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间海马体粘附:在接受MRI的儿科患者中,患病率,结构和基于位置的分类图

Michael P Oien¹, Onur Tuncer², David Nascene³

¹Mayo Clinic Department of Radiology, Mayo Building West, 2nd Floor 200 First St. SW, Rochester, MN, 55905, USA.

|November 14, 2024

概括

皮质体间粘附 (IHA) 发生在2.13%的儿科患者中,并且通常会随着时间的推移而持续. 这些粘附显示灰色物质信号强度,与3型IHA与垂体异常有关.

科学领域:

儿科神经放射学儿科神经放射学
神经成像是一种神经成像.
内分泌学在内分泌学.

背景情况:

间位粘附 (IHA) 是一种罕见的发现,主要在儿科患者中报告.
它们的患病率,持续性和精确的组织学组成在很大程度上仍未被描述.
了解IHA对于诊断相关的神经和内分泌疾病至关重要.

研究的目的:

为了确定小儿大脑MRI研究中IHA的患病率.
通过纵向成像来评估IHA的持续性.
根据解剖分布对IHA进行分类,探索其成像特征,并确定相关的病理.

主要方法:

对儿科大脑MRI扫描 (2012-2013) 的回顾性审查.
在至少两个成像平面上确认IHA.
测量IHA截面面积和信号强度 (T2WIs),对白色和灰色物质信号进行规范化.
收集患者的人口统计和临床信息.

主要成果:

确定了2.13% (33/1550名患者) 的IHA患病率.
在92%的随访扫描中,IHA显示持久性.
正常化的IHA信号强度与灰质 (r=0.83,P<0.001) 有很强的相关性,但与白质 (r=-0.16,P=0.494) 没有很强的相关性.
常见的相关病理包括水头发症 (9),早产 (8),体异常 (7).
所有3型IHA (3/3) 都与下垂体病理有关.

结论:

在儿科队列中,IHA在2.13%的人群中存在,并且在很大程度上是持久的.
在MRI上,IHA信号强度反映了灰色物质的信号强度.
3型IHA仅与垂体异常有关,突出显示了它们的临床意义.

关键词:

灰色物质是一种灰色物质.间海马体粘附之间的粘附.儿科神经影像学儿科神经影像学流行程度流行程度

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