首页|磁共振3D-ASL灌注技术对急性缺血性脑卒中的筛查价值

磁共振3D-ASL灌注技术对急性缺血性脑卒中的筛查价值

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目的 本研究联合应用磁共振多模态成像技术,探讨3D-ASL灌注技术对急性缺血性脑卒中的筛查价值.方法 前瞻性分析2019年10月至2022年11月由卒中通道于河南中医药大学第一附属医院磁共振科行头颅磁共振检查的55例单侧病变患者的影像资料,评估、测量DSC-PWI及3D-ASL两种成像方法,比较两者筛查急性缺血性脑卒中的一致性;比较3D-ASL脑血流值(CBF)的组间差异;计数血管高信号(FVH征)与动脉穿行伪影(ATA征)出现情况,总结两征象出现的规律.结果 以DSC-PWI作为金标准,3D-ASL在评估AIS患者核心梗死区、血流灌注情况及缺血半暗带方面呈现出相当的诊断效能;3D-ASL测得的梗死核心区、IP区、健侧镜像区的CBF值三者之间具有显著统计学差异(P<0.05);患侧IP区脑组织FVH、ATA征象的出现呈较高一致性(=10.154,P>0.05).结论 3D-ASL技术可以对AIS患者进行精准的定性、定量影像评估,具有多重优势及较高的诊断价值,为临床诊疗提供了可靠的影像学依据.
The Screening Value of Magnetic Resonance 3D-ASL Perfusion Technology for Acute Ischemic Stroke
Objective This study combines magnetic resonance multimodal imaging technology to explore the screening value of 3D-ASL perfusion technology for acute ischemic stroke.Methods To prospectively analyze the imaging data of 55 patients with unilateral lesions who were examined by the Stroke Channel in the Magnetic Resonance Department of the First Affiliated Hospital of Henan University of Chinese Medicine from October 2019 to November 2022,evaluate and measure DSC-PWI and 3D-ASL imaging methods,and compare the consistency of the two methods in screening acute ischemic stroke;Compare the differences in cerebral blood flow(CBF)between 3D-ASL groups;Count the occurrence of vascular high signal(FVH sign)and arterial transit artifacts(ATA sign),and summarize the patterns of their occurrence.Results Using DSC-PWI as the gold standard,3D-ASL exhibits considerable diagnostic efficacy in evaluating the core infarct area,blood flow perfusion,and ischemic penumbra in AIS patients;The CBF values of the infarct core area,IP area,and contralateral mirror area measured by 3D-ASL showed significant statistical differences(P<0.05);The appearance of FVH and ATA signs in the affected IP area brain tissue showed high consistency(=10.154,P>0.05).Conclusion 3D-ASL technology can accurately evaluate the qualitative and quantitative images of AIS patients,with multiple advantages and high diagnostic value,providing a reliable imaging basis for clinical diagnosis and treatment.

Acute Ischemic StrokeCerebral PerfusionIschemic PenumbraMagnetic Resonance Imaging

邢威、贺俊景、孙杰梅、周丽格、张刚、牛慧慧

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河南中医药大学第一附属医院磁共振科(河南郑州 450000)

急性缺血性脑卒中 脑灌注 缺血半暗带 磁共振成像

河南省中医管理局项目

2018ZY2079

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(5)
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