Document Detail


Evaluation of extraocular muscles using dynamic contrast enhanced MRI in patients with chronic thyroid orbitopathy.
MedLine Citation:
PMID:  15665696     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of the current study is to investigate the underlying pathophysiological changes of extraocular muscle (EOM) in Graves orbitopathy using dynamic contrast MR imaging and to correlate these MR functional changes with the anatomic abnormalities. METHODS: EOMs of 16 patients with Graves disease and 12 normal volunteers were examined by dynamic enhanced MRI. We quantified the peak enhancement ratio of EOMs and calculated the ratio versus temporalis muscle and the ratio of maximum upslope versus temporalis muscle. We compared the ratios between normal volunteers and patient groups. RESULTS: Mean of peak enhancement ratio values for the EOMs in patients with Graves disease tends to decrease according to the severity of the anatomic and clinical changes. The mean maximum upslope also decreased according to the severity of the disease for EOMs. CONCLUSION: Hemodynamic information obtained by dynamic contrast enhanced MRI is useful in evaluating the clinical course of thyroid orbitopathy.
Authors:
Toshiaki Taoka; Masahiko Sakamoto; Hiroyuki Nakagawa; Akio Fukusumi; Satoru Iwasaki; Keiko Taoka; Kimihiko Kichikawa
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of computer assisted tomography     Volume:  29     ISSN:  0363-8715     ISO Abbreviation:  J Comput Assist Tomogr     Publication Date:    2005 Jan-Feb
Date Detail:
Created Date:  2005-01-24     Completed Date:  2005-03-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7703942     Medline TA:  J Comput Assist Tomogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  115-20     Citation Subset:  IM    
Affiliation:
Department of Radiology, Nara Medical University, Nara, Japan. ttoaka@naramed-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Analysis of Variance
Contrast Media*
Exophthalmos / physiopathology
Gadolinium DTPA / diagnostic use
Graves Disease / physiopathology*
Humans
Hypertrophy
Image Enhancement / methods*
Magnetic Resonance Imaging / methods*
Middle Aged
Oculomotor Muscles / physiopathology*
Sensitivity and Specificity
Temporal Muscle / physiopathology
Thyrotropin / blood
Thyroxine / blood
Time Factors
Chemical
Reg. No./Substance:
0/Contrast Media; 7488-70-2/Thyroxine; 80529-93-7/Gadolinium DTPA; 9002-71-5/Thyrotropin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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