Uveitis MRI: Difference between revisions
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==Overview== | ==Overview== | ||
There are no diagnostic MRI findings associated with uveitis. The presence of certain MRI findings, in the presence of uveitis, may be suggestive of specific underlying causes such as [[sarcoidosis]], [[multiple sclerosis]], [[Behcet's disease]], [[syphilis]], and joint abnormalities in [[seronegative spondyloarthropathies]]. | There are no diagnostic [[MRI]] findings associated with uveitis. The presence of certain [[MRI]] findings, in the presence of uveitis, may be suggestive of specific underlying causes such as [[sarcoidosis]], [[multiple sclerosis]], [[Behcet's disease]], [[syphilis]], and joint abnormalities in [[seronegative spondyloarthropathies]].<ref name="pmid14736648">{{cite journal| author=Smith JK, Matheus MG, Castillo M| title=Imaging manifestations of neurosarcoidosis. | journal=AJR Am J Roentgenol | year= 2004 | volume= 182 | issue= 2 | pages= 289-95 | pmid=14736648 | doi=10.2214/ajr.182.2.1820289 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14736648 }} </ref><ref name="pmid20019103">{{cite journal| author=Lövblad KO, Anzalone N, Dörfler A, Essig M, Hurwitz B, Kappos L et al.| title=MR imaging in multiple sclerosis: review and recommendations for current practice. | journal=AJNR Am J Neuroradiol | year= 2010 | volume= 31 | issue= 6 | pages= 983-9 | pmid=20019103 | doi=10.3174/ajnr.A1906 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20019103 }} </ref><ref name="pmid21257930">{{cite journal| author=Hegde AN, Mohan S, Lath N, Lim CC| title=Differential diagnosis for bilateral abnormalities of the basal ganglia and thalamus. | journal=Radiographics | year= 2011 | volume= 31 | issue= 1 | pages= 5-30 | pmid=21257930 | doi=10.1148/rg.311105041 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21257930 }} </ref><ref name="pmid22330117">{{cite journal| author=Pandey S| title=Magnetic resonance imaging of the spinal cord in a man with tabes dorsalis. | journal=J Spinal Cord Med | year= 2011 | volume= 34 | issue= 6 | pages= 609-11 | pmid=22330117 | doi=10.1179/2045772311Y.0000000041 | pmc=3237288 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22330117 }} </ref><ref name="pmid18641245">{{cite journal| author=Jacobson JA, Girish G, Jiang Y, Resnick D| title=Radiographic evaluation of arthritis: inflammatory conditions. | journal=Radiology | year= 2008 | volume= 248 | issue= 2 | pages= 378-89 | pmid=18641245 | doi=10.1148/radiol.2482062110 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18641245 }} </ref> | ||
== MRI == | == MRI == | ||
There are no diagnostic MRI findings associated with uveitis. The presence of certain MRI findings, in the presence of uveitis, may be suggestive of specific underlying causes such as: | There are no diagnostic MRI findings associated with uveitis. The presence of certain MRI findings, in the presence of uveitis, may be suggestive of specific underlying causes such as: | ||
===Sarcoidosis=== | ===Sarcoidosis=== | ||
The following MRI findings are suggestive of neurosarcoidosis: | The following MRI findings are suggestive of neurosarcoidosis:<ref name="pmid14736648">{{cite journal| author=Smith JK, Matheus MG, Castillo M| title=Imaging manifestations of neurosarcoidosis. | journal=AJR Am J Roentgenol | year= 2004 | volume= 182 | issue= 2 | pages= 289-95 | pmid=14736648 | doi=10.2214/ajr.182.2.1820289 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14736648 }} </ref> | ||
*Hypointense lesions adjacent to grey matter | *Hypointense lesions adjacent to [[grey matter]] | ||
*Homogeneous enhancement and meningeal thickening (in meningeal involvement) | *Homogeneous enhancement and meningeal thickening (in meningeal involvement) | ||
===Multiple Sclerosis=== | ===Multiple Sclerosis=== | ||
The following MRI findings are suggestive of [[multiple sclerosis]]: | The following [[MRI]] findings are suggestive of [[multiple sclerosis]]:<ref name="pmid20019103">{{cite journal| author=Lövblad KO, Anzalone N, Dörfler A, Essig M, Hurwitz B, Kappos L et al.| title=MR imaging in multiple sclerosis: review and recommendations for current practice. | journal=AJNR Am J Neuroradiol | year= 2010 | volume= 31 | issue= 6 | pages= 983-9 | pmid=20019103 | doi=10.3174/ajnr.A1906 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20019103 }} </ref> | ||
*Hypointense periventricular, juxtacortical, or infratentorial lesions on T1 imaging | *Hypointense periventricular, juxtacortical, or infratentorial lesions on T1 imaging | ||
*Hyperintense periventricular, juxtacortical, or infratentorial lesions on T2 imaging | *Hyperintense periventricular, juxtacortical, or infratentorial lesions on T2 imaging | ||
===Behcet's Disease=== | ===Behcet's Disease=== | ||
The following MRI findings are suggestive of neurological manifestations of [[Behcet's disease]]: | The following MRI findings are suggestive of neurological manifestations of [[Behcet's disease]]:<ref name="pmid21257930">{{cite journal| author=Hegde AN, Mohan S, Lath N, Lim CC| title=Differential diagnosis for bilateral abnormalities of the basal ganglia and thalamus. | journal=Radiographics | year= 2011 | volume= 31 | issue= 1 | pages= 5-30 | pmid=21257930 | doi=10.1148/rg.311105041 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21257930 }} </ref> | ||
*Hypointense T1 lesions in the brainstem, basal ganglia, or thalamus | *Hypointense T1 lesions in the [[brainstem]], [[basal ganglia]], or [[thalamus]] | ||
*Hyperintense T2 lesions in the brainstem, basal ganglia, or thalamus | *Hyperintense T2 lesions in the [[brainstem]], [[basal ganglia]], or [[thalamus]] | ||
* | *Focal or multifocal lesions, cerebral vein thrombosis | ||
===Neurosyphilis=== | ===Neurosyphilis=== | ||
The following MRI findings are suggestive of neurological manifestations of [[syphilis]]: | The following MRI findings are suggestive of neurological manifestations of [[syphilis]]:<ref name="pmid22330117">{{cite journal| author=Pandey S| title=Magnetic resonance imaging of the spinal cord in a man with tabes dorsalis. | journal=J Spinal Cord Med | year= 2011 | volume= 34 | issue= 6 | pages= 609-11 | pmid=22330117 | doi=10.1179/2045772311Y.0000000041 | pmc=3237288 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22330117 }} </ref> | ||
*Longitudinal hypointense T2 weighted images in the dorsal column of the spinal cord in [[tabes dorsalis]] | *Longitudinal hypointense T2 weighted images in the dorsal column of the spinal cord in [[tabes dorsalis]] | ||
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== References == | == References == | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Ophthalmology]] | |||
[[Category:FinalQCRequired]] | |||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
Latest revision as of 00:37, 30 July 2020
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Uveitis Microchapters |
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Uveitis MRI On the Web |
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American Roentgen Ray Society Images of Uveitis MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]
Overview
There are no diagnostic MRI findings associated with uveitis. The presence of certain MRI findings, in the presence of uveitis, may be suggestive of specific underlying causes such as sarcoidosis, multiple sclerosis, Behcet's disease, syphilis, and joint abnormalities in seronegative spondyloarthropathies.[1][2][3][4][5]
MRI
There are no diagnostic MRI findings associated with uveitis. The presence of certain MRI findings, in the presence of uveitis, may be suggestive of specific underlying causes such as:
Sarcoidosis
The following MRI findings are suggestive of neurosarcoidosis:[1]
- Hypointense lesions adjacent to grey matter
- Homogeneous enhancement and meningeal thickening (in meningeal involvement)
Multiple Sclerosis
The following MRI findings are suggestive of multiple sclerosis:[2]
- Hypointense periventricular, juxtacortical, or infratentorial lesions on T1 imaging
- Hyperintense periventricular, juxtacortical, or infratentorial lesions on T2 imaging
Behcet's Disease
The following MRI findings are suggestive of neurological manifestations of Behcet's disease:[3]
- Hypointense T1 lesions in the brainstem, basal ganglia, or thalamus
- Hyperintense T2 lesions in the brainstem, basal ganglia, or thalamus
- Focal or multifocal lesions, cerebral vein thrombosis
Neurosyphilis
The following MRI findings are suggestive of neurological manifestations of syphilis:[4]
- Longitudinal hypointense T2 weighted images in the dorsal column of the spinal cord in tabes dorsalis
Seronegative Spondyloarthropathies
The following MRI findings are suggestive of joint abnormalities in seronegative spondyloarthropathies:[5]
- Synovial enhancement
- Hyperintense T2 signal
- Bone erosions and subchondral bone changes
References
- ↑ 1.0 1.1 Smith JK, Matheus MG, Castillo M (2004). "Imaging manifestations of neurosarcoidosis". AJR Am J Roentgenol. 182 (2): 289–95. doi:10.2214/ajr.182.2.1820289. PMID 14736648.
- ↑ 2.0 2.1 Lövblad KO, Anzalone N, Dörfler A, Essig M, Hurwitz B, Kappos L; et al. (2010). "MR imaging in multiple sclerosis: review and recommendations for current practice". AJNR Am J Neuroradiol. 31 (6): 983–9. doi:10.3174/ajnr.A1906. PMID 20019103.
- ↑ 3.0 3.1 Hegde AN, Mohan S, Lath N, Lim CC (2011). "Differential diagnosis for bilateral abnormalities of the basal ganglia and thalamus". Radiographics. 31 (1): 5–30. doi:10.1148/rg.311105041. PMID 21257930.
- ↑ 4.0 4.1 Pandey S (2011). "Magnetic resonance imaging of the spinal cord in a man with tabes dorsalis". J Spinal Cord Med. 34 (6): 609–11. doi:10.1179/2045772311Y.0000000041. PMC 3237288. PMID 22330117.
- ↑ 5.0 5.1 Jacobson JA, Girish G, Jiang Y, Resnick D (2008). "Radiographic evaluation of arthritis: inflammatory conditions". Radiology. 248 (2): 378–89. doi:10.1148/radiol.2482062110. PMID 18641245.