T基底节高信号鉴别.pptxVIP

T1WI基底节区高信号病灶的MRI鉴别诊断;T1WI高信号见于以下情况：脂质沉积、钙化、高蛋白物质、皮质层状坏死、肿瘤病变以及顺磁性物质 如高铁血红蛋白、黑色素、锰、铜沉积。 总结基底节区T1WI高信号病变。;顺磁物质-正铁血红蛋白;Fig. 1.-65-year-old man with hypertensive left basal ganglion hemorrhage and classic changes of subacute hemorrhage. Hematoma consists of lysed clot and free methemoglobin surrounded by rim of hemosiderin-containing macrophages. ;出血性脑梗死;Fig. 3.-60岁，女，亚急性出血性脑梗死 A, Axial T1-weighted MR image reveals increased signal intensity in right basal ganglion. B, T2-weighted image, shows slightly higher signal intensity in right basal ganglion and temporal area. C, T1-weighted image after IV gadolinium administration shows ring and nodular enhancement in right basal ganglion and leptomeningeal enhancement in righttemporal area.;锰沉积-静脉营养;Fig. 2. 58岁，女，静脉内营??3 年。 A, T1WI双侧苍白球对称高信号。 B, T2WI及CT相应区域信号未见明显异常。;铜沉积-肝豆状核变性;乙型脑炎（日本脑炎）;Fig.4，27岁，乙型脑炎. A,T1WI，双侧丘脑、纹状体高信号，提示亚急性出血。 B, T2WI信号稍高. C, 冠状位 T1WI，双侧丘脑、纹状体、中脑、右侧海马高信号.; 钙化;Fig. 5. 52岁，甲状旁腺功能减退症. A及 B, CT，双侧基底节、皮层下白质及齿状核广泛对称高密度病灶. C, T1WI，双侧基底节高信号. D, T2WI纹状体低信号，双侧丘脑信号未见明显异常 。;缺血缺氧性脑病（ HIE）;;Fig.7-59岁，男，缺血缺氧性脑病发作后1月。. A and B, T1WI，双侧基底节、皮层高信号. C, Proton density-weighted image (TR/TE, 2500/30), shows increased signal intensity of basal ganglia and no obvious signal alteration in cerebral cortex.;非酮症性高血糖;;;Fig. 9-60-year-old man with diabetic hyperglycemia高血糖症with abrupt onset of involuntary movements involving right limbs. A, T1WI，左侧壳核高信号. B, T2WI，信号未见异常.;获得性肝性脑部变性;普遍认为是多种因素联合作用的结果。其中最有说服力的有锰中毒学说,氨中毒学说,假性神经递质学说和氨基丁酸学说。;Fig. 8-40-year-old man with chronic hepatic failure. A, Axial T1-weighted MR image reveals increased signal intensity in globus pallidus. B, T2WI，未见异常信号.;Summary