Objective To investigate the mismatch between the range of high-signal vascular signs on FLAIR images and the range of diffusion-weighted imaging in evaluating the prognostic value of functional outcomes after intravascular thrombectomy(EVT)in patients with acute cerebral infarction.Methods A retrospective analysis was performed on 60 patients with acute cerebral infarction who underwent intravascular thrombectomy.FLAIR,DWI,FLAIR high-signal vascular sign and DWI high-signal Mismatch(FVHS-DWI Mismatch),functional outcome(mRS),and other clinically relevant data were collected.Multiple logistic regression analysis was used to predict the functional results.Results Group with good functional results(36/60;60.0％)compared with poor functional outcome group(24/60;40.0％)had a high FVHS-DWI Mismatch(85.29％vs.45.83％;t=12.371;P＜0.001).Multivariate logistic regression analysis showed that FVHS-DWI mismatch was associated with good functional outcomes Independent correlation[OR(95％Cl):0.179(0.042～0.494),P＜0.001].Conclusion The use of FVHS-DWI Mismatch before EVT is helpful in predicting functional outcomes in patients with acute cerebral infarction.
关键词
急性脑梗死/FLAIR高信号血管征/侧枝循环/弥散加权成像/功能结果
Key words
Acute Cerebral Infarction/FLAIR High Signal Vascular Sign/Collateral Circulation/Diffusion Weighted Imaging/Functional Outcome
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万方数据