Statistical Analysis of the Apparent Diffusion Coefficient in Patients with Clinically Mild Encephalitis/Encephalopathy with a Reversible Splenial Lesion Indicates That the Pathology Extends Well beyond the Visible Lesions
Identifieur interne : 000375 ( Main/Exploration ); précédent : 000374; suivant : 000376Statistical Analysis of the Apparent Diffusion Coefficient in Patients with Clinically Mild Encephalitis/Encephalopathy with a Reversible Splenial Lesion Indicates That the Pathology Extends Well beyond the Visible Lesions
Auteurs : Yang Qing [République populaire de Chine] ; Wang Xiong [République populaire de Chine] ; Huang Da-Xiang [République populaire de Chine] ; Zhu Juan [République populaire de Chine] ; Wang Fei [République populaire de Chine] ; Yu Yong-Qiang [République populaire de Chine]Source :
- Magnetic Resonance in Medical Sciences [ 1347-3182 ] ; 2019.
Abstract
To investigate whether the genu of the corpus callosum is involved in patients with clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) type I.
Twenty-three cases of clinically confirmed MERS I were analyzed retrospectively, and MRI features of the lesion were observed. The apparent diffusion coefficient (ADC) values of the same region of interests in lesions at the splenium and genu of the corpus callosum were measured before and after treatment (i.e., four groups), and the average ADC values were calculated. Paired
The mean ADC values of the splenium before and after treatment were 0.448 ± 0.124 and 0.790 ± 0.070 × 10−3 mm2/s, respectively, showing significant difference (
The genu showed a slight restriction in diffusion in the acute stage of type I MERS. After treatment, this diffusion restriction diminished as it typically does in the splenium. Our results indicate that the pathology in MERS extends well beyond the visible lesions.
Url:
DOI: 10.2463/mrms.mp.2018-0097
PubMed: 30956273
PubMed Central: 7067916
Affiliations:
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Mild Encephalitis/Encephalopathy with a Reversible Splenial Lesion Indicates That the Pathology Extends Well beyond the Visible Lesions</title><author><name sortKey="Qing, Yang" sort="Qing, Yang" uniqKey="Qing Y" first="Yang" last="Qing">Yang Qing</name><affiliation wicri:level="1"><nlm:aff id="AFF1">Department of MRI, Anqing Municipal Hospital, Anhui, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of MRI, Anqing Municipal Hospital, Anhui</wicri:regionArea><wicri:noRegion>Anhui</wicri:noRegion></affiliation></author><author><name sortKey="Xiong, Wang" sort="Xiong, Wang" uniqKey="Xiong W" first="Wang" last="Xiong">Wang Xiong</name><affiliation wicri:level="1"><nlm:aff id="AFF2">Department of Neurology, Anqing Municipal Hospital, Anhui, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Anqing Municipal Hospital, Anhui</wicri:regionArea><wicri:noRegion>Anhui</wicri:noRegion></affiliation></author><author><name sortKey="Da Xiang, Huang" sort="Da Xiang, Huang" uniqKey="Da Xiang H" first="Huang" last="Da-Xiang">Huang Da-Xiang</name><affiliation wicri:level="1"><nlm:aff id="AFF3">Department of Endocrinology, Anqing Municipal Hospital, Anhui, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Endocrinology, Anqing Municipal Hospital, Anhui</wicri:regionArea><wicri:noRegion>Anhui</wicri:noRegion></affiliation></author><author><name sortKey="Juan, Zhu" sort="Juan, Zhu" uniqKey="Juan Z" first="Zhu" last="Juan">Zhu Juan</name><affiliation wicri:level="1"><nlm:aff id="AFF1">Department of MRI, Anqing Municipal Hospital, Anhui, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of MRI, Anqing Municipal Hospital, Anhui</wicri:regionArea><wicri:noRegion>Anhui</wicri:noRegion></affiliation></author><author><name sortKey="Fei, Wang" sort="Fei, Wang" uniqKey="Fei W" first="Wang" last="Fei">Wang Fei</name><affiliation wicri:level="1"><nlm:aff id="AFF1">Department of MRI, Anqing Municipal Hospital, Anhui, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of MRI, Anqing Municipal Hospital, Anhui</wicri:regionArea><wicri:noRegion>Anhui</wicri:noRegion></affiliation></author><author><name sortKey="Yong Qiang, Yu" sort="Yong Qiang, Yu" uniqKey="Yong Qiang Y" first="Yu" last="Yong-Qiang">Yu Yong-Qiang</name><affiliation wicri:level="1"><nlm:aff id="AFF4">The First Affiliated Hospital of Anhui Medical University, 81 Meishan Road, Hefei, Anhui 230032, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The First Affiliated Hospital of Anhui Medical University, 81 Meishan Road, Hefei, Anhui 230032</wicri:regionArea><wicri:noRegion>Anhui 230032</wicri:noRegion></affiliation></author></analytic><series><title level="j">Magnetic Resonance in Medical Sciences</title><idno type="ISSN">1347-3182</idno><idno type="eISSN">1880-2206</idno><imprint><date when="2019">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose:</title><p>To investigate whether the genu of the corpus callosum is involved in patients with clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) type I.</p></sec><sec><title>Methods:</title><p>Twenty-three cases of clinically confirmed MERS I were analyzed retrospectively, and MRI features of the lesion were observed. The apparent diffusion coefficient (ADC) values of the same region of interests in lesions at the splenium and genu of the corpus callosum were measured before and after treatment (i.e., four groups), and the average ADC values were calculated. Paired <italic>t</italic>-tests were used to compare the ADC values of lesions in the splenium and genu before and after treatment. Independent sample <italic>t</italic>-tests were used to compare the values in the splenium and genu after treatment.</p></sec><sec><title>Results:</title><p>The mean ADC values of the splenium before and after treatment were 0.448 ± 0.124 and 0.790 ± 0.070 × 10<sup>−3</sup> mm<sup>2</sup>/s, respectively, showing significant difference (<italic>P</italic> < 0.01). The mean ADC values in the genu before and after treatment were 0.783 ± 0.067 and 0.829 ± 0.070 × 10<sup>−3</sup> mm<sup>2</sup>/s, respectively, also showing significant difference (<italic>P</italic> < 0.01). There was no significant difference in the ADC values between the splenium and genu after treatment (<italic>P</italic> > 0.05).</p></sec><sec><title>Conclusion:</title><p>The genu showed a slight restriction in diffusion in the acute stage of type I MERS. After treatment, this diffusion restriction diminished as it typically does in the splenium. Our results indicate that the pathology in MERS extends well beyond the visible lesions.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tada, H" uniqKey="Tada H">H Tada</name></author><author><name sortKey="Takanashi, J" uniqKey="Takanashi J">J Takanashi</name></author><author><name sortKey="Barkovich, Aj" uniqKey="Barkovich A">AJ Barkovich</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Takanashi, J" uniqKey="Takanashi J">J Takanashi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Garcia Monco, Jc" uniqKey="Garcia Monco J">JC Garcia-Monco</name></author><author><name sortKey="Cortina, Ie" uniqKey="Cortina I">IE Cortina</name></author><author><name sortKey="Ferreira, E" uniqKey="Ferreira E">E Ferreira</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Starkey, J" uniqKey="Starkey J">J Starkey</name></author><author><name 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Xiang H" first="Huang" last="Da-Xiang">Huang Da-Xiang</name><name sortKey="Fei, Wang" sort="Fei, Wang" uniqKey="Fei W" first="Wang" last="Fei">Wang Fei</name><name sortKey="Juan, Zhu" sort="Juan, Zhu" uniqKey="Juan Z" first="Zhu" last="Juan">Zhu Juan</name><name sortKey="Xiong, Wang" sort="Xiong, Wang" uniqKey="Xiong W" first="Wang" last="Xiong">Wang Xiong</name><name sortKey="Yong Qiang, Yu" sort="Yong Qiang, Yu" uniqKey="Yong Qiang Y" first="Yu" last="Yong-Qiang">Yu Yong-Qiang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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