3D-TOF MRA序列筛查脑微出血在脑梗死出血性转化中的预警价值.PDF

International Journal of Psychiatry and Neurology 国际神经精神科学杂志, 2017, 6(3), 18-26 Published Online August 2017 in Hans. /journal/ijpn /10.12677/ijpn.2017.63004 Cerebral Microbleeds Screening with Original Image of 3D-TOF MRA Sequences Predicting Hemorrhagic Transformation in the Patients with Cerebral Infarction Yongpeng Yu1*, Lijun Liu2 1 Department of Neurology and Central Laboratory of Brain Diseases, The Affiliated Weihai Central Hospital of Qingdao University, Weihai Shandong 2 Department of Neurology, The Affiliated Hospital of Qingdao University, Qingdao Shandong th th th Received: Jun. 26 , 2017; accepted: Jul. 10 , 2017; published: Jul. 14 , 2017 Abstract Objective: To investigate the feasibility of the original image of the three-dimensional time of flight MR angiography (Three dimensional time-of-flight magnetic resonance angiography, 3D- TOF MRA) assessing cerebral microbleeds (CMBs) in the patients with cerebral infarction, and further investigate the application value of 3D-TOF sequence in predicting hemorrhagic transfor- mation from cerebral infarction. Methods: 192 cases of patients with cerebral infarction were enrolled into this study, and susceptibility weighted imaging (SWI) and 3D-TOF sequence scanning were performed to assess the ability of SWI and original axial images of 3D-TOF MRA showing CMBs. We investigated the imaging signal distribution of hemorrhagic transformation with cere- bral infarction in the original image of CT, T1WI, DWI, SWI and 3D-TOF MRA sequences and the characteristics of CMBs to clarify the