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轻度认知障碍和常态老人1H-MRS的对照研究

The Study of Proton Magnetic Resonance Spectroscopy in Mild Cognitive Impairment and Normal Old People
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摘要 目的 探讨轻度认知障碍海马区域氢质子磁共振波谱的特点,明确其对轻度认知障碍的诊断价值.方法 对15例轻度认知障碍患者(轻度认知障碍组)和15例正常老年人(正常对照组)的海马区域行氢质子磁共振波谱成像,采用配套软件对图像处理,分析后得到N-乙酰天门冬氨酸/肌酸、胆碱/肌酸、肌醇/肌酸的值,并进行比较.结果 与正常对照组相比,轻度认知障碍组的N-乙酰天门冬氨酸/肌酸水平显著降低(P〈0.05),而肌醇/肌酸水平增高(P〈0.05),轻度认知障碍组和正常对照组的胆碱/肌酸水平无显著差异(P〉0.05).结论 氢质子磁共振波谱能敏感地监测脑内代谢产物的变化,可对轻度认知障碍做出较早及较准确的诊断,是轻度认知障碍诊断的重要方法. Objective To evaluate the characteristic of the proton magnetic resonance spectroscopy(IH-MRS) at hippocampus in mild cognitive impairment(MCI) and normal ohl people,and identify the value of I H-MRS for diagnosing the MC1. Methods Fifteen MCI patients( MCI group) and fifteen normal oh] people( NC group) were scanned by 1 H-MRS techniques at hippocampal. Then, I H-MRS images of the two groups were processed and analyzed with the software equipped. The numbers of NAA/Cr,Cho/Cr and ml/Cr were obtained and compared. Results The level of NAA/Cr of MCI group was lower but the ml/Cr was higher with significant difference( P 〈 0.05 ) comparing with the NC group. There was no significant change in Cho/Cr between the MCI and the NC group( P 〉 0.05 ). Conclusion 1 H-MRS can monitor the diversity of the brain metabolile suseeptively and make an earlier and preciser diagnosis for the MCI. So 1 H-MRS is an important method for diagnosing the MCI.
出处 《潍坊医学院学报》 2012年第1期8-10,共3页 Acta Academiae Medicinae Weifang
基金 国家自然科学基金资助课题(课题编号:81041117)
关键词 轻度认知障碍 氢质子磁共振波谱 海马 MCI 1 H-M RS Hippocampus
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