Quantitative susceptibility mapping in patients with systemic lupus erythematosus: detection of abnormalities in normal-appearing basal ganglia.

Objectives: To evaluate whether quantitative susceptibility mapping (QSM) can be employed to detect abnormalities within normal-appearing basal ganglia on conventional MRI in patients with neuropsychiatric systemic lupus erythematosus (NPSLE).Methods: For 33 SLE patients (13 NPSLE and 20 non-NPSLE p...

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Publicado en:European Radiology Vol. 26; no. 4; pp. 1056 - 1064
Autores principales: Ogasawara, Atsushi, Kakeda, Shingo, Watanabe, Keita, Ide, Satoru, Ueda, Issei, Murakami, Yu, Moriya, Junji, Futatsuya, Koichiro, Sato, Toru, Nakayamada, Shingo, Saito, Kazuyoshi, Tanaka, Yoshiya, Liu, Tian, Wang, Yi, Korogi, Yukunori
Formato: Journal Article
Publicado: Springer Nature Apr2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2016
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00330-015-3929-3
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        atl: Quantitative susceptibility mapping in patients with systemic lupus erythematosus: detection of abnormalities in normal-appearing basal ganglia.
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          Ogasawara, Atsushi
          Kakeda, Shingo
          Watanabe, Keita
          Ide, Satoru
          Ueda, Issei
          Murakami, Yu
          Moriya, Junji
          Futatsuya, Koichiro
          Sato, Toru
          Nakayamada, Shingo
          Saito, Kazuyoshi
          Tanaka, Yoshiya
          Liu, Tian
          Wang, Yi
          Korogi, Yukunori
        affil: Department of Radiology, University of Occupational and Environmental Health, School of Medicine, 1-1 Iseigaoka, Yahatanishi-ku Kitakyushu 807-8555 Japan
      sug:
        subj:
          Brain Mapping Methods
          Lupus Erythematosus, Systemic Pathology
          Basal Ganglia Pathology
          Magnetic Resonance Imaging Methods
          Observer Bias
          Reproducibility of Results
          Female
          Retrospective Design
          Male
          Adult
          Adult: 19-44 years
          Female
          Male
      ab: Objectives: To evaluate whether quantitative susceptibility mapping (QSM) can be employed to detect abnormalities within normal-appearing basal ganglia on conventional MRI in patients with neuropsychiatric systemic lupus erythematosus (NPSLE).Methods: For 33 SLE patients (13 NPSLE and 20 non-NPSLE patients) and 23 age/sex-matched controls, two radiologists independently measured the mean QSM and R2* values in various brain structures that appeared to be normal on conventional MR images. These values in each brain structure were compared among the two SLE groups and controls.Results: Regarding the putamen, the NPSLE patients showed significantly higher QSM values than the non-NPSLE patients and controls (p < 0.05). For the lateral globus pallidus, both SLE groups showed significantly higher QSM values than the controls (p < 0.05). The R2* values were not significantly different between both SLE groups. The NPSLE patients showed a significant correlation between the mean QSM values in putamen and the disease duration (r = 0.63, p < 0.05). For the interobserver agreement, the QSM value was superior to the R2* value (0.690 vs. 0.446, Kendall W value).Conclusions: QSM can be used to identify increased susceptibility of the basal ganglia appearing to be normal on conventional MR images in NPSLE patients.Key Points: • QSM values in the putamen are significantly higher in NPSLE than non-NPSLE. • NPSLE patients show correlation between QSM values in the putamen and disease duration. • QSM is more sensitive than R2* mapping for detecting subtle changes.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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