Herson D, Larde D, Ferry M, Brunet P, Fardeau M
Rev Neurol (Paris). 1985;141(6-7):482-9.
CT analysis in 26 patients with well-identified muscle diseases, and 4 normal controls was performed to evaluate its diagnostic interest. Scans were obtained through pelvis, thigh and calves at comparable levels in all subjects. Results showed that elementary changes were devoid of specificity and density measurements did not significantly increase the diagnostic significance of images. A good correlation was found between the degrees of CT changes and clinical evaluation of the muscles. However, CT allowed a more precise study of abnormalities in muscles difficult to assess clinically and, in all pathological cases, led to a clear analysis of the topography and the selectivity of the pathological process. If safety criteria are fulfilled, CT would allow a precise follow-up study of muscle atrophies.
对26例确诊为肌肉疾病的患者及4例正常对照者进行CT分析,以评估其诊断价值。在所有受试者的骨盆、大腿和小腿相同水平进行扫描。结果显示,基本变化缺乏特异性,密度测量并未显著提高图像的诊断意义。CT变化程度与肌肉的临床评估之间存在良好的相关性。然而,CT能够更精确地研究临床上难以评估的肌肉异常情况,并且在所有病理病例中,能够清晰地分析病理过程的部位和选择性。如果满足安全标准,CT将有助于对肌肉萎缩进行精确的随访研究。