小儿髓鞘少突胶质细胞糖蛋白抗体相关疾病的放射学特征--诊断标准和病变动态。

IF 2.1 3区 医学 Q2 PEDIATRICS Pediatric Radiology Pub Date : 2024-09-07 DOI:10.1007/s00247-024-06023-2
Li-Tal Pratt, Hadas Meirson, Mika Shapira Rootman, Liat Ben-Sira, Shelly I Shiran
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引用次数: 0

摘要

在过去几年中,获得性小儿脱髓鞘综合征的范围不断扩大,除了小儿多发性硬化症(POMS)和水光素 4gG 血清阳性神经脊髓炎视网膜频谱障碍(AQP4+NMOSD)之外,还包括髓鞘少突胶质细胞糖蛋白抗体相关疾病(MOGAD),这是一种独特的神经免疫实体。2023 年的 MOGAD 诊断标准要求对髓鞘少突胶质细胞糖蛋白 IgG 滴度低阳性或无法获得滴度的患者提供临床或磁共振成像(MRI)特征支持,这凸显了成像在 MOGAD 中的诊断作用。在本综述中,我们总结了 MOGAD 的主要诊断特征,并与 POMS 和 AQP4+NMOSD 进行了比较。我们描述了病变在发作期间和随着时间推移的动态变化。最后,我们提出了在临床实践中进行影像学检查的时机指南。
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Radiological features in pediatric myelin oligodendrocyte glycoprotein antibody-associated disease-diagnostic criteria and lesion dynamics.

The spectrum of acquired pediatric demyelinating syndromes has been expanding over the past few years, to include myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD), as a distinct neuroimmune entity, in addition to pediatric-onset multiple sclerosis (POMS) and aquaporin 4-IgG-seropositive neuromyelitis optica spectrum disorder (AQP4+NMOSD). The 2023 MOGAD diagnostic criteria require supporting clinical or magnetic resonance imaging (MRI) features in patients with low positive myelin oligodendrocyte glycoprotein IgG titers or when the titers are not available, highlighting the diagnostic role of imaging in MOGAD. In this review, we summarize the key diagnostic features in MOGAD, in comparison to POMS and AQP4+NMOSD. We describe the lesion dynamics both during attack and over time. Finally, we propose a guideline on timing of imaging in clinical practice.

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来源期刊
Pediatric Radiology
Pediatric Radiology 医学-核医学
CiteScore
4.40
自引率
17.40%
发文量
300
审稿时长
3-6 weeks
期刊介绍: Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.
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