脑白质病的高场MRI临床诊断价值(2)
總之,脑白质病是一种严重影响生活质量的神经系统疾病,正确的诊断对于临床治疗和疾病的预后有重要指导意义。MRI具有多序列、多方位成像的特点,对于软组织的分辨率高的特点,尤其对于脑干、小脑、脊髓的病变,具有其他影像学检查不可比拟的优势,能直观地显示病灶的大小、分布及神经束走行的特点。因此,MRI是脑白质病的最佳检查方法,对于疾病的诊断和治疗有重要作用,同时还可作为疾病后期随访及判断治疗效果的依据。
参考文献
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参考文献
黄克维,吴丽娟.临床神经病理学[M].北京: 人民军医出版社,1999,21.
秦绍森,玛依努尔,盛爱珍,等.脑白质疏松症影像及临床研究[J].中国医学影像技术,2000,16:198.
Fazekas F,Klcinert R,Offenbacher H,et al.Pathologiccorrelates of incidental MRI white matte signal hyperintensities[J].Neurology,1993,43:1683.
Guttmann CRG,Ahn SS,Hsu L,et al.The evolution of multiple sclerosis lesions on serial MR[J].AJNR,1995,16:1481.
刘建滨,李建策,戴建红,等.磁共振弥散加权成像在脑部病变诊断中的应用价值[J].临床放射学杂志,2001,20:85.
马林,于生元,蔡幼铨,等.急性播散性脑脊髓炎的脑部MRI表现[J].中华放射学杂志,2000,34:515.
Chang KH,Han MH,Kim HS,et al.Delayed encephalopathy after carbon monoxide intoxication: MR imaging features and distribution Of cerebral whitematter leisions[J].Radiology,1992,184:117.
Thom SR,Taber RL,MendigurenⅡ,et al.Delayed neuropsychologic sequelae after carbon monoxide poisoning: prevention by treatment with hyperbaric oxygen[J].Ann Emerg Med,1995,25:474. (王晓明)