[Imaging of acute brain inflammatory disease].
The central nervous system inflammatory disease can be due to any kind of infective agent (bacterial viral, fungal and parasitic), but entails also multiple sclerosis, a primary demyelinating disease in which the causal agent is unknown. MR imaging is, in most often, the procedure of choice, due to her multiplanar and multiparametric imaging, and to her better contrast resolution. The post-contrast imaging with double dose of gadolinium and late sequences enable visualisation of smallest pathologic foci or slightest blood-brain barrier alterations, with a sensibility very higher than post-contrast CT scan. In addition, RM provide to many functional informations, by means of diffusion, perfusion and spectroscopy studies, Bold technique for cortical activation studies and Fiber Tracking technique, in order to demonstrate pathologic modification earlier than they are evident on morphologic imaging. Functional imaging is also employed to monitor response to treatment and damage reversibility.
Radiologia DEA, RM I Clinica Medica, Policlinico Umberto I, Università La Sapienza, Roma, Italia.
G F
GF
Gualdi
C
C
Di Biasi
E
E
Polettini
A
A
Melone
M
M
Rojas Beccaglia
S
S
Caprasecca
D
D
D'Amico
D000208:Acute Disease; D001424:Bacterial Infections / Q000175:diagnosis; D001921:Brain / Q000382:microbiology / Q000469:parasitology / Q000473:pathology* / Q000821:virology; D001922:Brain Abscess / Q000175:diagnosis; D003287:Contrast Media; D013354:Empyema, Subdural / Q000175:diagnosis; D004660:Encephalitis / Q000175:diagnosis* / Q000382:microbiology / Q000469:parasitology / Q000473:pathology / Q000821:virology; D020803:Encephalitis, Herpes Simplex / Q000175:diagnosis; D018792:Encephalitis, Viral / Q000175:diagnosis; D004673:Encephalomyelitis, Acute Disseminated / Q000175:diagnosis; D005682:Gadolinium; D015658:HIV Infections / Q000150:complications; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D009682:Magnetic Resonance Spectroscopy; D008581:Meningitis / Q000175:diagnosis; D009103:Multiple Sclerosis / Q000175:diagnosis*; D009181:Mycoses / Q000175:diagnosis; D020306:Tuberculosis, Central Nervous System / Q000175:diagnosis
D003287:Contrast Media; D005682:Gadolinium