脑干急性梗死与小脑上脚交叉弥散 高信号的表观弥散系数的对.pdfVIP

·598 · 中华临床医师杂志( 电子版)2015 年2 月第9 卷第4 期 Chin J Clinicians(Electronic Edition),February 15,2015,Vol.9,No.4 ·临床论著· 脑干急性梗死与小脑上脚交叉弥散 高信号的表观弥散系数的对比研究 1 2 1 1 马得廷 王君霞 张有军 谢元忠 【摘要】 目的 比较脑干急性梗死与正常小脑上脚交叉弥散高信号的表观弥散系数（ADC ） 值。方法 收集经临床诊断并MRI 证实的脑干梗死 100 例，其中急性期组53 例（发病时间＜2 d ）、 亚急性期组47 例（发病时间2～14 d ）。对照组即正常小脑上脚交叉弥散呈高信号40 例。采用磁共 振弥散加权成像测定各组受检者 ADC 值。结果 脑干急性期、亚急性期梗死灶的 ADC 值分别为 -6 2 -6 2 （344.72 ±73.96 ）×10 mm /s 、（425.62 ±92.86 ）×10 mm /s ，对照组小脑上脚交叉区ADC 值为 -6 2 （682.02 ±36.83 ）×10 mm /s 。经统计学处理，各组ADC 值具有统计学差异 （P ＜0.001 ）。 结论 ADC 值对鉴别脑干急性梗死与正常小脑上脚交叉弥散高信号具有重要的临床价值。 【关键词】 脑干梗死； 磁共振成像，弥散； 表观弥散系数； 小脑上脚交叉 The comparative study of apparent diffusion coefficient values between brainstem infarction and decussation of superior cerebellar peduncle with high signal intensity on diffusion-weighted imaging 1 2 1 1 1 2 Ma Deting , Wang Junxia , Zhang Youjun , Xie Yuanzhong . Department of Radiology, Department of Obstetrics, Tai’an Central Hospital, Tai’an 271000, China Corresponding author: Xie Yuanzhong, Email: xyz01088@163.com 【Abstract 】 Objective To compare with the apparent diffusion coefficient (ADC) values between brainstem infarction and decussation of superior cerebellar peduncle (DSCP) with high signal intensity on diffusion-weighted imaging (DWI). Methods All 100 brainstem infarction patients were confirmed by clinical diagnosis and magnetic resonance imaging (MRI), fifty-three cases were in the acute stage group (the time course less than 2 days) and 47 cases in the subacute stage group (the time course from 2 days to 14 days). The control gr