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HIV感染患者脑脊液与颅内体积比的测量:CLASS图像分析技术

Cerebrospinal fluid-intracranial volume ratio measurements in patients with HIV infection: CLASS image analysis technique.

作者信息

Paley M N, Chong W K, Wilkinson I D, Shepherd J K, Clews A M, Sweeney B J, Hall-Craggs M A, Kendall B E, Newman S P, Harrison M J

机构信息

Department of Neurology, University College London Medical School and Middlesex Hospital, England.

出版信息

Radiology. 1994 Mar;190(3):879-86. doi: 10.1148/radiology.190.3.8115644.

Abstract

PURPOSE

To prospectively study the cerebrospinal fluid volume-total intracranial volume ratio (CSF/ICV) in human immunodeficiency virus (HIV)-infected patients at various stages of disease.

MATERIALS AND METHODS

A total of 258 volume measurements were obtained with use of a 1.5-T magnetic resonance (MR) imager and the cluster localized automated spherical segmentation technique (which reduces two-dimensional pixel data from dual spin-echo MR images to a one-dimensional histogram) in 69 control subjects and 189 HIV-infected patients.

RESULTS

The CSF/ICV was statistically significantly increased in patients with late-stage (Centers for Disease Control and Prevention group IV) acquired immunodeficiency syndrome (AIDS) (0.16 +/- 0.05 [standard deviation]) compared with seronegative control subjects (0.12 +/- 0.03) and patients without symptoms (0.13 +/- 0.03).

CONCLUSION

No substantial change in CSF/ICV occurs until development of late-stage AIDS.

摘要

目的

前瞻性研究处于疾病不同阶段的人类免疫缺陷病毒(HIV)感染患者的脑脊液体积与总颅内体积之比(CSF/ICV)。

材料与方法

使用1.5-T磁共振(MR)成像仪和簇定位自动球形分割技术(该技术将双自旋回波MR图像的二维像素数据简化为一维直方图),对69名对照受试者和189名HIV感染患者进行了总共258次体积测量。

结果

与血清阴性对照受试者(0.12±0.03)和无症状患者(0.13±0.03)相比,晚期(疾病控制和预防中心IV组)获得性免疫缺陷综合征(AIDS)患者的CSF/ICV在统计学上显著增加(0.16±0.05[标准差])。

结论

在晚期AIDS出现之前,CSF/ICV无实质性变化。

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