多发性硬化的脑脊髓MRI规范化评估及结构化报告:泛长三角多发性硬化诊疗协作组专家建议(2024)  

Standardized Evaluation and Structured Reporting Based on Magnetic Resonance Imaging of the Brain and Spinal Cord:Expert Recommendations of the Pan-Yangtze River Delta Collaborative Group for Diagnosis and Treatment in Multiple Sclerosis(2024)

作　　者：李海庆 全超 李郁欣 陈增爱 崔莹[3,6] 戴慧 董强[2,3,22,23] 顾萍 李安宁[3,9] 梁辉 楼海燕[3,11] 鲁珊珊 陆青青[3,13] 吴月飞 徐广润[3,15] 杨运俊 姚琼[3,17] 余鑫锋 张佳璇[3,4,19] 张瑛 朱佳佳[3,21] LI Hai-qing;QUAN Chao;LI Yu-xin;CHEN Zeng-ai;Cui Ying;DAI Hui;DONG Qiangg;GU Ping;LI An-ning;LIANG Hui;LOU Hai-yan;LU Shan-shan;LU Qing-qing;WU Yue-fei;XU Guang-run;YANG Yun-jun;YAO Qiong;YU Xin-feng;ZHANG Jia-xuann;ZHANG Ying;ZHU Jia-Jia(Department of Radiology,Huashan Hospital,Fudan University,Shanghai 200040,China;Department of Neurology,Huashan Hospital,Fudan University,National Center for Neurological Diseases,Shanghai 200040,China;Pan-Yangtze Delta Multiple Sclerosis Diagnosis and Treatment Collaboration Group,Shanghai 200040,China;Clinical Multidisciplinary Cooperation Working Group of Chinese Medical Association Radiology Branch,Changsha 410008,China;Department of Radiology,Renji Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200001,China;Department of Radiology,Zhongda Hospital,Southeast University,Nanjing 210009,China;Department of Radiology,the First Affiliated Hospital,Soochow University,Suzhou 215008,China;Department of Neurology,Jiangsu Provincial People's Hospital,Nanjing 210029,China;Department of Radiology,Qilu Hospital of Shandong University,Jinan 250012,China;Department of Neurology,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310006,China;Department of Radiology,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310006,China;Department of Radiology,Jiangsu Provincial People's Hospital,Nanjing 210029,China;Department of Radiology,the First Afiliated Hospital of Ningbo University,Ningbo 315020,China;Department of Neurology,the First Affiliated Hospital of Ningbo University,Ningbo 315020;Department of Neurology,Qilu Hospital of Shandong University,Jinan 250012,China;Department of Radiology,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325035,China;Department of Radiology,Pediatric Hospital,Fudan University,Shanghai 201102,China;Department of Radiology,the Second Affliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310009,China;Department of Radiology,Tongji Hospital,Tongji School of

机构地区：[1]复旦大学附属华山医院放射科,上海200040 [2]复旦大学附属华山医院神经内科,国家神经疾病医学中心,上海200040 [3]泛长三角多发性硬化诊疗协作组,上海200040 [4]中华医学会放射学分会临床多学科合作工作组,长沙410008 [5]上海交通大学医学院附属仁济医院放射科,上海200001 [6]东南大学附属中大医院放射科,南京210009 [7]苏州大学附属第一医院放射科,苏州215008 [8]江苏省人民医院神经内科,南京210029 [9]山东大学齐鲁医院放射科,济南250012 [10]浙江大学医学院附属第一医院神经内科,杭州310006 [11]浙江大学医学院附属第一医院放射科,杭州310006 [12]江苏省人民医院放射科,南京210029 [13]宁波大学附属第一医院放射科,宁波315020 [14]宁波大学附属第一医院神经内科,宁波315020 [15]山东大学齐鲁医院神经内科,济南250012 [16]温州医科大学附属第一医院放射科,温州325035 [17]复旦大学附属儿科医院放射科,上海201102 [18]浙江大学医学院附属第二医院放射科,杭州310009 [19]华中科技大学同济医学院附属同济医院放射科,武汉430030 [20]上海交通大学医学院附属仁济医院神经内科,上海200001 [21]安徽医科大学第一附属医院放射科,合肥230031 [22]上海市医学会神经内科专科分会,上海200040 [23]上海卒中学会,上海200040

出　　处：《中国临床神经科学》2024年第5期570-576,共7页Chinese Journal of Clinical Neurosciences

基　　金：华山医院科研启动基金(编号:院级839);上海市“医苑新星”青年医学人才培养资助计划(2018)。

摘　　要：多发性硬化(MS)是累及中枢神经系统的慢性炎性脱髓鞘疾病,MS的活动和病程进展存在较大个体差异。目前亟需进一步规范与细化MS的MRI扫描方案,并提供MRI结构化报告要点,以精准和全面评估MS的脑脊髓损伤,从而满足MS患者的病情监测和治疗决策的需要。泛长三角MS诊疗协作组专家就此反复讨论,建议通过规范的脑脊髓MRI扫描方案评估MS存在的急性活动期及慢性活动期病变、软脑膜炎症、皮质/近皮质病变和脑、脊髓萎缩情况,并结合临床具体情况给出结构化影像报告。上述内容已形成专家建议,在文中呈现,供临床医生参考。Multiple sclerosis(MS)is a chronic inflammatory demyelinating disease of the central nervous system.Standardizing and refining the MRI scanning protocol for MS is imperative to accurately and comprehensively assess brain and spinal cord injury in MS patients.This is crucial for disease monitoring and treatment decision-making.The Pan-Yangtze River Delta Collaborative Group for MS Diagnosis and Treatment experts have extensively deliberated this matter.We propose evaluating acute and chronic active lesions,leptomeningeal inflammation,and cortical and juxtacortical lesions,and brain and spinal cord atrophy in MS through a standardized MRI scanning protocol.A structured reporting should be generated based on the specific clinical conditions.The expert consensus recommendations have been delineated in this text.

关 键 词：多发性硬化 磁共振成像 规范化评估 结构化报告 

分 类 号：R744.5*1[医药卫生—神经病学与精神病学]