冠状腺和垂体腺血色,由输血铁过载引起:两例病例报告
Hiroyuki Fujii1, Mitsuru Matsuki2, Takefumi Hamakawa3
1Department of Radiology, Jichi Medical University, Tochigi, Japan.
Radiology case reports
|February 22, 2024
概括
输血诱导的血红色素病可以影响大脑.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 血液学 血液学 血液学
背景情况:
- 血色变异症涉及过多的铁沉积,可能会损害器官.
- 中枢神经系统的参与是罕见的,但在特定的大脑区域被记录在案.
- 输血诱发的血红瘤是重复输血导致的.
研究的目的:
- 报告两例输血诱导的血色素瘤病例,这些病例影响了冠状动脉和垂体腺.
- 为了突出磁共振成像 (MRI) 与渐变回声 (GRE) 序列的诊断实用性.
主要方法:
- 评估了两名怀疑患有输血诱导的血色素变异症的患者.
- 进行了脑部MRI,特别是使用渐变回声 (GRE) 序列 (T2星加权成像和易感度加权成像).
- 研究人员比较了红细胞输血前后的成像结果.
主要成果:
- 两位患者在GRE序列上表现出明显低的胆脉信号强度,表明铁沉积.
- 患者2在T2加权图像上也显示了垂体腺体的低信号强度.
- 输血前没有这些发现,证实了输血诱导的血色素变异.
结论:
- 带有GRE序列的脑MRI有效地检测了状交中铁沉积的情况.
- 通过MRI早期检测铁过载对于防止不可逆转的器官损伤至关重要.
- 在疑似铁过载的患者,特别是接受输血的患者中,应考虑使用GRE序列.
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