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干扰素β-1a对多发性硬化症患者质子磁共振波谱成像的影响:一项对照研究的初步结果

The effects of interferon beta-1a on proton MR spectroscopic imaging in patients with multiple sclerosis, a controlled study, preliminary results.

作者信息

Toprak Münire Kilinç, Cakir Banu, Ulu E Meltem Kayahan, Arat Zübeyde, Benli Ulkü Sibel, Can Ufuk, Ağildere Muhtesem

机构信息

Department of Neurology, Faculty of Medicine, Baskent University, Ankara, Turkey.

出版信息

Int J Neurosci. 2008 Dec;118(12):1645-58. doi: 10.1080/00207450802309680.

Abstract

To evaluate the effects of interferon beta-1a(INFbeta-1a) on brain metabolites in patients with multiple sclerosis (MS), we performed Magnetic Resonance Spectroscopy Imaging (MRSI) on five patients treated with INFbeta-1a (Rebif 44 microg), and on five untreated patients. Six healthy volunteers were used as controls. Patients were evaluated at the beginning, in the first, third, sixth, and twelfth month. There were no significant differences in normal appearing white matter (NAWM) metabolite peaks of the control group and patients with MS. However, in white matter lesions (WML) and NAWM there was significant differences between the basal and the other months' metabolic peaks (p < 0.05) in the treatment group although no differences emerged in the untreated group. These data suggest that INFbeta-1a has a favorable effect on restoration of metabolites in MS lesions.

摘要

为评估β-1a干扰素(INFβ-1a)对多发性硬化症(MS)患者脑代谢物的影响,我们对5例接受INFβ-1a(利比44μg)治疗的患者以及5例未治疗的患者进行了磁共振波谱成像(MRSI)。6名健康志愿者作为对照。在开始时、第1、3、6和12个月对患者进行评估。对照组和MS患者正常外观白质(NAWM)代谢物峰无显著差异。然而,治疗组白质病变(WML)和NAWM中,基础代谢峰与其他月份代谢峰之间存在显著差异(p<0.05),而未治疗组未出现差异。这些数据表明,INFβ-1a对MS病变中代谢物的恢复具有有利作用。

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