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[在多发性硬化症患者的随访MRI中使用加多:当前建议]
Andreia Cruz1, Daniela Pereira2, Sónia Batista3
1Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal.
Acta medica portuguesa
|January 6, 2024
概括
在多发性硬化症中常规的gadolinium对比,MRI后续检查通常是不必要的. 虽然它对于诊断至关重要,但它在监测疾病活动中的使用应该仅限于特定的临床情况,以确保安全.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 多发性硬化症 (MS) 是中枢神经系统的主要脱髓化疾病,往往导致逐渐残疾.
- 磁共振成像 (MRI) 对于诊断MS至关重要,加多基对比剂 (GBCA) 增强了病变检测.
- 在MS监测中常规使用GBCA仍然存在争议,因为安全问题和临床影响有限.
结论:
- 在特定的MS临床场景中,GBCA很有价值,包括复发的差分诊断和监测某些炎症综合征.
- 从常规MS随访MRI扫描中排除GBCA是可行的和安全的.
- 神经病学家和神经放射学家应根据个体患者的临床情况审慎考虑GBCA的使用.
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