磁敏感加权像对脑内隐匿性出血的诊断价值.docVIP

The Diagnostic Value of Susceptibility Weighted Imaging in Occult Cerebral Bleeding LIU Fang, (Department of Radiology, the First Hospital of China Medical University, Shenyang 110001, China) [Abstract] Objective To explore the application value of susceptibility-weighted imaging in patients with occult cerebral bleeding. Methods Eighteen patients with massive cerebral infarction with hemorrhage. Fifty-eight cases of lacunar cerebral infarction with occult cerebral bleeding .Nineteen cases of mild traumatic brain injury with occult cerebral bleeding. 24 cases of cerebral glioma with bleeding. All patients underwent SWI, conventional CT and MRI.Results Conventional CT and MRI detected a small part cerebral bleeding .SWI sequence detected in all cerebral bleeding . more hemorrhagic lesions were visible ,and Area of hemorrhagic lesions was significantly greater.Conclusion SWI is of great sensitivity for the detection of occult cerebral bleeding. Identification of occult cerebral bleeding can be critical in determining the proper treatments. [Key words] Parkinson disease；Basal ganglia；Magnetic resonance imaging; Susceptibility-weighted imaging刘 芳， （，辽宁 阳,11）[摘 要]　目的 应用磁共振磁敏感加权成像（SW）。方。结果结论。 [关键词]；；；成像 [作者简介] 刘芳（1969—），女，辽宁法库人，硕士，主治医师。研究方向：神经影像。E-mail: liufang_liu_fang@ [通讯作者] ，中国，11。E-mail: liufang_liu_fang@ 隐匿性脑出血是指常规CT和MR检查难以发现的出血。磁敏感加权成像（SWI）是一种可以反映组织间磁敏感性差异的新的MR成像技术，容易检出造成局部磁场不均匀性的病变，对于脑内出血的诊断具有更高的敏感性和准确性[1]，尤其是对于隐匿性脑微出血（cerebral microbleeds，CMBs）的检出。与T2*WI相比，SWI大幅度提高了CMBs的检出率[2]。目前已经广泛应用于中枢神经系统疾病的诊断中。本研究通过。 1 资料与方法 1.1一般资料，年龄岁1.2 MR检查 采用GE Signal T MR扫描仪，仰卧位8通道线圈固定头颅，扫描野包括整个头颅。MR数据采集的序列如下: T1W、T2WFLAIR、DWI及SWI序列，各横轴位MR扫描定位层面相同。SWI序列采用完全流动补偿，三维、梯度回波序列，成像参数如下：TR 34.0 ms，TE 20.0 ms，翻转角度15°，带宽41.67 Hz，层厚2.0 mm，间距0，矩阵448×320。1.3 图像处理 根据图像。 1.6 分析 。 2 结果 表1 检查方式 n 检出例数 未检出例数 CT 18 6 (44.4%) 12(55.6%) 常规 MR 18 10(61.1%) 8 (38.9%) SWI 18 18(100%) 0 表2 扫描序列