Bauer W M, Reichel M, Sigel K, Pfister W, Fink U, Bise K, Markl A
Radiologische und Neurologische Klinik, Universität München.
Rofo. 1988 Apr;148(4):403-7. doi: 10.1055/s-2008-1048220.
The MRI findings in 149 patients with a clinical diagnosis of disseminated encephalomyelitis (D.E.) were related to the diagnostic criteria of McAlpine (definite, probable, possible). The most common pattern in all three groups was a mixed peri- and para-ventricular distribution of foci. The findings in 'possible' D.E., compared with 'definite' D.E., showed fewer confluent lesions, but were characterised by peri- and para-ventricular as well as solitary foci. The results of the present study permit better classification and evaluation of the MRI findings if the clinical diagnosis of D.E. is only suspected (probable or possible).
对149例临床诊断为播散性脑脊髓炎（D.E.）患者的MRI检查结果与McAlpine的诊断标准（确诊、很可能、可能）进行了关联分析。所有三组中最常见的模式是病灶在脑室周围和半卵圆中心混合分布。与“确诊”的D.E.相比，“可能”的D.E.的病灶融合较少，但以脑室周围和半卵圆中心以及孤立病灶为特征。如果只是怀疑D.E.的临床诊断（很可能或可能），本研究结果有助于对MRI检查结果进行更好的分类和评估。
