Chinese Medical Sciences Journal ›› 2018, Vol. 33 ›› Issue (2): 130-134.doi: 10.24920/31809

• • 上一篇    

对比增强T2-FLAIR早期诊断复发性视神经炎一例报告

李丽慧1,黄厚斌2,*(),陈志晔1,3,*()   

  1. 1.中国人民解放军总医院海南分院放射科,海南三亚 572013,中国
    2.中国人民解放军总医院海南分院眼科,海南三亚 572013, 中国
    3.中国人民解放军总医院放射科,北京 100853, 中国
  • 收稿日期:2018-03-18 出版日期:2018-06-20 发布日期:2019-08-19
  • 通讯作者: 黄厚斌,陈志晔 E-mail:536273642@qq.com;yyqf@hotmail.com

Early Diagnosis of Recurrent Optic Neuritis Using Contrast-Enhanced T2 Fluid-attenuated Inversion Recovery Imaging: a Case Report

Li Lihui1,Huang Houbin2,*(),Chen Zhiye1,3,*()   

  1. 1 Department of Radiology,Hainan Branch of Chinese PLA General Hospital, Sanya, Hainan 572013, China
    2 Department of Ophthalmology,Hainan Branch of Chinese PLA General Hospital, Sanya, Hainan 572013, China
    3 Department of Radiology, Chinese PLA General Hospital,Beijing, 100853, China
  • Received:2018-03-18 Online:2018-06-20 Published:2019-08-19
  • Contact: Huang Houbin,Chen Zhiye E-mail:536273642@qq.com;yyqf@hotmail.com

摘要:

复发性视神经炎通常采用临床诊断,有时具有一定的挑战性。传统的磁共振对比增强T1加权成像(CE-T1WI)常常不能显示受累视神经有无强化,从而难以判断是否存在视神经炎复发。本文报道了一例采用对比增强T2液体衰减翻转恢复成像(CE-T2FLAIR)早期诊断复发性视神经炎的中年女性病例。受累视神经在CE-T2FLAIR上显著强化,而在CE-T1WI上无明显强化。本病例提示,对复发性视神经炎,CE-T2FLAIR可能成为一种特异性的影像诊断技术。

关键词: T2液体衰减恢复成像, 视神经炎, 磁共振成像

Abstract:

The diagnosis of the recurrent optic neuritis is commonly established clinically, and sometimes it could be challenging because the involved optic nerve does not always show significant enhancement on conventional contrast enhanced-T1 weighted imaging (CE-T1WI). In this paper, we reported a middle-aged female with early diagnosis of recurrent optic neuritis using contrast-enhanced T2 fluid-attenuated inversion recovery imaging (CE-T2FLAIR). The involved optic nerve presented evident enhancement on CE-T2FLAIR and no enhancement on CE-T1WI. This case suggested that the CE-T2FLAIR may be a useful diagnostic tool specifically for the recurrent optic neuritis in clinical practice.

Key words: T2 fluid-attenuated inversion recovery imaging, magnetic resonance imaging, optic neuritis

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