首页|帕金森病患者经颅黑质超声特征与MRI黑质铁沉积表现的相关性

帕金森病患者经颅黑质超声特征与MRI黑质铁沉积表现的相关性

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目的 观察帕金森病(PD)经颅黑质超声(SN-TCS)特征与MRI黑质铁沉积的相关性.方法 回顾性分析120例PD患者SN-TCS及颅脑MRI,根据黑质定量磁化率成像(QSM)测值将患者归入铁沉积阳性组(n=46,阳性组)及铁沉积阴性组(n=74,阴性组);比较2组SN-TCS及MRI参数并行相关性分析.结果 阳性组黑质超声高回声阳性占比、强回声面积、QSM值,以及黑质强回声面积与中脑面积比值(S/M)均高于阴性组(P均<0.001);组间中脑面积差异无统计学意义(P>0.05).SN-TCS所见黑质强回声面积及S/M均与MRI黑质QSM值呈低-中度正相关(r=0.497、0.529,P均<0.001).结论 PD患者SN-TCS特征与MRI黑质铁沉积存在相关性;其中,黑质强回声面积及S/M对评估黑质铁沉积具有一定价值.
Correlations of transcranial sonography of substantia nigra characteristics with MRI iron deposition on substantia nigra in patients with Parkinson disease
Objective To explore the correlations of transcranial sonography of substantia nigra(SN-TCS)characteristics with MRI iron deposition on substantia nigra in patients with Parkinson disease(PD).Methods Data of SN-TCS and craniocerebral MRI in 120 PD patients were retrospectively analyzed.The patients were divided into iron deposition positive group(positive group,n=46)and iron deposition negative group(negative group,n=74)according to quantitative susceptibility mapping(QSM)value.Then parameters of SN-TCS and MRI were compared between groups(both P<0.05),and correlation analysis were also performed.Results The proportion of high echo positive,strong echo area and QSM value of substantia nigra,as well as of hyper-substantia nigra area/midbrain area(S/M)in positive group were all higher than those in negative group(all P<0.001).No significant difference of midbrain area was found between groups(P>0.05).Strong echo area of substantia nigra and S/M based on SN-TCS were both low-medium positively correlated with substantia nigra QSM value showed on MRI(r=0.497,0.529,both P<0.001).Conclusion SN-TCS characteristics of PD patients were correlated with MRI iron deposition on substantia nigra,among which strong echo area and S/M were valuable for evaluating iron deposition on substantia nigra.

Parkinson diseasesubstantia nigraironultrasonographymagnetic resonance imaging

邹全、陈飞、孟文玉、郑红

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兰州大学第一医院超声医学科,甘肃兰州 730000

帕金森病 黑质 超声检查 磁共振成像

2024

中国医学影像技术
中国科学院声学研究所

中国医学影像技术

CSTPCD北大核心
影响因子:0.763
ISSN:1003-3289
年,卷(期):2024.40(8)