Role of magnetic resonance spectroscopy and susceptibility weighted imaging in cerebral alveolar echinococcosis.

  • Guocai Yang Dept. of Radiology (MRI), Qinghai Provincial People's Hospital, Xining, China.
  • Qingxin Zhang Dept. of Radiology (MRI), Qinghai Provincial People's Hospital, Xining, China.
  • Guibo Tang Dept. of Radiology (MRI), Qinghai Provincial People's Hospital, Xining, China.
  • Hui Xu Dept. of Radiology (MRI), Qinghai Provincial People's Hospital, Xining, China.
  • Zhen Yang Dept. of Radiology (MRI), Qinghai Provincial People's Hospital, Xining, China.
  • Jianzhong Guo Dept. of Radiology (MRI), Qinghai Provincial People's Hospital, Xining, China.
  • Lin Liang Dept. of Radiology (MRI), Qinghai Provincial People's Hospital, Xining, China.
  • Yonghong Qi Dept. of Radiology (MRI), Qinghai Provincial People's Hospital, Xining, China.
Keywords: Cerebral alveolar echinococcosis, Magnetic resonance spectroscopy, Susceptibility weighted imaging

Abstract

 Background: To analyze the characteristic performance of magnetic resonance spectroscopy (MRS) and susceptibility weighted imaging (SWI) in cerebral alve-olar echinococcosis (CAE). Methods:We retrospectively analyzed 10 clinical-identified CAE cases MR per-formance, and summarized the MRS and SWI performance of CAE. Results:The 10 cases of CAE all had the history of primary HAE, among who 6 cases had single lesion (60%), while the rest 4 cases had multiple lesions (40%); and 4 cases were concomitant with lung metastases. MRI performance: T2WI lesions were coal-like low-signal shadow, with multiple small vesicles in-side the lesions; MRS performance: NAA, Cho and Cr significantly reduced, an abnormally high and steep crest was found at 1.4 ppm; the phase diagram and strength diagram of SWI showed isointensity.Conclusion:The MRS and SWI of CAE could provide important supplemental information for the diagnosis of CAE, especially the abnormally high and steep crest at 1.4 ppm provide the reliable image basis for the diagnosis and differen-tial diagnosis of CAE.

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How to Cite
1.
Yang G, Zhang Q, Tang G, Xu H, Yang Z, Guo J, Liang L, Qi Y. Role of magnetic resonance spectroscopy and susceptibility weighted imaging in cerebral alveolar echinococcosis. IJPA. 10(1):122-7.
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