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脊髓亚急性联合变性的MRI诊断
引用本文:李会生,程炜,谢浩,冯金平,张素仙. 脊髓亚急性联合变性的MRI诊断[J]. 医疗设备信息, 2010, 0(8): 146-147
作者姓名:李会生  程炜  谢浩  冯金平  张素仙
作者单位:[1]保定市第一医院MRI室,河北保定071000 [2]清华大学第二附属医院MRI室,北京100049 [3]河北大学医学部,河北保定071000
摘    要:目的探讨MRI在脊髓亚急性联合变性诊断中的价值。方法回顾分析6例脊髓亚急性联合变性患者的MRI平扫及Gd-DTPA增强扫描资料。结果脊髓亚急性联合变性多见于中老年人,男性多于女性,病变多累及颈胸段脊髓的后索、侧索,并可不同程度累及脑白质、视神经和周围神经,表现为弥散而不均匀的白质变性,在MRIT1WI序列病变信号变化不明显,与正常脊髓相似,T2WI序列上呈条状或斑片状的高信号,边界欠清晰;Gd-DTPA增强扫描检查病变强化不明显。结论 MRI因其多方位、多序列成像等优点,对脊髓亚急性联合变性的诊断具有重要的价值,为首选影像学检查方法 。

关 键 词:脊髓亚急性联合变性  磁共振扫描机  磁共振成像

MRI Diagnosis of the SCD
LI Hui-sheng,CHENG Wei,XIE Hao,FENG Jin-ping,ZHANG Su-xian. MRI Diagnosis of the SCD[J]. Information of Medical Equipment, 2010, 0(8): 146-147
Authors:LI Hui-sheng  CHENG Wei  XIE Hao  FENG Jin-ping  ZHANG Su-xian
Affiliation:1.MRI Department,No.1 Baoding Municipal Hospital,Baoding Hebei 071000,China; 2. MRI Department, No.2 Hospital Affiliated to Tsinghua University,Beijing 100049,China; 3.Hebei University Health Science Center, Baoding Hebei 071000,China
Abstract:Objective To evaluate the value of MRI in diagnosis of the SCD.Methods 6 patients with SCD which has been proved by diagnosis of operation, biopsy of pathology or clinic have been examined by MRI and Gd-DTPA enhanced. Results Most of SCD is in elderly, and male are more than female. The pathological changes involves in neck chest more segment of the dorsalis and funiculus lateralis of the spinal cord, and it can involve in the brain white quality, optic and peripheral nerve in different degree. Conclusion Because MRI can scan in many ways and sequences, it has important value for the SCD.MRI is the preferred method.
Keywords:SCD(subacute combined degeneration of the spinal cord)  MRI scanner  magnetic resonance imaging
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