体素内不一致运动磁共振成像在幕上脑梗死后交叉性小脑失联络中的应用
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摘要
目的探讨体素内不一致运动(IVIM)磁共振成像在幕上脑梗死后交叉性小脑失联络(CCD)的应用价值。方法 2016年5月至2017年5月,单侧幕上脑梗死患者120例分为CCD阳性(n=60)和CCD阴性(n=60),行IVIM扫描。结果急性期和慢性期CCD阳性患者脑梗死体积(CIV)高于阴性患者(t>13.943,P<0.05);CCD阳性患者的同侧小脑表观弥散系数(ADC)与对侧存在显著性差异(t=11.413,P<0.05);对侧小脑ADC在CCD阳性与阴性患者间存在显著性差异(t=10.026,P<0.05)。结论以CIV和ADC作为评价指标,IVIM可在一定程度上反映脑梗死患者脑组织灌注程度。
Objective To diagnose crossed cerebellar diaschisis(CCD) after supratentorial cerebral infarction with intravoxel incoherent motion(IVIM) magnetic resonance imaging.Methods From May, 2016 to May, 2017, 120 patients with unilateral supratentorial cerebral infarction were divided as CCD positive and CCD negative, and investigated with IVIM.Results The cerebral infarction volume(CIV) was more in CCD positive patients than in CCD negative patients in acute and chronic phase(t>13.943, P<0.05). The apparent diffusion coefficients(ADC) was significantly different between affected and unaffected lateral cerebellar in CCD positive patients(t=11.413, P<0.05), and it was significantly different between CCD positive and negative patients in unaffected lateral cerebellar(t=10.026, P<0.05).Conclusion CIV and ADC can be the indexes of IVIM to evaluate the cerebral perfusion in patients with cerebral infarction.
Objective To diagnose crossed cerebellar diaschisis(CCD) after supratentorial cerebral infarction with intravoxel incoherent motion(IVIM) magnetic resonance imaging.Methods From May, 2016 to May, 2017, 120 patients with unilateral supratentorial cerebral infarction were divided as CCD positive and CCD negative, and investigated with IVIM.Results The cerebral infarction volume(CIV) was more in CCD positive patients than in CCD negative patients in acute and chronic phase(t>13.943, P<0.05). The apparent diffusion coefficients(ADC) was significantly different between affected and unaffected lateral cerebellar in CCD positive patients(t=11.413, P<0.05), and it was significantly different between CCD positive and negative patients in unaffected lateral cerebellar(t=10.026, P<0.05).Conclusion CIV and ADC can be the indexes of IVIM to evaluate the cerebral perfusion in patients with cerebral infarction.
引文
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[20]宋欣颖,马冰,温锋,等.神经精神狼疮MRI诊断[J].医学影像学杂志,2017,27(1):1-5.
[21]李俊,盛茂,郭万亮,等.儿童小脑肿瘤14例病理及MRI表现[J].医学影像学杂志,2017,27(2):341-344.
[22]陆菲菲,肖慧,虞浩,等.胚胎发育不良性神经上皮瘤的影像诊断及鉴别诊断[J].中国CT和MRI杂志,2017,15(2):149-152.
[23]钱冬喜,刘俊,徐善水,等.跨右侧小脑幕上下孤立性纤维瘤1例[J].皖南医学院学报,2017,36(3):305-306.
[24]穆新暖,王滨,王晓芝,等.呼吸睡眠暂停低通气患者脑功能的功能性MRI诊断[J].放射学实践,2017,32(1):16-20.
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[2]Demir Y,SürücüE,?ilingir V,et al.Dyke-Davidoff-Masson syndrome with cerebral hypometabolism and unique crossed cerebellar diaschisis in18F-FDG PET/CT[J].Clin Nucl Med,2015,40(9):757-758.
[3]杨淑贞,刘婷婷,邱进,等.脑血流灌注SPECT/CT显像与脑MRI联合应用对缺血性脑血管疾病的诊断价值[J].中华核医学与分子影像杂志,2016,36(3):232-236.
[4]李贞伟,佟小光,黄楹,等.颞下经小脑幕入路和经岩骨乙状窦前入路至岩斜区的相关解剖研究[J].中华神经医学杂志,2016,15(7):690-694.
[5]Fu J,Chen WJ,Wu GY,et al.Whole-brain 320-detector row dynamic volume CT perfusion detected crossed cerebellar diaschisis after spontaneous intracerebral hemorrhage[J].Neuroradiology,2015,57(2):179-187.
[6]Chang CC,Ku CH,Chang ST.Postural asymmetry correlated with lateralization of cerebellar perfusion in persons with chronic stroke:a role of crossed cerebellar diaschisis in left side[J].Brain Inj,2017,31(1):90-97.
[7]李伟,魏鹏楠,刘真,等.癫痫持续状态致交叉性小脑神经机能联系不能一例[J].中华神经科杂志,2017,50(3):223-224.
[8]王潇,程敬亮,张勇.交叉性小脑神经机能联系不能的相关研究及最新进展[J].磁共振成像,2016,7(5):388-395.
[9]Ochi T,Taoka T,Miyasaka T,et al."Cerebellar peduncle quarter notes"formed by the superior and middle cerebellar peduncles:comparison with a diffusion tensor study of spinocerebellar degeneration[J].Japan J Radiol,2015,33(4):210-215.
[10]顾立萍,贺光军,马军.体素内不相干运动成像的原理及前景展望[J].磁共振成像,2017,8(4):241-242.
[11]刘帅良,王严,张悦,等.慢性脑供血不足与其交叉性小脑神经机能联系不能的CT灌注成像分析[J].中华医学杂志,2017,97(5):359-364.
[12]孙佳红,葛永玲,赵凤玲.幕上大面积脑梗死患者发生致死性脑水肿的早期预测因素[J].中国慢性病预防与控制,2015,2(7):550-552.
[13]Noguchi T,Nishihara M,Egashira Y,et al.Arterial spin-labeling MR imaging of cerebral hemorrhages[J].Neuroradiology,2015,57(11):1135-1144.
[14]杨霞峰,陈德哲,庄献博,等.入院48 h内脑电图检查在幕上大面积脑梗死患者预后及梗死后癫痫预测中的应用[J].山东医药,2017,57(15):77-79.
[15]刘宵雪,张志强,李建瑞,等.大脑胶质瘤交叉性小脑神经机能联系不能的MR动脉自旋标记灌注成像[J].中国医学影像技术,2017,33(4):510-513.
[16]刘颖,马隆佰,佘水莲.常规MRI联合DWI和1H-MRS诊断成人髓母细胞瘤的价值[J].医学影像学杂志,2017,27(4):586-590.
[17]魏瑞花.合并脑微出血的脑梗死患者再发脑出血临床分析[J].中国基层医药,2016,23(15):2304-2306.
[18]邹琼,杨春祥,陈世全.MRI平扫及增强扫描在多发性硬化诊断中的应用[J].中国CT和MRI杂志,2016,14(12):28-30.
[19]郝超宝,白景阳,王传坚,等.小脑幕区脑膜瘤延误诊治1例[J].中华神经外科疾病研究杂志,2017,16(3):272-273.
[20]宋欣颖,马冰,温锋,等.神经精神狼疮MRI诊断[J].医学影像学杂志,2017,27(1):1-5.
[21]李俊,盛茂,郭万亮,等.儿童小脑肿瘤14例病理及MRI表现[J].医学影像学杂志,2017,27(2):341-344.
[22]陆菲菲,肖慧,虞浩,等.胚胎发育不良性神经上皮瘤的影像诊断及鉴别诊断[J].中国CT和MRI杂志,2017,15(2):149-152.
[23]钱冬喜,刘俊,徐善水,等.跨右侧小脑幕上下孤立性纤维瘤1例[J].皖南医学院学报,2017,36(3):305-306.
[24]穆新暖,王滨,王晓芝,等.呼吸睡眠暂停低通气患者脑功能的功能性MRI诊断[J].放射学实践,2017,32(1):16-20.
[25]纵然,李小虎,张玉娇,等.小脑囊性肿瘤性病变的MRI影像特点[J].安徽医学,2017,38(5):556-559.