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  • Title: [MR imaging of stereotactic thalamotomy using radiofrequency methods].
    Author: Matsumoto S, Shima F, Hasuo K, Uchino A, Mizushima A, Furukawa T, Matsuura Y, Gibo M, Masuda K, Fukui M.
    Journal: Nihon Igaku Hoshasen Gakkai Zasshi; 1992 Nov 25; 52(11):1559-64. PubMed ID: 1465337.
    Abstract:
    Sixty-eight stereotactic radiofrequency (rf) thalamic lesions in 57 patients with movement disorders were evaluated by magnetic resonance (MR) imaging. Postoperative periods ranged from 5 days to 4 years and 9 months. All 68 rf lesions were clearly detected on T2-weighted images (T2WI). Changes in signal intensity on T2WI were classified into five patterns, as follows: Pattern I: lesions with three concentric zones consisting of an inner hypointense, middle hyperintense and outer hypointense zone (31 lesions); Pattern II: lesions consisting of an inner hypointense and outer hyperintense zone (4 lesions); Pattern III: lesions consisting of an inner hyperintense and outer hypointense zone (27 lesion); Pattern IV: lesions of a hyperintense area alone (2 lesions); Pattern V: lesions of a hypointense area alone (4 lesions). The outer hypointense rim in Patterns I and III is thought to represent hemosiderin deposition. The abnormal signal intensity on T2WI caused by rf ranged from 2 to 12 mm in diameter, and lesions in the late phase were smaller than lesions in the early phase.
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