脑缺血后短T1高信号的临床意义.docVIP

脑缺血后短T1高信号的临床意义 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：脑缺血后短T1高信号的临床意义 1 1 资料与方法 3 2 结果 3 3 讨论 5 文2：帕金森病脑白质高信号的磁共振研究 6 1??对象和方法 7 2 结果 8 3??讨论 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 11 正文 脑缺血后短T1高信号的临床意义 文1：脑缺血后短T1高信号的临床意义 The Investigation and Clinical Significance for Short T1 Hyperiee after Cerebral Ischemia ZHANG Shaowei，MAI Ｗeiguo,LUO Hanchao Radiology Department,Changan Hospital of Dongguan,Dongguan,523843,Guangdong,China 【ABSTRACT】 Objective:To improve the investigation and clinical significance for T1 High signal after the Cerebral :MRT features of T1 hyperiee after the brain obstruction in 23 cases were collected and analyzed，CT examination was performed on all cases and the result was followed up in the :Abnormality was located on base stanza area in 15cases,skin and medulla area in 5 cases,cerebella in 3 Abnormality in base stanza area appeared a fleck slice form short T1 in skin,medulla area and cerella,the abnormality presented spread and changed short T1 signal in the spot,after the appearance of short T1 signal by MRT examinatio in 23 cases,CT examination needs to be given at all the cases,highdeity shadow for abnormality can not be found in 22 cases,but a few highdeity shadows appear in the occipital obstruction :Short T1 hyperiee appearing behind cerebral ischemia is not resulted from the bleeding but from various carious facto,so it is very important for the clinical treatment. 【KEY WORDS】 brain Ischemia,brain Infarction,Magnetic Resonance Imaging,Short T1 Signal 众所周知，脑梗死在T1WI上表现为低信号，T2WI上表现为高信号影。但在临床工作中，我们遇到少部分病人在脑血管意外发作后3～12h急查CT没有发现出血灶，而第二天复查MRI发现梗塞灶内出现斑点状短T1高信号，立即再复查CT，梗塞灶内未见高密度出血。同样在一部分脑外伤病人中，出血吸收后，CT检查为阴性，而MRI检查水肿软化灶中见短T1信号影，故对短T1信号的正确认识关系到临床的正确诊断和治疗。 1 资料与方法 一般资料 ～月在我院行MRI检查的脑梗塞病人，脑缺血后出现短T1高信号的23例病例，其中男14例，女9例；年龄41～86岁，平均年龄66岁；临床表现为头痛、头晕，口角歪斜，肢体乏力，肌张力降低等。 检查方法 使用GE Signa 永磁型MRI成像仪，头颅线圈扫描，患者仰卧位，头先进，磁场中心定于听眉线，扫描序列包括：(1)自旋回波（SE）T1WI序轴、矢或冠位成像（TTE 340/21），层厚 8mm，层距2mm，矩阵：256/192，NEX：4，FOV 24mm×18mm,(2)快速自旋回波(