Share:
Share this content in WeChat
X
Clinical Article
1H magnetic resonance spectroscopy studies on subclinical neurocysticercosis
WANG Qing  ZHANG Cheng-zhi  LI Xin-xiang  XU Kun  SU Jie 

DOI:10.12015/issn.1674-8034.2016.05.009.


[Abstract] Objective: To evaluate the clinical application of single voxel 1H magnetic resonance spectroscopy in diagnosis of subclinical neurocysticercosis.Materials and Methods: One hundred and ten cases of subclinical neurocysticercosis and 130 cases of cerebral cysticercosis (live worms stage) with contrast enhanced single voxel 1H magnetic resonance spectroscopy were screened for this study. Observation of the change in ratio of the lesions of the subclinical neurocysticercosis and some trace metabolites around the lesions was done.Results: The group of subclinical neurocysticercosis has no significant difference with normal control group in various biochemical metabolites. The ratios of NAA/Cho, Cho/Cr and Lip/Cr have statistical significance in the analysis and evaluation of subclinical neurocysticercosis group and live worms stage group. The ratio of NAA/Cho in subclinical neurocysticercosis group is higher than live worms stage group. The ratios of Cho/Cr and Lip/Cr of the former are lower than that of the latter. The ratios of NAA/Cho and Lip/Cr evaluate the differential diagnosis efficiency between subclinical neurocysticercosis stage and live worms stage on ROC curve.Conclusions: 1H-MRS reveals the changes in characteristics of subclinical neurocysticercosis stage and live worms stage so as to evaluate the corresponding diagnosis index of the ratios of NAA/Cho and Lip/Cr, which are of great value to early diagnosis and treatment of the neurocysticercosis.
[Keywords] Neurocysticercosis;Brain diseases;Magnetic resonance spectroscopy

WANG Qing Department of Radiology, Affiliated Hospital of Dali University, Yunnan Province, Dali 671000, China

ZHANG Cheng-zhi* Department of Radiology, Affiliated Hospital of Dali University, Yunnan Province, Dali 671000, China

LI Xin-xiang Department of Radiology, Affiliated Hospital of Dali University, Yunnan Province, Dali 671000, China

XU Kun Department of Radiology, Affiliated Hospital of Dali University, Yunnan Province, Dali 671000, China

SU Jie Department of Radiology, Affiliated Hospital of Dali University, Yunnan Province, Dali 671000, China

*Correspondence to: Zhang CZ, E-mail: dlfuzcz@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This study was supported by Grants the National Natural Science Foundation of China No. 81060225
Received  2015-05-05
Accepted  2016-03-24
DOI: 10.12015/issn.1674-8034.2016.05.009
DOI:10.12015/issn.1674-8034.2016.05.009.

[1]
杨涛,程进亮,张淼,等. 1H-MRS对脑脓肿的诊断价值探讨.临床放射学杂志, 2008, 27(12): 1641-1645.
[2]
杨正汉,冯逢,王霄英, 等. 磁共振成像技术指南. 北京: 人民军医出版社, 2007: 333-337.
[3]
姜亮,刘文,肖朝勇, 等. 探讨1H-MRS定量分析在脑实质区胶质瘤分级中的诊断价值. 磁共振成像, 2014, 6(1): 15-19.
[4]
于同刚,戴嘉中,钱慧君, 等. 星形细胞肿瘤的磁共振波谱特征. 临床放射学杂志, 2010, 29(7): 860-863.
[5]
Weybright P, Sundgren PC, Maly P, et al. Differentiation between brain tumor recurrence and radiation injury using MR spectroscopy. AJR Am J Roentgenol, 2005, 18(5): 1471-1475.
[6]
Rabinov JD, Lee PL, Barker FG, et al. In vivo3-T MR spectroscopy in the distinction of recurrent glioma versus radiation effect: initial experience. Radiology, 2002, 22(5): 871-874.
[7]
颜立群,侯亚平,耿左军, 等. 单发急性炎性脑脱髓鞘疾病的MRI及MRS诊断. 实用放射学杂志, 2010, 26(12): 1704-1708.
[8]
Tripathi RP, Gupta A, Gupta S, et al. Co-existence of dual intracranial pathology clinical relevance of proton MRS. Neurol India, 2000, 48(4): 365-369.
[9]
Esteve F, Rubin C, Grand S, et al. Transient metabolic changes observed with proton MR spectroscopy in normal human brain after radiation therapy. Int J Radiation Oncol Biol Phys, 1998, 40(3): 279-282.
[10]
Tarnawski R, Sokol M, Pieniazek P, et al. 1H-MRS in vivo predicts the early treatment outcome of postoperative radiotherapy for malignant gliomas. Int J Radiation Oncology Biol Phys, 2002, 5(2): 1271-1275.
[11]
武传华,张志国,辛德友, 等. 脑多发性硬化1H-MR质子波谱分析应用研究. 磁共振成像, 2014, 5(1): 19-23.
[12]
王剑,依巴努•阿不都热合曼,姜春晖, 等. 脑泡型包虫病MR质子波谱特征分析. 中华放射学杂志, 2014, 48(2): 89-92.

PREV The application of magnetic resonance spectroscopic imaging in thrombolytic therapy of hyperacute cerebral infarction
NEXT MRI features and diagnostic value of spinal tuberculosis
  



Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn