| MRI对脊髓型多发性硬化的诊断价值 |
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| 引用本文： | 张密堂,;李兰涛,;陈海松,;刘慧敏,;崔新建. MRI对脊髓型多发性硬化的诊断价值[J]. 康复与疗养杂志, 2009, 0(1): 49-50 |
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| 作者姓名： | 张密堂, 李兰涛, 陈海松, 刘慧敏, 崔新建 |
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| 作者单位： | [1]青岛大学医学院第二附属医院磁共振室,山东青岛266042; [2]青岛大学医学院附属医院放射科,山东青岛266042; |
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| 摘 要： | 目的探讨MRI在脊髓型多发性硬化（MS）诊断与鉴别诊断中的价值。方法对12例脊髓型MS的临床及MRI影像资料进行回顾性分析。结果12例病人的病灶部位以颈、胸髓多见，病变脊髓TWI为低或等信号，TWI为高信号。增强后无强化或仅有轻度斑片状、环状强化。MRI复查，1例病人发现有新的MS斑块出现。急性期需与髓内肿瘤及急性脊髓炎进行鉴别。结论MRI对脊髓型MS的诊断及鉴别诊断有较高的价值。
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| 关 键 词： | 磁共振成像 多发性硬化 诊断 诊断,鉴别 |
THE VALUE OF MRI IN THE DIAGNOSIS OF SPINAL CORD MULTIPLE SCLEROSIS |
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| Affiliation: | ZHANG MI-TANG, LI LAN-TAO, CHEN HAISONG, et al (Department of MR, The Second Affiliated Hospital of Qingdao University Medical College, Qingdao 266042, China) |
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| Abstract: | Objective To assess the value of MRI in the diagnosis and differential diagnosis of spinal cord multiple sclerosis （SCMS）. Methods A retrospective analysis was made for clinical and MRI data in 12 patients with SCMS. Results Most of the lesions located at cervical or thoracic cord, the T1 WI of diseased cord showed hypo-/iso-intensity and T2 WI showed hyper-intensity. No enhancement or only mild patchy or ring enhancement was observed on contrast MRI. On MRI reexamination, one case showed a new plaque. In acute stage, it should be differentiated from intramedullary tumor and acute myelitis. Conclusion MRI is of higher value in the diagnosis and differential diagnosis of spinal cord multiple sclerosis. |
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| Keywords: | Magnetic resonance imaging Multiple sclerosis Diagnosis Diagnosis, differential |
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