Abstract:
:Abnormalities at cerebral proton spectroscopy occur in patients with the acquired immunodeficiency syndrome (AIDS). N-acetyl aspartate (NAA) is believed to be a neuronal marker, and neuronal loss is thought to underlie the human immunodeficiency virus (HIV)-associated cognitive/motor complex. The proton spectra in 103 HIV-seropositive patients and 23 control subjects were compared and correlated with clinical, immunologic, and radiologic measures of HIV infection. Significant (P < .05) reductions in the mean NAA/choline (Cho) and NAA/creatine (Cr) ratios were seen in patients with immune suppression and neurologic signs. Significant increases in the Cho/Cr ratios were seen in patients with low CD4 lymphocyte counts and abnormal magnetic resonance (MR) images. Reduced NAA ratios correlated with diffuse but not focal MR imaging abnormalities. Combined MR imaging and spectroscopy provides closer relationships to clinical and immunologic measures of disease than either modality alone. Spectroscopy is an adjunct to MR imaging and augments the value of an MR imaging study.
journal_name
Radiologyjournal_title
Radiologyauthors
Chong WK,Sweeney B,Wilkinson ID,Paley M,Hall-Craggs MA,Kendall BE,Shepard JK,Beecham M,Miller RF,Weller IVdoi
10.1148/radiology.188.1.8099750subject
Has Abstract,Author List Incompletepub_date
1993-07-01 00:00:00pages
119-24issue
1eissn
0033-8419issn
1527-1315journal_volume
188pub_type
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