首页|弥散加权成像(b=0)对脑微出血的应用价值探究

弥散加权成像(b=0)对脑微出血的应用价值探究

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目的:探讨弥散加权成像(Diffusion-weighted imaging,DWI)(b=0)对脑微出血的检查价值,为临床发现和检出脑微出血提供早筛、省时的方法.方法:选取2022年3月至2023年3月上海市某医院收治的51例确诊脑微出血患者,分别行T2FLAIR、DWI及SWAN三个序列检查;记录每例患者幕上和幕下脑微出血灶的检出数,分别统计T2FLAIR、DWI(b=0)与SWAN检出一致性.结果DWI(b=0)在幕上和幕下脑微出血灶检出数上明显多于T2FLAIR检出数(p<0.05);DWI(b=0)与SWAN组内相关系数一致性高ICC=0.828(95%CI0.674~0.913).结论:DWI(b=0)一定程度可以替代SWAN检查,在可疑脑内小血管病时可作为早筛、诊断CMBs的方法.
An Exploration of the Value of diffusion-weighted imaging(b=0)for Cerebral Microbleeds
Objective:To investigate the value of diffusion-weighted imaging(DWI,b=0)for the detection of cerebral mi-crobleeds,and to provide an early screening and time-saving method for clinical detection and diagnosis of cerebral microbleeds.Methods:Fifty-one patients with confirmed cerebral microbleeds admitted to a hospital in Shanghai from March 2022 to March 2023 were selected to undergo T2 FLAIR,DWI,and SWAN examinations.The number of supra-and subcortical cerebral micro-bleeds detected by the above sequences was recorded for each patient,and the agreement between T2 FLAIR and DWI(b=0)was assessed separately with SWAN detection.Results:The intragroup correlation coefficient between DWI(b=0)and SWAN was ICC=0.828(95%CI 0.674-0.913).Conclusion:DWI(b=0)can replace SWAN examination to some extent in detecting ce-rebral microbleeds and can be used as a method for early screening and diagnosis of cerebral microbleeds in suspected small ves-sel disease.Early screening and diagnosis of cerebral microbleeds is essential.

Cerebral microbleedsT2 FLAIRDiffusion-weighted imagingSusceptibility-weighted imaging

宋泽、王星羽、刘静、刘新疆

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河西学院医学院,甘肃 张掖 734000

复旦大学附属浦东医院,上海 201399

脑微出血 T2FLAIR DWI SWAN

河西学院校长科研创新基金上海市卫生健康委卫生行业临床研究专项面上项目

XZ2021014202140266

2024

河西学院学报
河西学院

河西学院学报

影响因子:0.323
ISSN:1672-0520
年,卷(期):2024.40(2)
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