PROTON SPECTROSCOPY IN HIV-INFECTION - RELAXATION-TIMES OF CEREBRAL METABOLITES

被引:33
作者
WILKINSON, ID
PALEY, M
CHONG, WK
SWEENEY, BJ
SHEPHERD, JK
KENDALL, BE
HALLCRAGGS, MA
HARRISON, MJG
机构
[1] Department of Medical Physics and Bioengineering, University College, Middlexes School of Medicine, London
[2] Department of Radiology, University College, Middlesex School of Medicine, London
[3] Reta Lila Weston Institute of Neurology, University College, Middlesex School of Medicine, London
关键词
MAGNETIC RESONANCE (MR); SPECTROSCOPY; ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS); HUMAN IMMUNODEFICIENCY VIRUS (HIV); T-1; T-2;
D O I
10.1016/0730-725X(94)92036-2
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
In vivo proton spectroscopy has demonstrated abnormalities in the cerebral metabolite ratios from subjects with acquired immunodeficiency syndrome (AIDS). Some of the sequences employed are subject to T-1 or T-2 weighting, which may affect spectroscopic interpretation. The relaxation times of choline (Cho), creatine (Cr), and N-acetyl (NA) resonances have been estimated at 1.5 T in 21 patients infected with the human immunodeficiency virus (HIV) and 8 controls using gradient localised, spin-echo spectroscopic sequences of varying echo and repetition times. A statistically significant increase in the T-2 of NA was found in the HIV seropositive patients who had diffuse abnormalities on MR imaging consistent with HIV encephalopathy (493 +/- 199 ms) when compared to controls (292 +/- 118 ms; p <.05). No other statistically significant differences were found in the relaxation times between patients and control subjects. These results demonstrate that signals from the NA resonance obtained using long echo time sequences in subjects who are HIV seropositive are not solely indicative of metabolite concentration.
引用
收藏
页码:951 / 957
页数:7
相关论文
共 18 条
[1]  
Harrison, McAllister, Neurologic complications of HIV infection, Kass Handbook of Infectious Diseases, pp. 343-360, (1991)
[2]  
Gabuzda, Ho, de la Mente, Et al., Immunohistochemical identification of HTLV-III antigen in brains of patients with AIDS, Ann. Neurol., 20, pp. 289-296, (1986)
[3]  
Budka, Neuropathology of human immunodeficiency virus infection, Brain Pathol., 1, pp. 163-175, (1991)
[4]  
Everall, Luthbert, Lantos, Neuronal loss in the frontal cortex in HIV infection, Lancet, 337, pp. 1119-1121, (1991)
[5]  
Menon, Baudouin, Tomlinson, Hoyle, Proton MR spectroscopy and imaging of the brain in AIDS: Evidence of neuronal loss in regions that appear normal with imaging, J. Comput. Assist. Tomogr., 14, pp. 882-885, (1990)
[6]  
Menon, Ainsworth, Cox, Et al., Proton spectroscopy of the brain in AIDS dementia complex, J. Comput. Assist. Tomogr., 16, pp. 538-542, (1992)
[7]  
Chong, Paley, Wilkinson, Hall-Craggs, Sweeney, Grant, Miller, Kendall, Cerebral 1H-MRS in HIV infection and AIDS, Book of abstracts: Eleventh Annual Meeting of the Society of Magnetic Resonance in Medicine, (1992)
[8]  
Jarvik, Lenkinski, Grossman, Gomori, Schnall, Frank, Proton MR spectroscopy in HIV-infected patients: Characterisation of abnormalities with imaging and clinical correlation, Radiology, 186, pp. 739-744, (1993)
[9]  
Chong, Sweeney, Wilkinson, Paley, Hall-Craggs, Kendall, Shepherd, Beecham, Miller, Weller, Newman, Harrison, Proton spectroscopy of the brain in HIV infection: Correlation with clinical, immunologic and MR imaging findings, Radiology, 188, pp. 119-124, (1993)
[10]  
Meyerhoff, MacKay, Bachman, Poole, Dillon, Weiner, Fein, Reduced brain N-acetylaspartate suggests neuronal loss in cognitively impaired human immunodeficiency virus-seropositive individuals: In vivo H magnetic resonance spectroscopic imaging, Neurology, 43, pp. 509-515, (1993)