低场强磁共振弥散加权成像在早期脑梗死中诊断价值.docVIP

低场强磁共振弥散加权成像在早期脑梗死中诊断价值【摘要】 目的 探讨低场强磁共振弥散加权成像在超急性期脑梗死及急性期脑梗死中的诊断价值。方法 对58例急性期不同时间段的脑梗死患者磁共振弥散加权成像(DWI)图像与常规扫描T1WI，T2WI和FIR信号图像进行对比分析。结果 58例患者中，发病3 h内共8例，其中3例DWI出现稍高信号，占38％；3~6 h共10例，其中6例DWI见稍高信号，占60％；7~12 h共28例，其中26例DWI见高信号，占92％；13~24 h共12例，T2WI，FIR和DWI均见高信号占100％。结论 低场强磁共振弥散加权成像与常规扫描对比，低场强磁共振弥散加权成像对早期脑梗死有较高敏感性及特异性。 【关键词】 超急性期脑梗死;低场强;磁共振弥散加权成像 The diagnose value of the low field MRI diffusion-weighted imaging(DWI)in early cerebral infarction. XIA Zheng-yun. The People?s Hospital in Hulunbeier City,Hulunbeier 021008,China 【Abstract】 Objective To evaluate the diagnose value of the low field MRI diffusion weighed imaging (DWI)in hyeracute group cerebral infarction and acute group cevebral infarction.Methods DWI,MRI imaging and scanner T1WI,T2WIand FIR signal imaging were analysed and compared with each other that was performed in 58 patients with cerebral infarction in different period.Results Of 58 patiens 8 were formed in 3 hours and of them 3 demonstrated a little high-intensity(n=38％).10 cases in 3~6 hours,6 were a little high-intensity in DWI(n=60％).28 cases in 7~12 hours,26 were hyperintensity(n=92％).12 cases in 13~24 hours demonstrated low-intensity(n=100％).Conclusion Low field DWI and conventional scanner are analysed,low fiecd DWI is a high sensitive and specifil in early cerebral infaction. 【Key words】 Hyperacute cerebral infarction;Low field;MRI diffusion-weighted imaging 高场强磁共振弥散成像在早期脑梗死中的价值已得到临床肯定，而低场强磁共振弥散成像报道较少，笔者就我院SIEMENS-0.35T磁共振机对早期脑梗死患者做磁共振弥散成像检查，结果报告如下。 1 资料与方法 1.1 一般资料 笔者对我院近年来经临床证实的早期脑梗死58例患者资料进行总结。58例均经T1WI，T2WI，FIR，DWI检查；男37例，女21例，年龄35~78岁，平均64岁。其中发病至扫描时间3 h以下8例，3~6 h10例，7~12 h 28例，13~24 h 12例。 1.2 检查方法 使用SIEMENS MAGNETOMC 0.35T永磁磁共振机，4通道头线圈。采用T1WI(TR361/TE11)，T2WI(TR4580/TE106)，FIR(TR6420/TE69/TI1900)。SE-DWI(TR3000/TE124)扩散敏感系数b值取1000s/mm2。 2 结果 2.1 58例患者病灶部位有 颞叶，额叶，枕叶 脑干，小脑。 2.2 T1WI,T2WI,FIR及DWI的影像特点 以DWI出现稍高或高信号为标准对比相应部位T1WI，T2WI，FIR信号变化情况。发病＜3 h有3例DWI出现稍高信号占38％，3~6 h10例内DWI6例见稍高信号占60％，7~12 h 28例内DWI26例见高信