三维颅脑容积成像增强MRI用于病因学诊断动眼神经麻痹  

Three-dimension brain volume enhanced MRI for etiological diagnosis of oculomotor nerve palsy

作　　者：殷慧康 叶黛西 宣璐璐 耿承军 YIN Huikang;YE Daixi;XUAN Lulu;GENG Chengjun(Department of Radiology,904th Hospital of Joint Logistic Support Force of PLA,Wuxi 214044,China)

机构地区：[1]中国人民解放军联勤保障部队第904医院放射科,江苏无锡214044

出　　处：《中国介入影像与治疗学》2023年第8期488-492,共5页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察三维颅脑容积成像(3D-BRAVO)增强MR用于病因学诊断动眼神经麻痹(ONP)的价值。方法回顾性分析27例临床诊断为单侧ONP患者的颅脑T1-液体衰减反转恢复(T1-FLAIR)增强及3D-BRAVO增强图像,对比其病因学诊断ONP结果的差异。结果27例ONP病因包括肿瘤或肿瘤样病变压迫或浸润13例、血管压迫7例、颅脑炎性病变4例及颅脑外伤3例。T1-FLAIR增强图像显示ONP病因包括肿瘤压迫或侵犯10例、血管压迫3例、颅脑炎性病变2例、颅脑外伤3例,正确率66.67%(18/27);3D-BRAVO增强图像显示病因正确率为100%(27/27),二者差异均有统计学意义(P=0.002)。结论3D-BRAVO增强MRI用于病因学诊断ONP具有高度价值。Objective To observe the value of three-dimension brain volume(3D-BRAVO)enhanced MR scanning for etiological diagnosis of oculomotor nerve palsy(ONP).Methods Conventional brain T1-fluid attenuated inversion recovery(T1-FLAIR)enhanced MRI and 3D-BRAVO enhanced MRI of 27 patients with clinically diagnosed unilateral ONP were retrospectively analyzed,and the etiological diagnosis results of ONP were compared.Results Among 27 cases,ONP was caused by tumor or tumor like lesions compression or infiltration in 13 cases,by vascular compression in 7 cases,by inflammatory lesions in 4 cases and by traumatic brain injury in 3 cases.T1-FLAIR enhanced MRI detected 10 cases of tumor compression or infiltration,3 cases of vascular compression,2 cases of craniocerebral inflammatory lesions and 3 cases of craniocerebral trauma,with the correct rate of 66.67%(18/27).Meanwhile,3D-BRAVO enhanced MRI correctly confirmed the cause of ONP in all 27 cases,with a correct rate of 100%(27/27),and significant difference of correct rates for etiological diagnosis of ONP existed between the two methods(P=0.002).Conclusion 3D-BRAVO enhanced MRI was highly valuable for etiological diagnosis of ONP.

关 键 词：动眼神经疾病 磁共振成像 三维颅脑容积成像 

分 类 号：R322.8[医药卫生—人体解剖和组织胚胎学] R445.2[医药卫生—基础医学]