Analysis on Value of Multivoxel and Monovoxel of 1H-MRS in the Diagnosis of Low-grade Glioma Acute and Subacute Cerebral Infarction and Viral Encephalitis
BAI Xuedong, QIU Hengzhi, WANG Shenglin, et al
Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, China
Abstract：Objective: To explore the value of H-MRS SVS and CSI in the diagnosis of low-grade gliomas, Acute and subacute cerebral infarction and viral encephalitis. Methods: The clinical and imaging data of 76 patients in our hospital were analyzed retrospectively, including 27 cases of viral encephalitis, 28 cases of cerebral infarction, 21 cases of low-grade gliomas. All patients were examined with magnetic Verio 3.0T MR for routine MR, SVS and CSI, and the spectral data were analyzed with spectroscopy software to compare the ratio of MRS metabolites in the three groups. Results: Cho / Cr, NAA / CHO, NAA / Cr in low-grade gliomas, viral encephalitis and cerebral infarction analysis of variance showed significant differences, further comparisons: There were significant differences in CHO / Cr, NAA / CHO, NAA / Cr between low-grade gliomas and encephalitis (P<0.05), Cho / Cr, NAA / CHO, NAA / CR of low-grade glioma were higher than those of encephalitis group and cerebral infarction group (P<0.05), There was no significant difference in NAA / CHO and NAA / Cr (P>0.05). Lac peak was found in 2 cases of low-grade gliomas, 18 cases of MI peak and 24 cases of cerebral infarction. When Cho / Cr diagnostic threshold was 2.35, the sensitivity and specificity of differentiating low-grade gliomas from viral encephalitis and cerebral infarction were 90.5% and 91% respectively. Conclusion: The combination of multivoxel and single voxel technology of 1 HMRS has certain clinical value in the differential diagnosis of low-grade glioma, acute and subacute cerebral infarction and viral encephalitis. Cho / Cr ratio is of great value in differentiating low-grade glioma from acute and subacute viral encephalitis and cerebral infarction.
白雪冬, 仇恒志, 王胜林, 邢千超, 曹振东, 曹宏伟, 万立野. 磁共振波谱多体素及单体素在诊断低级别胶质瘤急性和亚急性期脑梗死及病毒性脑炎中的诊断价值分析[J]. 河北医学, 2020, 26(10): 1702-1706.
BAI Xuedong, QIU Hengzhi, WANG Shenglin, et al. Analysis on Value of Multivoxel and Monovoxel of 1H-MRS in the Diagnosis of Low-grade Glioma Acute and Subacute Cerebral Infarction and Viral Encephalitis. HeBei Med, 2020, 26(10): 1702-1706.
[1] Zawadzki R, Kubas B, Htadunski M, et al. Proton magnetic resonance spectroscopy (1H-MRS) of the brain in patients with tick-borne encephalitis[J].Sci Rep,2019,9(1):2839. [2] 吴江.病毒性脑炎概述[M].神经病学.第2版.北京:人民卫生出版社,2012.194~198. [3] Kirov II, Tal A. Potential clinical impact of multiparametric quantitative MR spectroscopy in neurological disorders: a review and analysis[J].Magn Reson Med,2020,83(1):22~44. [4] Chen W, Su Y, Jiang M, Liu G, Tian F, Ren G. Status epilepticus associated with acute encephalitis: long-term follow-up of functional and cognitive outcomes in 72 patients[J].Eur Neurol,2018,25(10):1228~1234. [5] Chang L, Munsaka SM, Kraft-Terry S, Ernst T. Magnetic resonance spectroscopy to assess neuroinflammation and neuropathic pain[J].Neuroimmune Pharmacol,2013,8(3):576~593. [6] Tyler KL. Acute Viral Encephalitis[J].N Engl Med, 2018, 379(6): 557~566. [7] 杨喜彪,许照敏,张洪静,等.质子磁共振波谱对脑炎与脑炎样胶质瘤鉴别诊断的价值[J].临床放射学杂志,2016,35(12):1796~1800.
2020, Vol. 26 
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