扩散加权成像在短暂性脑缺血发作中的应用
摘要
短暂性脑缺血发作(TIA)后3个月内卒中的发生率为10%,而且一半的卒中发生在TIA后2d内。扩散加权成像(DWI)对早期和超早期脑缺血的敏感性和特异性都非常高,因此其对于TIA病人病灶的早期检出及预测卒中有很大作用。就DWI在急性、亚急性及慢性TIA中的应用,鉴别TIA与卒中,定量DWI在DWI阴性TIA中的应用等方面进行综述。
参考文献23
-
1Special Report from the National Institute of Neurological Disorder and Stroke.Classification of cerebrovascular diseases Ⅲ[J].Stroke,1990,21(4):637-676.
-
2Levy DE.How transient are transient ischemic attacks?[J].Neurology,1988,38(5):674-677.
-
3Crisostomo RA,Garcia MM,Tong DC.Detection of diffusion-weighted MRI abnormalities in patients with transient ischemic attack:correlation with clinical characteristics[J].Stroke,2003,34(4):932-937.
-
4Kidwell KS,Alger JR,Di Salle F,et al.Diffusion MRI in patients with transient ischemic attacks[J].Stroke,1999,30(6):1174-1180.
-
5Rovira A,Rovira-Gols A,Pedraza S,et al.Diffusion-weighted MR imaging in the acute phase of transient ischemic attacks[J].AJNR,2002,23(1):77-83.
-
6Marx JJ,Mika-Gruettner A,Thoemke F,et al.Diffusion weighted magnetic resonance imaging in the diagnosis of reversible ischaemic deficits of the brainstem[J].J Neurol Neurosurg Psychiatry,2002,72(5):572-575.
-
7Inatomi Y,Kimura K,Yonenara T,et al.Hyperaeute diffusionweighted imaging abnormalities in transient ischemic attack patients signify irreversible ischemic infarction[J].Cerebrovass Dis,2005,19(6):362-368.
-
8Coutts SB,Hill MD,Simon JE,et al.Silent ischemia in minor stroke and TIA patients identified on Mrimaging[J].Neurology,2005,65(4):513-517.
-
9Li F,Liu KF,Silva MD,et al.Transient and permanent resolution of ischemia lesions on diffusion-weighted imaging after brief periods of focal ischemia in rats:correlation with histopathology[J].Stroke,2003,31(4):946-954.
-
10Purroy F,Montaner J,Rovira A,et al.Higher risk of further vascular events among transient ischemic attack patients with diffusionweighted imaging acute ischemic lesions[J].Stroke,2004,35(10):2313-2319.
-
1李艳辉,段海.彩色多普勒超声在脑梗死诊断中的应用研究[J].医药论坛杂志,2011,32(1):77-78. 被引量:4
-
2冯冰.彩色多普勒超声检查脑梗死患者颈动脉78例临床分析[J].中国医药指南,2013,11(3):197-198.
-
3杜建英.小脑梗死18例临床分析[J].医学信息,2011,24(17):5807-5807.
-
4吴升强.大面积脑梗死后出血性转化的CT诊断新认识[J].海南医学,2014,25(4):515-517. 被引量:10
-
5王柠,吴志英,慕容慎行,许国英,姚宜卿.肝豆状核变性的家系分析(附20个家系报告)[J].中国实用内科杂志,1997,17(5):277-278. 被引量:5
-
6王琦,毛礼炜,刘娟,赵合庆,刘春风,李文.Stroop色词测验在早期识别无痴呆型血管性认知障碍中的作用[J].南通大学学报(医学版),2011,31(1):22-23. 被引量:3
-
7王琦,李文,毛礼炜,刘娟,赵合庆,刘春风.连线测验(中文修订版)在早期识别无痴呆型血管性认知障碍中的作用[J].中国老年学杂志,2012,32(10):2018-2020. 被引量:21
-
8孙琳,马隽,王艳,朱艳彬.颈动脉超声联合血清hs-CPR对糖尿病颈动脉易损斑块的预测[J].北华大学学报(自然科学版),2015,16(4):490-492.
-
9李蓉,余丹.短暂性脑缺血发作的影像学研究进展[J].神经疾病与精神卫生,2011,11(6):625-627. 被引量:3
-
10卢光明,张龙江.应重视神经影像学新技术在重大脑血管疾病诊治中的应用[J].中华老年心脑血管病杂志,2011,13(8):673-674. 被引量:3