Evaluation of 3D CUBE T1 Sequence and SWI Sequence in the Prognosis of Patients with Acute Ischemic Stroke
[Objective]To explore the prognostic value of high-resolution magnetic resonance imaging(HR-MRI)3D CUBE T1 sequence and SWI sequence in patients with acute ischemic stroke(AIS).[Methods]The clinical data of 84 patients with AIS admitted to our hospital from July 2019 to July 2021 were collected.According to the Rankin scale score after 3 months of treatment,the patients were divided into a poor progno-sis group and a good prognosis group.All patients were examined by HR-MRI 3D CUBE T1 sequence and SWI sequence,and the general data and HR-MRI images of different sequences of AIS patients were compared be-tween the two groups.Logistic regression was used to analyze the prognostic factors of AIS patients,and the ROC curve was used to analyze the evaluation value of 3D CUBE T1 sequence and SWI sequence signal signs in the prognosis of AIS.[Results]The proportion of patients with high signal on 3D CUBE T1 sequence,low sig-nal on SWI sequence and NIHSS score＞15 in the poor prognosis group was higher than that in the good prog-nosis group(P＜0.05).Logistic regression analysis showed that 3D CUBE T1 sequence high signal,SWI se-quence low signal and NIHSS score＞15 were independent risk factors for poor prognosis of AIS patients(P＜0.05).The ROC analysis showed that the AUC values of 3D CUBE T1 sequence,SWI sequence to evaluate the prognosis of AIS were 0.758 and 0.778,respectively.The AUC value of the joint prediction(3D CUBE T1 and SWI combination)was 0.885.[Conclusion]Both the hyperintense signs of HR-MRI 3D CUBE T1 sequence and the hypointense signs of SWI sequence have certain value for evaluating the prognosis of AIS patients,while the combination of the two has higher value for evaluating the prognosis of AIS patients.
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