首页> 中文期刊> 《昆明医科大学学报》 >3.0T MR磁敏感加权成像对早期帕金森病黑质致密带的研究

3.0T MR磁敏感加权成像对早期帕金森病黑质致密带的研究

         

摘要

Objective To evaluate the application of measurement of T2*value,width of substantia nigra pars compacta (SNc) and the ratio of the width to the midbrain diameter in diagnosing Parkinson disease (PD) in early stage with susceptibility weighted imaging ( SWI) by 3T MR. Methods 59 patients with early stage idiopathic PD patients and 59 healthy controls,ranging in same ages and gender,had been scanned with routine sequences and SWI sequences by 3T MR. T2*value,width and the ratio of the width to the midbrain diameter of SNc were measured. The results of measurement were analyzed and compared. Results (1) The T2*values, width and the ratio of the width to the midbrain diameter was decreased in homolateral side SNc of symptoms of subjects with PD compared with the healthy controls ( <0.05) . (2) There was a significant reduction in the T2*values and the ratio of the width to the midbrain diameter in contralateral side SNc symptoms of subjects with PD compared with the healthy controls (P<0.05) . There was no differences in width of SNc ( >0.05) . Conclusion Measurement of T2*value, width and the ratio of the width to the midbrain diameter of SNc with SWI is reliable to diagnose PD.%目的:应用3.0 T磁共振磁敏感加权成像技术T2*图,探讨其在早期帕金森病(PD)研究中的价值.方法采用3.0T磁共振成像系统对59例原发性早期帕金森患者组及59名年龄、性别相匹配的正常对照组进行常规序列及SWI序列的扫描.经后处理在T2*图上分别手动测量双侧SNc宽度、中脑直径的比值(SNc宽度/中脑直径)、SNc的T2*值,并对测量结果进行对比分析.结果(1) PD症状同侧与正常对照组在SNc宽度、SNc宽度与中脑直径比值、T2*值有统计学意义(<0.05);(2) PD症状对侧与正常对照组在SNc宽度与中脑直径比值及T2*值有统计学意义(<0.05),而在SNc宽度差异无统计学意义(>0.05).结论采用SWI测量SNc的T2*值、宽度以及宽度与中脑直径比值对诊断PD具有一定的临床价值.

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