Serveur d'exploration MERS

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The assessment of mild encephalopathy with a reversible splenial lesion (MERS) using high b-value DWI

Identifieur interne : 002387 ( Ncbi/Merge ); précédent : 002386; suivant : 002388

The 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 Han

Source :

RBID : PMC:6946462

Descripteurs français

English descriptors

Abstract

AbstractIntroduction:

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.

Methods:

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.

Results:

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).

Conclusion:

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

Links toward previous steps (curation, corpus...)


Links to Exploration step

PMC:6946462

Le document en format XML

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<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>
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<nlm:aff id="aff4">Department of Imaging technology, The First Affiliated Hospital of Xiamen University, Fujian, China.</nlm:aff>
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<name sortKey="Han, Haiwei" sort="Han, Haiwei" uniqKey="Han H" first="Haiwei" last="Han">Haiwei Han</name>
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<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>
<author>
<name sortKey="Zhuang, Bimei" sort="Zhuang, Bimei" uniqKey="Zhuang B" first="Bimei" last="Zhuang">Bimei Zhuang</name>
<affiliation>
<nlm:aff id="aff1">Department of Neuroradiology</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Han, Chenkun" sort="Han, Chenkun" uniqKey="Han C" first="Chenkun" last="Han">Chenkun Han</name>
<affiliation>
<nlm:aff id="aff2">Department of Neuroradiology, The First Affiliated Hospital of Xiamen University</nlm:aff>
<wicri:noCountry code="subfield">The First Affiliated Hospital of Xiamen University</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Hua, Zhipeng" sort="Hua, Zhipeng" uniqKey="Hua Z" first="Zhipeng" last="Hua">Zhipeng Hua</name>
<affiliation>
<nlm:aff id="aff3">Department of Breast Surgery, Xiamen maternity and child care hospital</nlm:aff>
<wicri:noCountry code="subfield">Xiamen maternity and child care hospital</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Zhuang, Xiongjie" sort="Zhuang, Xiongjie" uniqKey="Zhuang X" first="Xiongjie" last="Zhuang">Xiongjie Zhuang</name>
<affiliation wicri:level="1">
<nlm:aff id="aff4">Department of Imaging technology, The First Affiliated Hospital of Xiamen University, Fujian, China.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Department of Imaging technology, The First Affiliated Hospital of Xiamen University, Fujian</wicri:regionArea>
<wicri:noRegion>Fujian</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Han, Haiwei" sort="Han, Haiwei" uniqKey="Han H" first="Haiwei" last="Han">Haiwei Han</name>
<affiliation>
<nlm:aff id="aff1">Department of Neuroradiology</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Medicine</title>
<idno type="ISSN">0025-7974</idno>
<idno type="eISSN">1536-5964</idno>
<imprint>
<date when="2019">2019</date>
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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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<term>Brain Diseases (diagnosis)</term>
<term>Brain Diseases (diagnostic imaging)</term>
<term>Brain Diseases (pathology)</term>
<term>Child</term>
<term>China</term>
<term>Corpus Callosum (diagnostic imaging)</term>
<term>Corpus Callosum (pathology)</term>
<term>Diffusion Magnetic Resonance Imaging</term>
<term>Female</term>
<term>Humans</term>
<term>Image Interpretation, Computer-Assisted</term>
<term>Male</term>
<term>Retrospective Studies</term>
<term>Sensitivity and Specificity</term>
<term>Severity of Illness Index</term>
<term>Signal-To-Noise Ratio</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Chine</term>
<term>Corps calleux (anatomopathologie)</term>
<term>Corps calleux (imagerie diagnostique)</term>
<term>Encéphalopathies (anatomopathologie)</term>
<term>Encéphalopathies (diagnostic)</term>
<term>Encéphalopathies (imagerie diagnostique)</term>
<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>
<term>Mâle</term>
<term>Rapport signal-bruit</term>
<term>Sensibilité et spécificité</term>
<term>Études rétrospectives</term>
</keywords>
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<term>Encéphalopathies</term>
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<term>Brain Diseases</term>
</keywords>
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<term>Brain Diseases</term>
<term>Corpus Callosum</term>
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<term>Corps calleux</term>
<term>Encéphalopathies</term>
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<term>Brain Diseases</term>
<term>Corpus Callosum</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Child</term>
<term>Diffusion Magnetic Resonance Imaging</term>
<term>Female</term>
<term>Humans</term>
<term>Image Interpretation, Computer-Assisted</term>
<term>Male</term>
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<term>Sensitivity and Specificity</term>
<term>Severity of Illness Index</term>
<term>Signal-To-Noise Ratio</term>
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<term>Chine</term>
<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>
<term>Mâle</term>
<term>Rapport signal-bruit</term>
<term>Sensibilité et spécificité</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>République populaire de Chine</term>
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<front>
<div type="abstract" xml:lang="en">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) diffusion-weighted imaging (DWI) assessment in MERS.</div>
</front>
</TEI>
</pubmed>
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