磁敏感成像在颅内微小出血诊断中的应用探讨.PDFVIP

维普资讯 国医学影像技术 2008年第 24卷第4期 ChinJMedImagingTechnol，2008，Vol24，No4 ·507 · ·◆．中枢神经影像学 SW Iinthedisagnosisofsubtleintracerebralhemorrhage ZHONGJing-lian ，HONGGuo—bin，LM NGBi—ling，YUN Wen-juan。YERui—xin (DepartmentofRadiology，theSecondAffiliatedHospitalofSunYat~SenUniversity，Guangzhou510120，China) [Abstract] 0bjective Toinvestigatetheroleofmagneticresonance(MR)three-dimensionalfastfieldechosusceptibility- weightedimaging(3D-FFESW I)inthedetectionofsubtleintracerebralhemorrhage．Methods Twenty-fourcasesclinicallv suspectedofhavingintracerebralhemorrhagehadundergoneconventionalMR andSW Isequence ． Theabilitytodetecthem— orrhagewascomparedamongTSE，FLAIR andSW Isequence．Results Ninteenpatientswereconfirmedbysurgicalpathol— ogy．SW Ishowedtheevidenceofhemorrhageinall19cases，comparedto 11caseswith spinechoTSE，and 10caseswith FLAIR．OnSWI，thehemorrhageintheleisonsmanifesteddotty，streak，ovoid，circularareasmithhypointensistysigna1． Typicalcircularhypo-intensitysignalaroundtheleisionswasfoundin 12casesofcavernousangioma．Dottyhypo-intensity signalappearedinthewedge-shapeinfarction lesionsin3casesofacutebrain infarctioncomplicatedwith littlehemorrhagic exudation．Conclusion SW Iissuperiortotheconventiona1TSEandFLAIR forvisualizingsubtleintracerebralhemorrhage． -[Keywords3 Intracranialhemorrhages；Susceptibility-weightedimaging；Magneticresonanceimaging 磁敏感成像在颅 内微小出血诊断中的应用探讨 钟镜联 ，洪国斌 ，梁碧玲 ，云文娟 ，叶瑞心 (中山大学附属第二医院放射科 ，广东 广州 510120) [摘 要] 目的 探讨 3D-FFESWI序列对于颅内微小出血的诊断价值 。方法 对 24例临床可疑有颅 内少量 出血 ，而常 规快速 自旋 回波(TSE)、液体抑制反转恢复序列(FLAIR)及 Gd-DTPA增强扫描未发现明确颅 内出血灶者 ，进行前瞻性的