Comparison of proton density MRI and T2-weighted fast spin echo for the detection of cervical spinal cord multiple sclerosis lesions
العناوين الأخرى
مقارنة التصوير بالرنين المغناطيسي من خلال تسلسل كثافة البروتون و تسلسل FSE-T2 في الكشف عن أضرار التصلب المتعدد التي تصيب الحبل الشوكي العنقي
المؤلفون المشاركون
Ahmad, Iman Imad
al-Jaburi, Haydar Karim
al-Khalisi, Muhammad Muhammad Jawad
المصدر
Journal of the Faculty of Medicine Baghdad
العدد
المجلد 60، العدد 4 (31 ديسمبر/كانون الأول 2018)، ص ص. 195-201، 7ص.
الناشر
تاريخ النشر
2018-12-31
دولة النشر
العراق
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background: The prevalence of spinal cord lesions is high in multiple sclerosis particularly in the cervical cord, and their detection can assist in both the diagnosis and follow-up of the patients.
For spinal multiple sclerosis, MRI is considered the first line investigation.
Objective: To evaluate the value of sagittal 1.5 Tesla proton density-fast spin echo (PD-FSE) MRI in the detecting and increasing conspicuity of multiple sclerosis lesions in cervical cord in comparison with sagittal T2 fast spin-echo (T2-FSE) MRI.
Patients and Methods: A cross sectional study carried out from 3rd of January 2017 to 1st of January 2018 in the MRI department of Al-Imamein Al-Kadhimein Medical City, and included 60 selected patients with a known diagnosis of multiple sclerosis.
All patients were examined with 1.5 T sagittal PD-FSE, T2-FSE and axial gradient recalled-echo (GRE) MRI.Results: Sixty patients with cervical multiple sclerosis were enrolled in the study, 146 (100%) lesions were detected by PD-FSE imaging, while T2 detected 105 (71.9%), 41 more lesions (28%) were detected by PD-FSE imaging, (P-value <0.001).
All extra lesions were confirmed on axial imaging.
In 13 patients (21.6%) one lesion or more had been detected on sagittal PD-FSE imaging while on sagittal T2-FSE imaging, no lesion were detected.
On PD-FSE imaging, 17 long lesions were detected in 16 patients (26.7%) while 7 long lesions in 7 patients (11.7%) were detected by T2-FSE imaging.
So, in 9 patients (16.7%) 10 lesions were detected as long in PD-FSE while short lesion in T2– FSE, the detection of long lesions by PD-FSE was significantly higher than in T2– FSE (100% vs 71.9% with p- value of 0.002).
The mean lesion contrast to cord ratio was significantly higher in PD-FSE as compared to T2-FSE (PD-FSE, 79±2.0, against T2-FSE, 61± 2.6; P-value <0.001).
Conclusion: Sagittal proton density was more efficient and more accurate in the detection of cervical cord lesions than sagittal T2-FSE sequence, when used in conjunction with sagittal T2-FSE; it can raise the diagnostic assurance via improving the visualization of the lesions.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ahmad, Iman Imad& al-Jaburi, Haydar Karim& al-Khalisi, Muhammad Muhammad Jawad. 2018. Comparison of proton density MRI and T2-weighted fast spin echo for the detection of cervical spinal cord multiple sclerosis lesions. Journal of the Faculty of Medicine Baghdad،Vol. 60, no. 4, pp.195-201.
https://search.emarefa.net/detail/BIM-899272
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ahmad, Iman Imad…[et al.]. Comparison of proton density MRI and T2-weighted fast spin echo for the detection of cervical spinal cord multiple sclerosis lesions. Journal of the Faculty of Medicine Baghdad Vol. 60, no. 4 (2018), pp.195-201.
https://search.emarefa.net/detail/BIM-899272
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ahmad, Iman Imad& al-Jaburi, Haydar Karim& al-Khalisi, Muhammad Muhammad Jawad. Comparison of proton density MRI and T2-weighted fast spin echo for the detection of cervical spinal cord multiple sclerosis lesions. Journal of the Faculty of Medicine Baghdad. 2018. Vol. 60, no. 4, pp.195-201.
https://search.emarefa.net/detail/BIM-899272
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 199-200
رقم السجل
BIM-899272
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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