Clinical Utility of Diffusion-weighted Whole-body Magnetic Resonance Imaging with Background Body Signal Suppression for Assessing and Monitoring IgG4-related Disease.
Intern Med
; 59(7): 951-955, 2020 Apr 01.
Article
em En
| MEDLINE
| ID: mdl-31787698
ABSTRACT
A 77-year-old man with symptoms of chest pain was diagnosed with immunoglobulin G4 (IgG4)-related disease. Fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) revealed an intense uptake in the submandibular gland, lymph nodes and abdominal aortic wall. Diffusion-weighted imaging with background body signal suppression (DWIBS) revealed signal enhancements at the same location as those of the FDG-PET/CT findings. The DWIBS signal intensity decreased after steroid treatment, so we decreased the steroid dosage. Relapse did not occur. DWIBS makes it possible to adjust the medicine dosage while confirming the therapeutic effects and will likely be a useful method for monitoring IgG4-related disease.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Prednisolona
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Imageamento por Ressonância Magnética
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Imagem Corporal Total
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Imagem Multimodal
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Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada
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Doença Relacionada a Imunoglobulina G4
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Anti-Inflamatórios
Limite:
Aged
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Humans
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Male
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article