3.0T磁共振成像-磁敏感加权成像评估不同分期帕金森病患者基底节区体积的价值

Value of 3.0T magnetic resonance imaging plus susceptibility weighted imaging in evaluating basal ganglia volume in patients with Parkinson's disease at different stages

  • 摘要:
      目的  探讨3.0T磁共振成像-磁敏感加权成像(MRI-SWI)评估不同分期帕金森病(PD)患者基底节区体积的价值。
      方法  回顾性分析96例PD患者的临床资料,均接受3.0T MRI-SWI检查,按照Hoehn-Yahr(H-Y)分级标准将PD患者分为早期组(n=37)、中期组(n=46)和晚期组(n=13)。比较不同分期PD患者的左侧及右侧基底节各感兴趣区体积,分析基底节区各感兴趣区总体积与分期的相关性。
      结果  不同分期PD患者中,晚期组左侧及右侧苍白球、壳核及尾状核体积最小,早期组最大,3组差异均有统计学意义(P < 0.05)。Kendall's tau-b相关性分析结果显示,PD患者分期与基底节区各感兴趣区总体积均呈显著负相关(P < 0.05)。
      结论  3.0T MRI-SWI对不同分期PD患者基底节区体积有较高的评估价值,基底节区体积与患者分期呈显著负相关。

     

    Abstract:
      Objective  To explore the value of 3.0T magnetic resonance imaging plus susceptibility weighted imaging (MRI-SWI) in evaluating basal ganglia volume in patients with Parkinson's disease (PD) at different stages.
      Methods  The materials of 96 PD patients were retrospectively analyzed, and all of them were conducted with 3.0T MRI-SWI examination. According to Hoehn Yahr (H-Y) classification standard, the PD patients were divided into early stage group (n=37), middle stage group (n=46) and advanced stage group (n=13). The volumes of region of interest in left and right basal ganglia of PD patients with different stages were compared, and the correlation between the total volume of region of interest in basal ganglia and stages was analyzed.
      Results  In PD patients with different stages, the volumes of left and right globus pallidus, putamen and caudate nucleus were the smallest in the advanced stage group and the largest in the early stage group, and there were significant differences among three groups (P < 0.05). Kendall's tau-b correlation analysis showed that the staging was significantly negatively correlated with the total volume of region of interest of the basal ganglia in PD patients (P < 0.05).
      Conclusion  3.0T MRI-SWI has a high value in evaluating basal ganglia volume of PD patients with different stages, and there is a significant negative correlation between basal ganglia volume and stages.

     

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