磁共振弥散加权成像对急性脑卒中的诊断价值
The diagnostic value of Magnetic Resonance Imaging with Diffusion-weighted Imaging for In-patients with Clinically Suspected Acute Stroke
阳诚柏1
作者信息
- 1. 450003 郑州，河南省军区直属医院门诊部
- 折叠
摘要
目的：探讨磁共振弥散加权成像(MR-DWI)检查作为排查临床住院患者中怀疑急性脑卒中的首选检查方法的可行性及实用性。方法2013年1月-2013年3月间所有怀疑急性脑卒中需要紧急行神经影像检查的住院患者，只要没有MR检查禁忌证均优先行MR-DWI检查。对研究期间核磁检查进行的结果进行分析。结果研究期间共有135例怀疑急性脑血管事件需要紧急行神经影像检查，其中128例没有MR检查禁忌证。在无MR检查禁忌证的患者中95例患者(74.2%)实现优先行MR-DWI检查。有MR检查禁忌症的7例患者和无法紧急行MR检查的33例患者改行CT检查。结论对于适合行MR检查的患者本试验实现了70%以上患者及时安全行MR-DWI检查，说明了在排查急性脑卒中时MR-DWI检查的可行性和安全性。
Abstract
Objective In order to assess the feasibility and utility of diffusion-weighted magnetic resonance imaging (MR-DWI) as first-line neuroimaging for in-patients with clinically suspected acute stroke. Methods From January 2013 to march 2013, the patients with clinically suspected acute stroke were scheduled to receive MRI with DW and T2-weighted sequence as initial neuroimaging inspection, if he/she was deemed MRI safe. The results of this project in the study were analyzed. Results During the study period, 135 patients who had neuroimaging for suspected cerebrovascular accident, and 128 were MRI safe. The total of 95 patients(74.2%) had underwent MR-DWI as first-line investigation. Seven patients were not MRI safe and 33 had computed tomography(CT) as first-line imaging due to lack of available MRI capacity. Conclusions The use of MR-DWI as a first-line investigation were successfully achieved in over 70% patients with a clinically suspected diagnosis of acute stroke who were deemed MRI safe, that proved this method were accurate and feasible.
关键词
急性脑卒中/磁共振检查/磁共振弥散加权成像/计算机断层扫描Key words
Acute stroke/Magnetic resonance imaging/Diffusion-weighted magnetic resonance imaging/Computed tomography引用本文复制引用
出版年
2013
NETL
NSTL
维普
万方数据