Neurocysticercosis: unwinding the radiological conundrum.

Polish journal of radiology Pub Date : 2024-11-28 eCollection Date: 2024-01-01 DOI:10.5114/pjr/193968
Sharath Kumar Goddu Govindappa, Megharanjini Patil, Chaitra Parameshwara Adiga, Sujit Kumar, Lakshmikanth N Goolahally, Savith Kumar, Thomas Mathew
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Abstract

Purpose: To study the distinct imaging characteristics of parenchymal neurocysticercosis (NCC) that aid in distinguishing it from other diseases.

Material and methods: Two hundred fifty patients with NCC were selected based on identification of the scolex. T2 weighted, T1 fluid attenuated inversion recovery (FLAIR), T2 FLAIR, susceptibility weighted imaging, constructive interference in steady state, diffusion weighted imaging, and T1 weighted contrast sequences were performed. The imaging characteristics of the cysts at various stages were analyzed.

Results: This study presents previously undocumented imaging findings of NCC, establishing absolute, major, and minor criteria for its diagnosis based on magnetic resonance imaging features.

Conclusions: Utilizing imaging criteria for diagnosing NCC, as per the study's sequences, can effectively narrow down differential diagnoses and lead to accurate identification.

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神经囊虫病:解开放射学难题。
目的:探讨实质性神经囊虫病(NCC)独特的影像学特征,有助于与其他疾病鉴别。材料和方法:根据头节的鉴定选择250例NCC患者。进行T2加权、T1流体衰减反演恢复(FLAIR)、T2 FLAIR、磁化率加权成像、稳态构造干涉、扩散加权成像和T1加权对比序列。分析囊肿各阶段的影像学特征。结果:本研究提出了以前未记载的NCC的影像学表现,建立了基于磁共振成像特征的绝对、主要和次要诊断标准。结论:根据本研究的序列,利用影像学标准诊断NCC,可有效缩小鉴别诊断范围,准确识别。
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