脑血管疾病（影像）.pdfVIP

Medical Imaging of Brain Vascular Medical Imaging of Brain Vascular Diseases and Vascular Deformality Diseases and Vascular Deformality 脑血管病变医学影像学 脑血管病变医学影像学 Vascular diseases Vascular diseases 血管疾病 血管疾病 Acute Intraparenchymal Acute Intraparenchymal Hemorrhage Hemorrhage 急性脑内出血 急性脑内出血 Evolution of Hematoma on CT 血 肿在CT上的演变 Acute hematoma: 4 hrs after ictus 急性脑血肿：发病后4小时 4 days after ictus 发 病后4天 3 months after initial CT 首 次CT后3个月 Evolution of Hematoma on CT 血 肿在CT上的演变 Decreasing Density of Hematoma 血肿密度的下降 80 70 60 HYPERDENSE 50 Density Compared 40 ISODENSE to Cortex 30 20 HYPODENSE 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Time in Days CT MRI T2WI T2WI T2 GRE Blood Products 血肿 Acute hematoma well seen on CT 急性血肿宜用CT观察 Subacute and chronic hematoma better evaluated on MRI 亚急性和慢性血肿宜用MRI观察 Primary (hypertensive) bleeds occur in the basal ganglia; for bleeds at other locations, hunt for a cause 高血压出血常在基底节；其它部 位的话要寻找病因 Subacute Hematoma on MRI MRI上的亚急性血肿 Left paraasagittal T1WI