›› 2010, Vol. 5 ›› Issue (02): 109-113.

• 论著 • 上一篇    下一篇

缺血性脱髓鞘区与正常脑白质的磁共振弹性成像对比研究

沈宓,高培毅,林燕,薛静,马丽,荆利娜,王辉   

  1. 北京市首都医科大学附属北京天坛医院放射科
  • 收稿日期:2009-12-28 修回日期:2009-11-28 出版日期:2010-02-20 发布日期:2010-02-20
  • 通讯作者: 高培毅

The Comparative Study of Ischemic Demyelination and Normal White Matter on Magnetic Resonance Elastography

SHEN Mi, GAO Pei-Yi, LIN Yan, et al.   

  • Received:2009-12-28 Revised:2009-11-28 Online:2010-02-20 Published:2010-02-20
  • Contact: GAO Pei-Yi

摘要: 目的 通过磁共振弹性成像(magnetic resonance elastography,MRE)分析缺血性脱髓鞘区与正常脑白质的剪切模量是否存在差异。方法 选取2009年间于北京天坛医院就诊,行常规序列扫描,诊断为Fazekas scale Ⅱ级或以上的缺血性脱髓鞘患者14例,正常对照组选取2009年间正常志愿者16例。所有受试者均行MRE,将所得原始图像经计算机处理后,分别测得患者半卵圆中心脱髓鞘区、正常志愿者半卵圆中心的剪切模量。结果 所有患者均成功获取双侧半卵圆中心脱髓鞘区的剪切模量,右侧为(8.7±3.0)kPa,左侧为(10.9±2.5)kPa。所有正常志愿者均成功获取双侧半卵圆中心的剪切模量,右侧为(16.6±4.5)kPa,左侧为(16.4±3.7)kPa。两组间差异具有统计学差异(P <0.01)。结论 缺血性脱髓鞘区的剪切模量低于正常脑白质的剪切模量。

关键词: 脱髓鞘疾病; 磁共振成像; 对比研究

Abstract: Objective To compare the shear stiffness between ischemic demyelination and normal white matterby using Magnetic Resonance Elastography (MRE).Methods Patients group: 14 consecutive patients with ischemic demyelination at the grade ofFazekas scale II or above defined by routine MR sequences scan in 2009 were involved. Controlgroup: 16 human volunteers in 2009 were enrolled. All the subjects underwent head MRE. Afterpostprocessing raw images by computer, shear modulus of ischemic demyelination area withinsemioval centre in patients group and normal semioval centre in control group were seperativelymessured. We used independent-sample T test to analyze the difference between ischemicdemyelination and normal white matter.Results All the shear modulus of research areas in two groups were successfully obtained, with theresult of right side(8.7±3.0)kPa, and left side(10.9±2.5)kPa in patients group, while right side(16.6±4.5)kPa, and left side(16.4±3.7)kPa in control group, which were significant different.Conclusion The shear stiffness of ischemic demyelination was significantly lower than that ofnormal white matter.

Key words: Demyelinating diseases; Magnetic resonance imaging; Comparative study