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Improved Turnaround Times | Median time to first decision: 12 days

OtherBrain

Neuro-Behcet’s Disease: Diffusion MR Imaging and Proton MR Spectroscopy

R. Nuri Sener
American Journal of Neuroradiology September 2003, 24 (8) 1612-1614;
R. Nuri Sener
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    Fig 1.

    Images obtained during the acute stage.

    A, Fluid-attenuated inversion recovery image reveals a left-sided hyperintense lesion in the pons.

    B, T1-weighted image reveals a focal high signal intensity change, suggesting hemorrhage or presence of myelin breakdown products.

    C, Contrast-enhanced T1-weighted image shows enhancement in the corresponding region.

    D, Diffusion-weighted (b = 1000 s/mm2) image reveals high signal intensity in the lesion, suggesting restricted diffusion (see E).

    E, ADC map (same section as that shown in D) reveals high signal intensity and a high ADC value (1.22 × 10−3 mm2/s), compared with the normal side of the pons (0.86 × 10−3 mm2/s) and compared with the temporal white matter (0.80 × 10−3 mm2/s). This is consistent with presence of increased diffusion, hence vasogenic edema.

    F, Proton MR spectroscopy (1500/40) reveals that there is no lactic acid peak, excluding acute infarct. Major peaks are normal.

  • Fig 2.
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    Fig 2.

    Images obtained at the 16-month follow-up examination.

    A, T2-weighted image reveals a small remaining focus of gliosis.

    B, Diffusion-weighted (b = 1000 s/mm2) image is normal appearing.

    C, ADC map (same section as that shown in B) reveals high signal intensity and a high ADC value (1.20 × 10−3 mm2/s), consistent with tissue disintegration due to gliosis.

  • Fig 3.
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    Fig 3.

    Fluid-attenuated inversion recovery image obtained at the 2-year follow-up examination reveals focal high signal intensity secondary to presumed gliosis.

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American Journal of Neuroradiology: 24 (8)
American Journal of Neuroradiology
Vol. 24, Issue 8
1 Sep 2003
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Neuro-Behcet’s Disease: Diffusion MR Imaging and Proton MR Spectroscopy
R. Nuri Sener
American Journal of Neuroradiology Sep 2003, 24 (8) 1612-1614;
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R. Nuri Sener
Neuro-Behcet’s Disease: Diffusion MR Imaging and Proton MR Spectroscopy
American Journal of Neuroradiology Sep 2003, 24 (8) 1612-1614;

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