低场强MRI对新生儿缺氧缺血性脑病诊断及其与多层螺旋CT对比分析
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摘要
目的观察低场强MRI在新生儿缺氧缺血性脑病(HIE)诊断中的应用情况,对比分析其与多层螺旋CT(MSCT)诊断价值差异。方法对46例HIE患儿临床资料进行回顾性分析。所有患儿均接受低场强MRI和MSCT检查,比较低场强MRI、MSCT与HIE临床分度的差异性和一致性。结果新生儿HIE低场强MRI分度与临床分度差异无统计学意义(χ2=1.000,P>0.05),Kappa值0.842。新生儿HIEMSCT分度与临床分度差异无统计学意义(χ2=2.778,P>0.05),Kappa值0.556。新生儿HIE低场强MRI分度与临床分度一致性优于HIEMSCT分度。结论新生儿HIE低场强MRI分度与临床分度一致性较高,较MSCT更具优势。
Objective To observe the application of low field MRI in the diagnosis of neonatal hypoxic ischemic encephalopathy(HIE), and to compare the difference between low field MRI and multi-slice spiral CT(MSCT). Methods The clinical data of 46 children patients with HIE were analyzed retrospectively. They were given low field MRI and MSCT examination, and the differences and consistency of low field MRI, MSCT and HIE clinical grading were compared. Results There was no significant difference in the low field MRI grading and clinical grading of neonatal HIE(χ2=1.000, P>0.05), and the Kappa value was 0.842. There was no significant difference in the MSCT grading and clinical grading between the HIE newborns(χ2=2.778, P>0.05), and the Kappa value was0.556. The consistency of low field MRI grading and clinical grading of neonatal HIE was better than that of HIE MSCT grading. Conclusion Low field MRI grading of neonatal HIE is consistent with clinical grading, which is of more valuable than MSCT.
Objective To observe the application of low field MRI in the diagnosis of neonatal hypoxic ischemic encephalopathy(HIE), and to compare the difference between low field MRI and multi-slice spiral CT(MSCT). Methods The clinical data of 46 children patients with HIE were analyzed retrospectively. They were given low field MRI and MSCT examination, and the differences and consistency of low field MRI, MSCT and HIE clinical grading were compared. Results There was no significant difference in the low field MRI grading and clinical grading of neonatal HIE(χ2=1.000, P>0.05), and the Kappa value was 0.842. There was no significant difference in the MSCT grading and clinical grading between the HIE newborns(χ2=2.778, P>0.05), and the Kappa value was0.556. The consistency of low field MRI grading and clinical grading of neonatal HIE was better than that of HIE MSCT grading. Conclusion Low field MRI grading of neonatal HIE is consistent with clinical grading, which is of more valuable than MSCT.
引文
[1]徐恒均,曹和涛,徐金标.新生儿缺血缺氧性脑病CT及MRI诊断比较[J].中国CT和MRI杂志,2 015, 1 3(1):32-35.
[2]郭本树,吴耀贤,杨丹.新生儿缺氧缺血性脑病M R I分度诊断及相关性分析[J].罕少疾病杂志.2016, 23(4):8-11.
[3]王卫平.儿科学.第8版[M].人民卫生出版社,2013:109.
[4]梁秀梅.低场MR I和多层螺旋CT对新生儿缺氧缺血性脑病的诊断价值[J].中国激光医学杂志,2012, 21(6):394-398.
[5]Douglas-Escobar M,Weiss MD. Hypoxic-ischemic encephalopathy:a review for the clinician[J].J AMA Pediatr. 2015, 169(4):397-403.
[6]余霖,陈均源.新生儿缺血缺氧性脑病的头颅CT检查的临床价值[J].医学影像学杂志,2 01 5, 2 5(2):348-351.
[7]孔丽卿,杨明浩,张雪雁.磁敏感加权成像对新生儿缺氧缺血性脑病临床分度的评价[J].中国CT和MRI杂志,2014, 12(7):14-16.
[8]王文广,王斌,胡颖杰,等. MR I与C T对新生儿缺血缺氧性脑病诊断价值的分析[J].中国妇幼保健,2015, 30(4):639-641.
[9]Gent s ch A,Storm C,Leithner C,et al.Outcome prediction in patients after cardiac arrest:a simplified method for determination of graywhite matter ratio in cranial computed tomography[J]. Cl in Neuroradiol. 2015, 25(1):49-54.
[10]胡龙非,陈光真,姜燕,等.新生儿缺氧缺血性脑病C T诊断特点与临床表现分析[J].中国CT和MRI杂志,2016, 14(10):23-26.
[11] Bell E,Rasmussen LA, Mazer B,etal.Magnetic resonance imaging(MRI)and prognostication in neonatal hypoxic-ischemic injury:a vignette-based study of Canadian specialty physicians[J].J Child Neurol. 2015, 30(2):174-181.
[12]黄兴涛,梁秀梅,陈静,等.低场M R I对新生儿颅内出血的诊断及预后分析[J].重庆医学,2014,43(22):2916-2918.
[13]黄玉芬.新生儿缺血缺氧性脑病的MRI诊断[J].中国优生与遗传杂志,2014, 22(4):108-109.
[14]Charon V,Proisy M,Ferre JC,et al. Comparison of early and late MRI in neonatal hypoxic-ischemicencephalopathy using three assessment methods[J].Pediatr Radiol,2015,45(13):1988-2000.
[2]郭本树,吴耀贤,杨丹.新生儿缺氧缺血性脑病M R I分度诊断及相关性分析[J].罕少疾病杂志.2016, 23(4):8-11.
[3]王卫平.儿科学.第8版[M].人民卫生出版社,2013:109.
[4]梁秀梅.低场MR I和多层螺旋CT对新生儿缺氧缺血性脑病的诊断价值[J].中国激光医学杂志,2012, 21(6):394-398.
[5]Douglas-Escobar M,Weiss MD. Hypoxic-ischemic encephalopathy:a review for the clinician[J].J AMA Pediatr. 2015, 169(4):397-403.
[6]余霖,陈均源.新生儿缺血缺氧性脑病的头颅CT检查的临床价值[J].医学影像学杂志,2 01 5, 2 5(2):348-351.
[7]孔丽卿,杨明浩,张雪雁.磁敏感加权成像对新生儿缺氧缺血性脑病临床分度的评价[J].中国CT和MRI杂志,2014, 12(7):14-16.
[8]王文广,王斌,胡颖杰,等. MR I与C T对新生儿缺血缺氧性脑病诊断价值的分析[J].中国妇幼保健,2015, 30(4):639-641.
[9]Gent s ch A,Storm C,Leithner C,et al.Outcome prediction in patients after cardiac arrest:a simplified method for determination of graywhite matter ratio in cranial computed tomography[J]. Cl in Neuroradiol. 2015, 25(1):49-54.
[10]胡龙非,陈光真,姜燕,等.新生儿缺氧缺血性脑病C T诊断特点与临床表现分析[J].中国CT和MRI杂志,2016, 14(10):23-26.
[11] Bell E,Rasmussen LA, Mazer B,etal.Magnetic resonance imaging(MRI)and prognostication in neonatal hypoxic-ischemic injury:a vignette-based study of Canadian specialty physicians[J].J Child Neurol. 2015, 30(2):174-181.
[12]黄兴涛,梁秀梅,陈静,等.低场M R I对新生儿颅内出血的诊断及预后分析[J].重庆医学,2014,43(22):2916-2918.
[13]黄玉芬.新生儿缺血缺氧性脑病的MRI诊断[J].中国优生与遗传杂志,2014, 22(4):108-109.
[14]Charon V,Proisy M,Ferre JC,et al. Comparison of early and late MRI in neonatal hypoxic-ischemicencephalopathy using three assessment methods[J].Pediatr Radiol,2015,45(13):1988-2000.