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Clinical Usefulness of Magnetic Resonance Imaging in Multiple System Atrophy
JNNP 65:65-71, Schrag,A.,et al, 1998
See this aricle in Pubmed
Article Abstract
On both 0.5 and 1.5 T scans the following items had high specificity but low sensitivity:putaminal atrophy,a hyperintense putaminal rim,and infratentorial signal change.Finding any infratentorial abnormality gave higher sensitivity but lower specificity.Putaminal isointensity or hypointensity relative to globus pallidus,absolute putaminal hypointensity,and altered size of the olives were not useful discriminators.The overall sensitivity was 73%on 0.5 T and 88%on 1.5 T scans.The specificities of these findings for multiple system atrophy in comparison to idiopathic Parkinson's disease and controls on 0.5 T were 95%and 100%respectively,and on 1.5 T were 93%and 91%respectively.Finding any of the described abnormalities on MRI gave a positive predictive value of 93#on the 0.5 T machine,and 85%on the 1.5 T scanner.
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MRI
MRI,abnormal
multiple system atrophy
neurologic disease,diagnoses of
Parkinson disease
putamen,lesion of
spinocerebellar ataxia type 1
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