Magnetic resonanse imaging as a prognostic tool in encephalitis in children

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Abstract

We provide the data on the modern use of MRI of different modalities as a prognostic tool in the encephalitis diagnostics in pediatrics. According to the recent scientific knowledge, this implementation is possible, but its efficacy depends on the modality of MRI: structural, functional or MRI with contrast. Structural MRI efficacy in children with encephalitis is dubious and clearly depends on the etiology and phase of the inflammatory process. In the recent years, the implementation of the functional MRI methods (DTI & MRS) and MRI with contrast significantly changed the imaging practice; there are some reports that these modalities of MRI are more effective as a prognostic tool in encephalitis than the structural one. Thus, a future research in this field is needed.

About the authors

Natalia V. Marchenko

Pediatric Research and Clinical Center for Infectious Diseases

Email: gmv@mail.ru

MD, PhD, Head of the department

Russian Federation, St-Petersburg

Vladislav B. Voitenkov

Pediatric Research and Clinical Center for Infectious Diseases; Academy of Postgraduate Education under the FSBU «Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency»

Author for correspondence.
Email: vlad203@inbox.ru
ORCID iD: 0000-0003-0448-7402

MD, PhD, Head of the department, Associate Professor

Russian Federation, St-Petersburg; Moscow

Natalia V. Skripchenko

Pediatric Research and Clinical Center for Infectious Diseases

Email: snv@niidi.ru

MD, PhD,  Dr.Hab, Professor, Deputy Director

Russian Federation, St-Petersburg

Olga O. Kurzanceva

Academy of Postgraduate Education under the FSBU «Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency»

Email: science@medprofedu.ru

канд. мед. наук, доцент, ученый секретарь Ученого совета

Russian Federation, Moscow

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2. Fig. 1. MRI of the brain of patient H., 4 years old: encephalitis of cytomegalovirus etiology, acute period of the disease

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3. Fig. 2. Brain MRI of patient H., 4 years old: encephalitis of cytomegalovirus etiology, acute period of the disease

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4. Fig. 3. Brain MRI of patient H., 4 years old: encephalitis of cytomegalovirus etiology, acute period of the disease

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5. Fig. 4. MRI of the brain of patient M., 10 years old: encephalitis of cytomegalovirus etiology

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Copyright (c) 2019 Marchenko N.V., Voitenkov V.B., Skripchenko N.V., Kurzanceva O.O.

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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