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Multidetector Computerized Tomography Versus Magnetic Resonance Imaging in Diagnosis of Basal Ganglia Signal Intensity Alteration

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Last updated: 03 Jan 2025

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Abstract

Background: the basal ganglia are part of the extrapyramidal motor system, participating in the production of movement, but they are also involved in memory, emotion, and other cognitive functions.
Objective: This work aimed to study the role of multidetector computerized tomography versus magnetic resonance imaging in diagnosis of basal ganglia signal intensity alteration with highlight on accuracy, sensitivity, specificity of each tool in reaching the proper diagnosis.
Patients and Methods: this study was designed to examine the effectiveness of both computed tomography and magnetic resonance imaging in diagnosis of different basal ganglia lesions. It included 50 patients, selected from Al-Azhar University hospital.
Results: sensitivity of CT in diagnosis of basal ganglia lesion was 86.0%, and failed to elicit diagnosis in 14.0% of patients. There was no significant difference between males and females. MRI sensitivity in diagnosis of basal ganglia lesions was 92%, while it was unable to diagnose 4.0%. There was no significant difference between males and females (the sensitivity in males was 94.7% and in females, it was 83.3%).
Conclusion: MRI is superior to CT for diagnosis of different basal ganglia lesions, except for senile calcification, where CT was superior to MRI. However, CT presents a considerable sensitivity. Thus, it is advisable to start with CT examination to avoid high cost of MRI, otherwise start with MRI when the cost is not a matter or the condition is not in an emergency situation. In such emergent situations, MRI must be used as a first choice.

DOI

10.21608/ejhm.2019.27414

Keywords

CT, MRI, Basal Ganglia

Authors

First Name

Mostafa Ali

Last Name

Motawie

MiddleName

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Affiliation

Department of Radiodiagnosis, Faculty of Medicine, Al-Azhar University

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First Name

Mostafa Mohammad

Last Name

Shakweer

MiddleName

-

Affiliation

Department of Radiodiagnosis, Faculty of Medicine, Al-Azhar University

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City

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Orcid

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First Name

Mohammed Ashraf Abd El Moniem Aly

Last Name

Ahmed

MiddleName

-

Affiliation

Department of Radiodiagnosis, Faculty of Medicine, Al-Azhar University

Email

m.ashrf88@yahoo.com

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Orcid

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Volume

74

Article Issue

7

Related Issue

4924

Issue Date

2019-01-01

Receive Date

2019-02-18

Publish Date

2019-01-01

Page Start

1,448

Page End

1,456

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 74_Issue 7_Pages 1448-1456.pdf

PDF . 367.5kB

Link

https://ejhm.journals.ekb.eg/article_27414.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=27414

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Multidetector Computerized Tomography Versus Magnetic Resonance Imaging in Diagnosis of Basal Ganglia Signal Intensity Alteration

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Article

Created At

22 Jan 2023