脑脊髓炎的扩散加权成像
Diffusion-weighted imaging of cerebritis.
作者信息
Tung Glenn A, Rogg Jeffrey M
机构信息
Department of Diagnostic Imaging, Brown University School of Medicine, Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA.
出版信息
AJNR Am J Neuroradiol. 2003 Jun-Jul;24(6):1110-3.
Abstract
Restricted water diffusion has been used to distinguish pyogenic abscess from other rim-enhancing brain masses; however diffusion-weighted imaging of cerebral infection before capsule formation has rarely been described. We report a case of fungal cerebritis in which water diffusion was more restricted than that of normal contralateral brain and the measured diffusion coefficient was in the range of that reported for pyogenic brain abscess. In the proper clinical setting, cerebritis should be considered in the differential diagnosis of an ill-defined focal brain mass associated with markedly restricted water diffusion.
摘要
受限水扩散已被用于区分化脓性脓肿与其他环形强化脑肿块；然而，关于包膜形成前脑感染的扩散加权成像却鲜有描述。我们报告一例真菌性脑炎病例，其水扩散比正常对侧脑更受限，且测得的扩散系数处于化脓性脑脓肿报道的范围内。在适当的临床情况下，对于与明显受限水扩散相关的边界不清的局灶性脑肿块进行鉴别诊断时，应考虑脑炎。
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本文引用的文献
1
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AJR Am J Roentgenol. 2001 Sep;177(3):709-12. doi: 10.2214/ajr.177.3.1770709.
2
Evaluating pediatric brain tumor cellularity with diffusion-tensor imaging.利用扩散张量成像评估小儿脑肿瘤细胞密度。
AJR Am J Roentgenol. 2001 Aug;177(2):449-54. doi: 10.2214/ajr.177.2.1770449.
3
Evidence for cytotoxic edema in the pathogenesis of cerebral venous infarction.细胞毒性水肿在脑静脉梗死发病机制中的证据。
AJNR Am J Neuroradiol. 2001 Mar;22(3):450-5.
4
Diffusion-weighted MR imaging of the brain.脑部扩散加权磁共振成像
Radiology. 2000 Nov;217(2):331-45. doi: 10.1148/radiology.217.2.r00nv24331.
5
Diffusion magnetic resonance imaging findings in cerebritis and brain abscesses in a patient with septic encephalopathy.
J Neurol. 2000 Mar;247(3):232-4. doi: 10.1007/s004150050573.
6
Encephalitis, cerebritis, and brain abscess: pathophysiology and imaging findings.脑炎、脑脊髓炎和脑脓肿：病理生理学与影像学表现
Neuroimaging Clin N Am. 2000 May;10(2):333-53.
7
Use of diffusion-weighted MR imaging in differential diagnosis between intracerebral necrotic tumors and cerebral abscesses.扩散加权磁共振成像在脑内坏死性肿瘤与脑脓肿鉴别诊断中的应用。
AJNR Am J Neuroradiol. 1999 Aug;20(7):1252-7.
8
Role of diffusion-weighted echo-planar MRI in distinguishing between brain brain abscess and tumour: a preliminary report.扩散加权回波平面磁共振成像在鉴别脑脓肿与肿瘤中的作用：初步报告。
Neuroradiology. 1999 Mar;41(3):171-4. doi: 10.1007/s002340050726.
9
Discrimination of brain abscess from necrotic or cystic tumors by diffusion-weighted echo planar imaging.通过扩散加权回波平面成像鉴别脑脓肿与坏死性或囊性肿瘤。
Magn Reson Imaging. 1996;14(9):1113-6. doi: 10.1016/s0730-725x(96)00237-8.
10
Development and characterization of an experimental model of brain abscess in the rat.大鼠脑脓肿实验模型的建立与表征
Am J Pathol. 1992 Dec;141(6):1299-307.
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