The assessment of mild encephalopathy with a reversible splenial lesion (MERS) using high b-value DWI
Identifieur interne : 000347 ( Main/Exploration ); précédent : 000346; suivant : 000348The assessment of mild encephalopathy with a reversible splenial lesion (MERS) using high b-value DWI
Auteurs : Bimei Zhuang ; Chenkun Han ; Zhipeng Hua ; Xiongjie Zhuang [République populaire de Chine] ; Haiwei HanSource :
- Medicine [ 0025-7974 ] ; 2019.
Descripteurs français
- KwdFr :
- Chine, Corps calleux (anatomopathologie), Corps calleux (imagerie diagnostique), Encéphalopathies (anatomopathologie), Encéphalopathies (diagnostic), Encéphalopathies (imagerie diagnostique), Enfant, Femelle, Humains, Imagerie par résonance magnétique de diffusion, Indice de gravité médicale, Interprétation d'image assistée par ordinateur, Mâle, Rapport signal-bruit, Sensibilité et spécificité, Études rétrospectives.
- MESH :
- anatomopathologie : Corps calleux, Encéphalopathies.
- diagnostic : Encéphalopathies.
- imagerie diagnostique : Corps calleux, Encéphalopathies.
- Chine, Enfant, Femelle, Humains, Imagerie par résonance magnétique de diffusion, Indice de gravité médicale, Interprétation d'image assistée par ordinateur, Mâle, Rapport signal-bruit, Sensibilité et spécificité, Études rétrospectives.
- Wicri :
- geographic : République populaire de Chine.
English descriptors
- KwdEn :
- Brain Diseases (diagnosis), Brain Diseases (diagnostic imaging), Brain Diseases (pathology), Child, China, Corpus Callosum (diagnostic imaging), Corpus Callosum (pathology), Diffusion Magnetic Resonance Imaging, Female, Humans, Image Interpretation, Computer-Assisted, Male, Retrospective Studies, Sensitivity and Specificity, Severity of Illness Index, Signal-To-Noise Ratio.
- MESH :
- geographic : China.
- diagnosis : Brain Diseases.
- diagnostic imaging : Brain Diseases, Corpus Callosum.
- pathology : Brain Diseases, Corpus Callosum.
- Child, Diffusion Magnetic Resonance Imaging, Female, Humans, Image Interpretation, Computer-Assisted, Male, Retrospective Studies, Sensitivity and Specificity, Severity of Illness Index, Signal-To-Noise Ratio.
Abstract
Mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) was shown to have a transient reduction in diffusion. Such changes would be used as an early detection to reduce excessive treatments and promote recovery without sequelae. The current research evaluated the high b-value (b = 3000 s/mm2) diffusion-weighted imaging (DWI) assessment in MERS.
Sixteen pediatric patients showed MERS used DWI (b = 1000 and 3000 s/mm2). To record number of lesions, the signal intensities, signal-to-noise ratios (SNRs), contrast-to-noise ratios (CNRs), contrast ratios (CRs), the apparent diffusion coefficients (ADCs) were measured in the normal parenchyma and lesions.
Lesions were more apparent with high b-value. The ADC values and CNR in the lesions and surrounding normal brain parenchyma were relatively low at a high compared to standard b-value DWI (SNR: 144.67 ± 33.03, 85.72 ± 31.50; CNR: 20.82 ± 17.64, 49.62 ± 33.06; for b = 1000 and 3000 s/mm2). The CR was significantly higher at a high compared to low b-value DWI (CR: 0.06 ± 0.07 versus 0.40 ± 0.14).
High b-value DWI could detect more lesions and could obviously improve the detection of lesions in pediatric patients with MERS.
Url:
DOI: 10.1097/MD.0000000000017638
PubMed: 31689772
PubMed Central: 6946462
Affiliations:
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Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The assessment of mild encephalopathy with a reversible splenial lesion (MERS) using high b-value DWI</title>
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<wicri:noCountry code="subfield">Xiamen maternity and child care hospital</wicri:noCountry>
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<term>Corpus Callosum (diagnostic imaging)</term>
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<term>Diffusion Magnetic Resonance Imaging</term>
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<term>Rapport signal-bruit</term>
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<term>Diffusion Magnetic Resonance Imaging</term>
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<term>Male</term>
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<term>Enfant</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique de diffusion</term>
<term>Indice de gravité médicale</term>
<term>Interprétation d'image assistée par ordinateur</term>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<sec sec-type="intro"><title>Introduction:</title>
<p>Mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) was shown to have a transient reduction in diffusion. Such changes would be used as an early detection to reduce excessive treatments and promote recovery without sequelae. The current research evaluated the high b-value (b = 3000 s/mm<sup>2</sup>
) diffusion-weighted imaging (DWI) assessment in MERS.</p>
</sec>
<sec sec-type="methods"><title>Methods:</title>
<p>Sixteen pediatric patients showed MERS used DWI (b = 1000 and 3000 s/mm<sup>2</sup>
). To record number of lesions, the signal intensities, signal-to-noise ratios (SNRs), contrast-to-noise ratios (CNRs), contrast ratios (CRs), the apparent diffusion coefficients (ADCs) were measured in the normal parenchyma and lesions.</p>
</sec>
<sec sec-type="results"><title>Results:</title>
<p>Lesions were more apparent with high b-value. The ADC values and CNR in the lesions and surrounding normal brain parenchyma were relatively low at a high compared to standard b-value DWI (SNR: 144.67 ± 33.03, 85.72 ± 31.50; CNR: 20.82 ± 17.64, 49.62 ± 33.06; for b = 1000 and 3000 s/mm<sup>2</sup>
). The CR was significantly higher at a high compared to low b-value DWI (CR: 0.06 ± 0.07 versus 0.40 ± 0.14).</p>
</sec>
<sec sec-type="conclusion"><title>Conclusion:</title>
<p>High b-value DWI could detect more lesions and could obviously improve the detection of lesions in pediatric patients with MERS.</p>
</sec>
</div>
</front>
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</country>
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</affiliations>
</record>
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