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MR弥散加权成像在近期脑梗死诊断中的应用

Value of Diffusion-Weighted MR Imaging in Recent Cerebral Infarctions

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【作者】 王丽君叶滨宾范国光陈丽英吴振华郭启勇孙宝海郭阳

【Author】 WANG Li jun,YE Bin bin,FAN Guo guang,et al (The First Affiliated Hospital of Dalian Medical University,Dalian 116011,China)

【机构】 大连医科大学第一附属医院放射科中国医科大学第二临床学院放射科中国医科大学第二临床学院神

【摘要】 目的 探讨MRDWI在近期脑梗死诊断中的价值。方法 收集 61例接受MRDWI检查的脑梗死患者的资料 ,其发病时间 4h~ 14天 ,83个独立病灶。比较DWI结合ADC图、T2 WI上责任病灶的信号特点及其检出情况。结果  7天内脑梗死灶DWISIR高于T2 WI(P <0 .0 5 ) ;8~ 14天没有显著差异。脑梗死灶rADC在 7天之内为 5 2 .78%~ 78.2 1% ;8~ 14天可能高于正常。结论 DWI结合ADC图在近期脑梗死诊断中应用价值极大。

【Abstract】 Objective To evaluate the diagnostic value of DWI in recent cerebral infarctions.Methods Eighty three infarctions with duration of 4 hours to 14 days were studied in sixty one patients. The total detection rate of clinical related infarctions on DWI combined with ADC map was compared with T 2WI. Results The SIR of DWI was significantly higher than T 2WI within 7 days ( P <0.05), but there was no significant difference between them after 8 days. The relative ADC (rADC) was from 52.78% to 78.21% within 7 days. It may be higher than normal value during 8 to 14 days. Conclusion The diagnostic value of DWI combined ADC map is significantly higher than conventional T 2WI.

  • 【文献出处】 中国医学影像技术 ,Chinese Journal of Medical Imaging Technology , 编辑部邮箱 ,2002年05期
  • 【分类号】R743.33
  • 【被引频次】14
  • 【下载频次】81
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