糖尿病胆固醇与MRI发现时间之间的关系:与病例报告进行系统审查
Yumi Otaka1, Yukinori Harada1, Norio Sugawara2
1Department of Diagnostic and Generalist Medicine, Dokkyo Medical University, School of Medicine, Tochigi, Japan.
International journal of general medicine
|October 9, 2023
概括
糖尿病胆固醇,一种罕见的糖尿病并发症,可能会显示延迟的MRI发现. 重复测试MRI可以帮助诊断当初始扫描是不确定的,无论葡萄糖水平.
科学领域:
- 神经学 神经学
- 内分泌学 在内分泌学.
- 放射学 放射学是指放射学
背景情况:
- 糖尿病胆固醇是一种罕见的糖尿病并发症.
- 头部MRI是主要的诊断工具,但发现可能不一致或延迟.
- 临床症状和成像发现的同时出现并不总是观察到的.
研究的目的:
- 为了汇编糖尿病胆固醇病例,在重复的MRI扫描中出现成像发现.
- 系统地审查MRI发现的时间变化是否与临床特征相关.
主要方法:
- 系统审查PubMed和ICHUSHI数据库的糖尿病胆固醇病例与重复的MRI.
- 根据MRI发现的时间变化对患者组进行比较.
- 分析包括年龄,性别,糖尿病持续时间,葡萄糖水平,HbA1c和运动特征.
主要成果:
- 分析了64例病例,67.2%为女性,平均年龄为69.0岁.
- 在25.0%的MRI检测结果恶化,57.8%的MRI检测结果改善,15.6%的MRI检测结果在重新检测时保持不变.
- 两组之间没有发现年龄,性别或葡萄糖/HbA1c水平的显著差异.
结论:
- 随着时间的推移,MRI发现的外观模式与葡萄糖水平等临床特征没有关联.
- 重复的MRI扫描可能有利于诊断糖尿病胆固醇,当初始成像是负的.
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