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@ARTICLE{Huhn:125360,
author = {K. Huhn and A. Mennecke and P. Linz and F. Tschunko and N.
Kästle and A. Nagel$^*$ and M. Uder and A. Dörfler and R.
A. Linker and T. Engelhorn},
title = {(23){N}a {MRI} reveals persistent sodium accumulation in
tumefactive {MS} lesions.},
journal = {Journal of the neurological sciences},
volume = {379},
issn = {0022-510X},
address = {Amsterdam [u.a.]},
publisher = {Elsevier Science},
reportid = {DKFZ-2017-01493},
pages = {163 - 166},
year = {2017},
abstract = {Chronic inflammatory demyelinating diseases of the CNS
typically show a limited lesion size. However, extended
lesions may appear with an atypical configuration. Large
lesions with a diameter>2cm accompanied by tumor-like edema
are entitled 'tumefactive' and may occur in multiple
sclerosis (MS) and other demyelinating diseases.
Historically, differential diagnosis often requires
histological analysis. Therefore, advanced imaging
techniques are warranted to allow for a precise non-invasive
diagnosis. Cerebral sodium ((23)Na) MRI was recently
described as a new method to investigate in vivo sodium
accumulation. Indicating extended sodium levels in MS
lesions, (23)Na MRI is a promising differential diagnostic
tool further elucidating the role of sodium in demyelinating
lesions.Repetitive (23)Na MRI measurements in a MS patient
with a tumefactive demyelinating lesion providing insight
into the medium-term course of cerebral sodium levels.(23)Na
MRI depicts persistent lesional sodium accumulation after
anti-inflammatory treatment and provides the opportunity of
a non-invasive, in vivo analysis of sodium levels in
inflammatory CNS lesions without need for contrast enhancing
media. As a result of the extended dimension, tumefactive
lesions may have an appropriate size for the analysis of
inflammatory demyelination by (23)Na MRI with sufficient
resolution.},
cin = {E020},
ddc = {610},
cid = {I:(DE-He78)E020-20160331},
pnm = {315 - Imaging and radiooncology (POF3-315)},
pid = {G:(DE-HGF)POF3-315},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:28716233},
doi = {10.1016/j.jns.2017.06.003},
url = {https://inrepo02.dkfz.de/record/125360},
}