首页|磁共振弥散加权成像技术联合血清CYR61、UCH-L1在超急性脑梗死中的早期诊断效能

磁共振弥散加权成像技术联合血清CYR61、UCH-L1在超急性脑梗死中的早期诊断效能

Early diagnostic efficacy of magnetic resonance diffusion-weighted imaging combined with serum CYR61 and UCH-L1 in hyperacute cerebral infarction

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目的:分析磁共振弥散加权成像技术(DWI)联合血清富含半胱氨酸蛋白 61(CYR61)、泛素羧基末端水解酶 1(UCH-L1)在超急性脑梗死中的早期诊断效能.方法:选择 2023 年 1 月—12 月临沂市中心医院就诊的疑似超急性脑梗死的 94 例患者,其中 23 例临床最终诊断为超急性脑梗死.对患者进行DWI检查,血清CYR61、UCH-L1 检测,比较超急性脑梗死、无脑梗死患者的磁共振参数及血清CYR61、UCH-L1 水平,分析磁共振弥散加权成像技术联合血清CYR61、UCH-L1 在超急性脑梗死中的诊断效能.结果:DWI对超急性脑梗死早期诊断的灵敏度、特异度、准确率为 82.61%(19/23)、100.00%(71/71)、95.74%(90/94).超急性脑梗死患者血清CYR61、UCH-L1高于无脑梗死人员,差异有统计学意义(P<0.05).磁共振弥散加权成像技术、血清CYR61、UCH-L1联合诊断的价值更高,受试者工作特征曲线下面积为0.943.结论:磁共振弥散加权成像技术、血清CYR61、UCH-L1在超急性脑梗死的早期诊断中均有一定价值,联合诊断价值更高.
Objective To analyze the early diagnostic efficacy of magnetic resonance diffusion-weighted imaging(DWI)combined with serum cysteine-rich protein 61(CYR61)and ubiquitin carboxy-terminal hydrolase 1(UCH-L1)in hyperacute cerebral infarction.Methods A total of 94 patients with suspected hyperacute cerebral infarction who visited Linyi Central Hospital from January to December 2023 were selected,of whom 23 were finally clinically diagnosed with hyperacute cerebral infarction.DWI examinations,serum CYR61 and UCH-L1 tests were performed on the patients,and the magnetic resonance parameters and serum CYR61 and UCH-L1 levels were compared between those with hyperacute cerebral infarction and those without cerebral infarction,and the diagnostic efficacy of magnetic resonance diffusion-weighted imaging technology combined with serum CYR61 and UCH-L1 in hyperacute cerebral infarction was analyzed.Results The sensitivity,specificity and accuracy of early diagnosis of hyperacute cerebral infarction by DWI were 82.61%(19/23),100.00%(71/71)and 95.74%(90/94).Serum CYR61 and UCH-L1 in patients with hyperacute cerebral infarction were higher than those without cerebral infarction(P<0.05).The diagnostic value of the combination of magnetic resonance diffusion-weighted imaging,serum CYR61 and UCH-L1 was higher,and the area under the curve of receiver operating characteristic was 0.943.Conclusion MRI diffusion-weighted imaging,serum CYR61 and UCH-L1 are all valuable in the early diagnosis of hyperacute cerebral infarction,and the combined diagnosis is more valuable.

Hyperacute cerebral infarctionMagnetic resonance diffusion-weighted imaging technologyMagnetic resonance parameters

龚爱玲

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临沂市中心医院影像科 山东 临沂 276400

超急性脑梗死 磁共振弥散加权成像技术 磁共振参数

2024

影像研究与医学应用

影像研究与医学应用

ISSN:
年,卷(期):2024.8(19)