Vol.64

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12
• Supplement

Vol.63

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12
• Supplement

Vol.62

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12
• Supplement

Vol.61

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12
• Supplement

Vol.60

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12
• Supplement

Vol.59

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12
• Supplement

Vol.58

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12
• Supplement

Vol.57

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12
• Supplement

Vol.56

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12
• Supplement

Vol.55

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12
• Supplement

Vol.54

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12
• Supplement

Vol.53

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12

Vol.52

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12

Vol.51

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12

Vol.50

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12

Vol.49

• No.1
• No.2/3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12

Vol.48

• No.1
• No.2
• No.3
• No.4
• No.5
• No.6
• No.7
• No.8
• No.9
• No.10
• No.11
• No.12

• Vol.47 to 1
  (Members Only)

• HOME
• Vol.51 No.11
• CLINICA NEUROL, 51: 951−954, 2011
• Vol.51 No.11 contents

Symposium 10

Researches for diagnostic neuroradiology focusing on signals and shapes

Shoichi Ito, M.D., Ph.D.

Office of Medical Education, School of Medicine, Chiba University
Department of Neurology, Chiba University Hospital

MRI is one of essential tools for neurological diagnosis and useful for assessing contrast differences between lesions and normal tissues and for assessing morphological features of lesions. Here, I introduce published neuroradiological researches conducted in my hospital, especially focusing on features of "signals" and "shapes" of lesions. First, as regards "signals", putaminal T₁-hyperintensity is helpful for diagnosing multiple system atrophy, and it is more useful for discriminating multiple system atrophy from Parkinson disease and progressive supranuclear palsy than putaminal T₂-hyperintensity rim or putaminal T₂-hypointensity. Linear T₂-hyperintensity along the medial margin of the globus pallidus is helpful for diagnosis Machado-Joseph disease. Second, as regards "shapes", posterolateral putaminal linearization is a useful finding indicating putaminal atrophy which is a main feature of multiple system atrophy. Flattened facial colliculus fourth ventricular floor is helpful for differentiating Machado-Joseph disease from dentatorublopallidoluysian atrophy and SCA6. A contrast enhancement pattern called "cloudlike enhancement" is specific for neuromyelitis optica comparing with multiple sclerosis. In conclusion, all of these MRI features are easy to recognize and useful for diagnosing patients in daily clinical settings. Careful but simple observation of lesions focusing on "signals" or "shapes" may lead to develop new MRI findings which improve our diagnostic abilities.
Full Text of this Article in Japanese PDF (475K)

(CLINICA NEUROL, 51: 951−954, 2011)
key words: Radiological diagnosis, MRI, multiple sclerosis, Machado-Joseph disease, neuromyelitis optica

(Received: 19-May-11)