分水岭脑梗死和CT模板教学教案.pptVIP

影像形态 点 串珠 索条状 楔形 点状dot 串珠样rosary-like pattern The rosary-like pattern as typical for the presence of hemodynamic compromise. Stroke. 1997;28:354–357. Small individual lesions arranged in a linear pattern would therefore result from such uneven perfusion. 索条状linear pattern F，67岁，突发右侧肢体瘫12H。 楔形Wedge-shaped M，左侧颈内动脉闭塞，ct示左侧前分水岭梗死。 DWI 探测急性缺血早期缺血损伤相关水分子自身扩散的改变，ADC、B1000等。 PWI 通过计算MTT、rCBF、CBV确定脑组织低灌注。 Pattern 1: 正常灌注 Stroke. 2000;31:1090-1096. Pattern 2: DWI=PWI Stroke. 2000;31:1090-1096. Pattern 3: PWI〉DWI Stroke. 2000;31:1090-1096. DWI and ADC SPECT F，69岁，RMCA闭塞. A, MRI 无梗死. B, MRA RMCA闭塞