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慢性酒精中毒性脑病磁共振及功能性成像分析
引用本文:马隽,王朝辉. 慢性酒精中毒性脑病磁共振及功能性成像分析[J]. 北华大学学报(自然科学版), 2015, 16(3): 349-351. DOI: 10.11713/j.issn.1009-4822.2015.03.017
作者姓名:马隽  王朝辉
作者单位:北华大学附属医院,吉林 吉林,132011;北华大学附属医院,吉林 吉林,132011
基金项目:吉林省科技发展计划项目
摘    要:目的探讨慢性酒精中毒性脑病磁共振及功能性成像改变.方法总结32例慢性酒精中毒性脑病的患者,分别进行磁共振常规平扫、磁共振弥散成像、磁共振波谱成像分析.结果 32例患者均有不同程度的精神异常,表现为脑萎缩、脑白质脱髓鞘.磁共振弥散成像为高信号,表观扩散系数ADC图为低信号,磁共振波谱成像显示病变部位氮乙酰天门冬氨酸(NAA)以及胆碱(Cho)显著减低.结论磁共振及其功能性成像对酒精性脑病的诊断、判断治疗及预后评价具有重要价值.

关 键 词:慢性酒精中毒  磁共振  弥散成像  波谱成像

Analysis on Magnetic Resonance Imaging and Functional Imaging of Chronic Alcoholic Encephalopathy
Ma Jun,Wang Zhaohui. Analysis on Magnetic Resonance Imaging and Functional Imaging of Chronic Alcoholic Encephalopathy[J]. Journal of Beihua University(Natural Science), 2015, 16(3): 349-351. DOI: 10.11713/j.issn.1009-4822.2015.03.017
Authors:Ma Jun  Wang Zhaohui
Abstract:Objective To study the changes of magnetic resonance imaging ( MRI ) and functional imaging in chronic alcoholic encephalopathy patients. Method 32 cases with chronic alcoholic encephalopathy underwent magnetic resonance imaging ( MRI) scan,magnetic diffusion imaging ( DWI) scan,and 1 H magnetic resonance spectroscopy ( 1 H-MRS) , respectively. Results Different degrees of mental disorder were observed in all the patients,including brain atrophy,cerebral white matter demyelination,high signal in DWI,and apparent diffusion coefficient at low signal in ADC. 1 H-MRS showed that N-acetyl aspartic acid ( NAA ) and choline ( Cho ) significantly reduced at the location of lesions. Conclusion MRI and its functional imagine have important value in the diagnosis,judgment,treatment and prognosis assessment of alcoholic encephalopathy.
Keywords:chronic alcoholism  magnetic resonance imaging  magnetic diffusion imaging  1 H magnetic resonance spectroscopy
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