磁敏感加权成像在急性脑梗死中的临床应用价值.doc

磁敏感加权成像对脑梗死的诊断价值 郭大静，陈维娟，吴 伟，张 维，罗银灯，赵建农 （400010 重庆 重庆医科大学附属第二医院放射科） 【摘 要】 目的 探讨磁敏感加权成像的价值。搜集经临床及影像学检查证实患者例所有患者均行常规T1WIT2WI、T2FLAIR平扫DWI及SWI扫描，例行MRA分析图像特点。SWI检出脑梗死灶内出血例SWI对脑梗死灶内出血灶的检出率明显高于常规MRI序列（P＜0.05＜0.05梗死内梗死内内小静脉较对侧增扭曲＜0.05 SWI均显示大脑中动脉内的血栓SWI在显示脑梗死并发出血常规MRI序列，和常规序列结合对诊断更准确全面，有重要的临床价值。 磁敏感加权成像磁共振 【中图法分类号】 【文献标志码】 A Diagnostic value of susceptibility weighted imaging in cerebral infarction: report of 38 cases Guo Dajing, Chen Weijuan, Wu Wei, Zhang Wei, Luo Yindeng, Zhao Jiannong Department of Radiology, Second Affiliated Hospital, Chongqing Medical University, Chongqing 400010, China 【Abstract】 Objective To investigate the diagnostic value of susceptibility weighted imaging SWI in cerebral infarction. Methods Thirty-eight patients with clinical or radiological proved cerebral infarction were enrolled in this study, including 15 acute cerebral infarction and 17 subacute cerebral infarction cases and 6 chronic cerebral infarction cases with encephalamalacia. Conventional non-contrast sequences including T1WI, T2WI, T2 fluid attenuated inversion recovery FLAIR , diffusion weighted imaging DWI and SWI were performed in all patients, and 25 patients underwent magnetic resonance angiography MRA . Characteristics of these images were analyzed. Results Eighteen hemorrhagic lesions within infarction were detected in 5 patients by routine sequences, while SWI showed 62 hemorrhagic lesions within infarction in 11 patients P 0.05 . On SWI, acute cerebral infarction appeared isointensity in all 15 cases, subacute infarction displayed isointensity 11 cases and hypointensity 6 cases , and all chronic infarction 6 cases demonstrated hypointensity. The intensity difference in different stages has statistical significance P 0.05 . SWI found reduced venula inside the infarcted areas in all 15 acute cases, and revealed reduced venula 9 cases and increased and tortuous venula 8 cases in subacute infarction when compared with the unaffected side. Thicken