Differences between Spinocerebellar Ataxias and Multiple System Atrophy-Cerebellar Type on Proton Magnetic Resonance Spectroscopy 英文参考文献.docVIP
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Differences between Spinocerebellar Ataxias and Multiple System Atrophy-Cerebellar Type on Proton Magnetic Resonance Spectroscopy 英文参考文献
DifferencesbetweenSpinocerebellarAtaxiasand
MultipleSystemAtrophy-CerebellarTypeonProton
MagneticResonanceSpectroscopy
Jiing-FengLirng1,2*.,Po-ShanWang3,4.,Hung-ChiehChen1,5*,Bing-WenSoong3,6*,WanYuoGuo1,2
,
Hsiu-MeiWu1,2,Cheng-YenChang1,2
1National Yang-Ming University School of Medicine, Taipei, Taiwan, 2Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, 3Department of
Neurology,NationalYang-MingUniversitySchoolofMedicine,Taipei,Taiwan,4DepartmentofMedicine,MunicipalGandauHospital,Taipei,Taiwan,5Departmentof
Radiology,TaichungVeteransGeneralHospital,Taipei,Taiwan,6DepartmentofNeurology,TaipeiVeteransGeneralHospital,Taipei,Taiwan
Abstract
Purpose: A broad spectrum of diseases can manifest cerebellar ataxia. In this study, we investigated whether proton
magnetic resonance spectroscopy (MRS) may help differentiate spinocerebellar ataxias (SCA) from multiple systemic
atrophy-cerebellartype(MSA-C).
Material and Methods: This prospective study recruited 156 patients with ataxia, including spinocerebellar ataxia (SCA)
types 1, 2, 3, 6 and 17 (N=94) and MSA-C (N=62), and 44 healthy controls. Single voxel proton MRS in the cerebellar
hemispheresandvermisweremeasured.Thedifferenceswereevaluatedusingnonparametricstatistictests.
Results: When compared with healthy controls, the cerebellar and vermis NAA/Cr and NAA/Cho were lower in all
patients(p,0.002).TheCho/CrwaslowerinSCA2andMSA-C(p,0.0005).TheNAA/CrandCho/CrwerelowerinMSA-Cor
SCA2comparingwithSCA3orSCA6.TheMRSfeaturesofSCA1wereinbetween(p,0.018).ThecerebellarNAA/Chowas
lowerinSCA2thanSCA1,SCA3orSCA6(p,0.04).ThecerebellarNAA/ChoinMSA-CwaslowerthanSCA3(p,0.0005).Inthe
early stages of diseases (SARA score,10), significant lower NAA/Cr and NAA/Cho in SCA2, SCA3, SCA6 or MSA-C were
observedcomparingwithhealthycontrols(p,0.017).TheCho/CrwaslowerinMSA-CorSCA2(p,0.0005).Patientswith
MSA-CandSCA2hadlowerNAA/CrandCho/CrthanSCA3orSCA6(p,0.016).
Conclusion:ByusingMRS,significantlylowerNAA/Cr,Cho/CrandNAA/Ch
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