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自闭症的常规MRI和1H-MRS表现
引用本文:凌雪英,陈卓铭,刘斯润,黄力.自闭症的常规MRI和1H-MRS表现[J].临床放射学杂志,2008,27(5):585-588.
作者姓名:凌雪英  陈卓铭  刘斯润  黄力
作者单位:1. 暨南大学附属第一医院医学影像中心,广州,510630
2. 暨南大学附属第一医院神经康复科,广州,510630
摘    要:目的 探讨常规MR成像和1H MR波谱(MRS)在自闭症诊断中的价值.资料与方法 回顾性分析12例自闭症患者的全脑常规MR扫描及其中8例患者额叶和海马的多体素2D 1H MR波谱扫描表现.结果 常规MR扫描发现3例患者的顶叶白质在FLAIR上出现斑片状高信号.1H MRS分析发现5例患者额叶的NAA/Cho明显下降(NAA/Cho<1),其中1例患者的左侧额叶出现Lac峰;另外有2例患者海马的NAA/Cho出现下降(NAA/Cho<1).结论 常规MR成像和1H MRS可发现部分自闭症患者脑组织异常.

关 键 词:自闭症  磁共振成像  磁共振波谱
修稿时间:2007年4月6日

The MRI and Proton MR Spectroscopic Findings of Brain in Autism
LING Xueying,CHEN Zhuoming,LIU Sirun,et al..The MRI and Proton MR Spectroscopic Findings of Brain in Autism[J].Journal of Clinical Radiology,2008,27(5):585-588.
Authors:LING Xueying  CHEN Zhuoming  LIU Sirun  
Affiliation:LING Xueying,CHEN Zhuoming,LIU Sirun,et al.Medical Imaging Center,First Affliated Hospital of Jinan University,Guangzhou,Guangdong Province 510630,P.R.China
Abstract:Objective To evaluate the role of magnetic resonance imaging(MRI) and 1H MR spectroscopy(MRS) in the diagnosis of autism.Materials and Methods Conventional MRI and 2D 1H MRS findings in 12 patients with autism were reviewed retrospectively.Results High signal intensity regions were found in white matter of parietal lobes on FLAIR images in 3 subjects.Decreased NAA/Cho ratio(NAA/Cho<1) was revealed in the frontal lobe in 5 subjects,in which the peak of Lactate was shown in 1 case.Decreased NAA/Cho ratio(NAA/Cho<1) was identified in the hippocampus in 2 subjects.Conclusion Conventional MRI and 1H MRS could show abnormalities of the brain in some patients with autism.
Keywords:Autism Magnetic resonance imaging Magnetic resonance spectroscopy
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