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多发性硬化症中外观正常的白质具有异质性,T2 弛豫时间弥漫性延长。

Normal-appearing white matter in multiple sclerosis has heterogeneous, diffusely prolonged T(2).

作者信息

Whittall Kenneth P, MacKay Alex L, Li David K B, Vavasour Irene M, Jones Craig K, Paty Donald W

机构信息

Department of Radiology, University of British Columbia, Vancouver, BC, Canada.

出版信息

Magn Reson Med. 2002 Feb;47(2):403-8. doi: 10.1002/mrm.10076.

Abstract

T(2) relaxation in normal-appearing white matter (NAWM) of multiple sclerosis (MS) patients was reexamined using more complete sampling and analysis of decay curves, and to assess focal vs. diffuse abnormalities. Nine MS patients and 10 controls were scanned using a single-slice 32-echo pulse sequence with a 10-ms echo spacing. Decay curves from outlined white and gray matter structures were analyzed using non-negative least-squares (NNLS). Resulting T(2) distributions were each summarized by the geometric mean T(2), T(2). Different white matter structures had different mean (over the subjects in a group) T(2). Mean T(2) in NAWM was always greater than that of controls. Differences were not caused by a few voxels with extreme T(2) (i.e., focal lesions), but rather by shifts of the entire T(2) distribution (diffuse prolongation). This T(2) increase suggests diffuse myelin or axonal pathology.

摘要

利用更完整的采样和衰减曲线分析,对多发性硬化症(MS)患者正常外观白质(NAWM)中的T(2)弛豫进行了重新检查,以评估局灶性与弥漫性异常。使用具有10毫秒回波间隔的单切片32回波脉冲序列对9名MS患者和10名对照者进行扫描。使用非负最小二乘法(NNLS)分析勾勒出的白质和灰质结构的衰减曲线。得到的T(2)分布分别用几何平均T(2)、T(2)进行总结。不同的白质结构具有不同的平均(在一组受试者中)T(2)。NAWM中的平均T(2)总是大于对照组。差异不是由少数具有极端T(2)的体素(即局灶性病变)引起的,而是由整个T(2)分布的偏移(弥漫性延长)引起的。这种T(2)增加提示弥漫性髓鞘或轴突病变。

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