A patient with neuropsychiatric systemic lupus erythematosus (SLE) may develop a number of changes that can be seen on cerebral magnetic resonance imaging (MRI).
Sites evaluated:
(1) frontal lobes (cortical, juxtacortical, subcortical)
(2) parietal lobes (cortical, juxtacortical, subcortical)
(3) temporal lobes (cortical, juxtacortical, subcortical)
(4) occipital labes (cortical, juxtacortical, subcortical)
(5) cerebellum
(6) basal ganglia
(7) diencephalons
Parameters seen on the MRI:
(1) cortical atrophy
(2) micro-ischemic focal lesions (< 6 mm in diameter)
(3) macro-ischemic focal lesions (6 to 10 mm in diameter)
(4) large focal lesions (> 10 mm in diameter)
Features Seen on MRI
Diagnosis
no atrophy AND <= 2 micro AND no macro AND no large
normal
(mild atrophy OR 3 to 5 micro) AND no macro AND no large
mild changes
(moderate atrophy OR > 5 micro OR 1 or 2 macro) AND no large
moderate changes
severe atropy OR > 2 macro OR >= 1 large
severe changes
To read more or access our algorithms and calculators, please log in or register.
Purpose: To evaluate a cranial MRI from a patient with systemic lupus erythematosus (SLE).
Specialty: Immunology/Rheumatology
Objective: imaging studies, severity, prognosis, stage, interventional radiology
ICD-10: I67.7, M32,
