低场MR T2 FLAIR序列在轻微脑外伤中诊断价值.docVIP

低场MR T2 FLAIR序列在轻微脑外伤中诊断价值 　　[摘要] 目的 探讨低场MR T2 FLAIR序列在轻微脑外伤中的诊断价值。 方法 对120例轻微脑外伤患者分别进行CT、常规T2 FRFSE、T1 FLAIR序列扫描并加扫T2 FLAIR序列。 结果 CT平扫发现阳性病灶143个，MR常规T2WI+T1WI像发现阳性病灶118个，加扫T2 FLAIR序列后阳性病灶为176个。 结论 低场 MR加扫T2 FLAIR序列能清楚显示病灶及其范围和大小，并可增加轻微脑外伤的病灶检出率，减少漏诊。 [关键词] CT；低场MR；T2 FLAIR；轻微脑外伤 [中图分类号] R445.3 [文献标识码] A [文章编号] 1674-4721（2013）11（a）-0101-02 The diagnosis value of the low field MR T2 FLAIR sequence in mild traumatic brain injury WANG Qun1 BAO Xue-mei2 SHEN Hao1 1.Department of Radiology，the First People′s Hospital in Jiashan County of Zhejiang Province，Jiashan 314100，China；2.Department of Radiology，Affiliated Hospital of Hangzhou Normal University in Zhejiang Province，Hangzhou 310015，China [Abstract ] Objective To investigate the diagnosis value of low field MR T2 FLAIR sequence in mild traumatic brain injury. Methods 120 cases with mild traumatic brain injury were detected with CT plain scan，conventional T2 FRFSE， T1 FLAIR sequence scan and T2 FLAIR sequence added. Results 143 positive lesions were found in CT plain scan，118 positive lesions were found in conventional MR T2WI plusing T1WI imaging，and after adding T2 FLAIR sequence，176 positive lesions were found. Conculsion Low field MR adding T2 FLAIR sequence can clearly show lesions and its scope and size，and it can increase the lesion detection rate of mild traumatic brain injury and reduce misdiagnosis [Key words] Computer tomography；Low filed MR；MR T2 fluid attenuated inversion recovery；Mild traumatic brain injury 液体衰减反转恢复（fluid attenuated inversion recovery，FLAIR）序列扫描技术是主要用于颅脑MRI成像的MRI新技术[1]，它能抑制脑脊液信号，增加病灶与周围组织间的对比度，使病变清晰地显示，大大提高临床上MRI对颅脑病变的检出率。本研究回顾性分析本院120例轻微脑外伤患者的CT、MR的影像资料，探讨FLAIR序列在轻微脑外伤诊断中的应用价值，现报道如下。 1 资料与方法 1.1 一般资料 本组共收集本院2010年7月～2013年3月收治的120例轻微脑损伤患者，其中男性98例，女性22例，年龄14～62岁，平均35.66岁。所有患者均有外伤史，其中无明显临床症状95例，伴有头痛头晕25例，12例同时伴随有呕吐。 1.2 检查方法 CT检查采用SIEMENS Emotion 16排螺旋CT，常规轴位扫描，扫描层厚4.8 mm，探测器宽度1.2 mm×16 mm， 连续扫描22～24层。MR检查采用GE 0.35 T Ovation永磁型MR扫描仪，使用头颅线圈，先行常规轴位T2 FRF