had similar brain tissue volumes at 40 weeks to full-term infants. CONCLUSION: MR segmentation techniques demonstrate that cortical neonatal maturation in moderately premature infants at term and term-born infants was similar.  相似文献   

18.
Digital photography of postmortem brain slices was compared with magnetic resonance imaging (MRI) for morphological analysis of human brain atrophy. In this study, we used two human brains obtained at autopsy: a cognitively defined nondemented control (70-yr-old male) and a demented Alzheimer's disease (AD) subject (82yr-old female). For each of two brains, interactive manual image segmentation was performed by two observers on two image sets: (a) four coronal T1-weighted MR images (5 mm slices); and (b) four digitized photographic images from comparable rostrocaudal levels. Microcomputer image analysis software was used to measure the areas of three segmented cerebral compartments—gray matter (GM), white matter (WM) and CSF—for both image types. Resegmentation error was defined as the absolute difference between the areas derived from two segmentation trials divided by the value from trial 1 and multiplied by 100. This yielded the percent difference between the area measurements from the two trials. We found intea-observer agreement was better (error rates 1–18%) than inter-observer agreement (3–70%) with best agreement for WM and least for CSF, the smallest object class. MRI overestimated GM area relative to digitized photographs in the control but not the AD brain. The results define limitations of manual image segmentations and comparison of MRI with pathologic section photographic images.  相似文献   

19.
BACKGROUND AND PURPOSE: Neuroborreliosis is frequently indistinguishable from multiple sclerosis (MS) on both clinical and radiologic grounds. By using MR imaging, we assessed "occult" brain white matter (WM), brain gray matter (GM), and cervical cord damage in patients with neuroborreliosis in an attempt to achieve a more accurate picture of tissue damage in these patients, which might contribute to the diagnostic work-up. METHODS: We studied 20 patients with neuroborreliosis and 11 sex- and age-matched control subjects. In all subjects, we acquired dual echo, T1-weighted, diffusion tensor (DT) and magnetization transfer (MT) MR imaging scans of the brain and fast short-tau inversion recovery and MT MR imaging scans of the cervical cord. T2-visible lesion load was measured by using a local thresholding segmentation technique. Mean diffusivity and fractional anisotropy histograms of the brain and cervical cord MT ratio histograms were produced. Normalized brain volumes (NBV) were measured by using SIENAx. RESULTS: Brain T2-visible lesions were detected in 12 patients, whereas no occult damage in the normal-appearing WM and GM was disclosed by using MT and DT MR imaging. No macroscopic lesions were found in the cervical cord, which was also spared by occult pathology. NBV did not differ between patients with neuroborreliosis and control subjects. CONCLUSION: This study shows that, contrary to what happens in MS, occult brain tissue damage and cervical cord pathology are not frequent findings in patients with neuroborreliosis. These observations might be useful in the diagnostic work-up of patients with neuroborreliosis and T2 brain lesions undistinguishable from those of MS.  相似文献   

20.
This work investigated the feasibility and utility of using T2‐weighted or dual spin‐echo data to provide volume and T2 relaxation time for regional and global gray and white matter using standardized brain templates and anatomically labeled atlases. A total of 130 healthy males and females (age range 15–59 years) were included. Dual echo magnetic resonance imaging data were acquired and analyzed using standardized International Consortium for Human Brain Mapping atlas‐based tissue segmentation procedures implemented in the statistical parametric mapping toolbox to obtain the age trajectories of volume and corresponding T2 relaxation time in whole brain white and gray matter, in the caudate nucleus and in the anterior limb of internal capsule. Whole brain gray matter and caudate nucleus volumes linearly decreased with age while whole brain white matter and anterior limb internal capsule volume increased slowly with age bilaterally in males and females. The relation between T2 relaxation time and age of whole brain gray and white matter, and caudate nucleus and anterior limb internal capsule followed a quadratic U‐curve. The T2 relaxation times of the human brain followed a U curve both globally and regionally in both white and gray matter. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.  相似文献   

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