脑弥漫性轴索损伤的临床特征和MRI_CT诊断_附47例分析_王建武.pdfVIP

中国CT和MRI杂志　2015年6月 第13卷 第６期 总第68期 The Clinical Feature and the Diagnostic Value of MRI and CT in Diffuse Axonal 论 著 Injury-Analysis of 47 Cases WANG Jian-wu, FENG Xue-bing, PENG Ru-chen. Department of Radiology, Luhe Hospital of Capital Medical University, Beijing 101149, P. R. China 脑弥漫性轴索损伤 [Abstract] Objective To assess the value of MRI and CT in diagnosis of diffuse axonal injury (DAI) and analyze its clinical feature. Materials and Methods 47 cases of DAI, which 的临床特征和MRI、 were diagnosed according to clinical manifestations and MRI findings, were collected for retrospective study. All patients had undergone MRI and CT. MRI employed T1WI, CT诊断(附47例分 T2WI, T2-FLAIR and DWI; CT applied routine serial scanning. The detection rate of cerebral DAI lesions was compared between CT and the sequences of MRI, and its 析) clinical and imaging features were analyzed. Results At the early stage of the disease, Total 535 lesions of non-hemorrhagic or Speckled hemorrhage were detected by combination 首都医科大学附属北京潞河医院放 of T2-FLAIRand DWI in all 47 cases. single or multiple focal lesions in white matter 射科 (北京 101149) of brain, mainly located in the junctional zone of cortex and medulla, brain stem, corpus callosum, basal nodal region, interbrain and cerebellum. 45 lesions were identified by T2- 王建武 冯学彬 彭如臣 FLAIR and were not detected by DWI, 21 lesions were identified by DWI and were not detected by