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CT灌注成像在缺血性脑血管病中的临床应用 被引量：7

Clinical application of CT perfusion in ischemic cerehrovascular disease
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摘要 CT灌注成像（CT perfusion,CTP）为缺血性脑血管病的诊断提供了一种新的方法，评价指标包括脑血流量、脑血容量、达峰时间和平均通过时间等。这些用于评价脑血流灌注的半定量指标对于指导选择最佳治疗方案和观察疗效具有非常重要的意义。CTP在缺血性脑血管病中的主要应用范围包括急性缺血性卒中半暗带和梗死灶的判定，以及与其他手段结合预测出血性转化和选择溶栓候选病例。此外，CTP还用于慢性脑缺血患者脑血管储备功能的评价和蛛网膜下腔出血患者脑血管痉挛的诊断和疗效评价等。 CT perfusion （CTP） has provide a novel approach for the diagnosis of ischemic cerebrovascular diseases.The evaluation indices include cerebral blood flow, cerebral blood volume, time to peak, and mean transmit time. These semi-quantitative indices used for evaluating cerebral blood perfusion have very important significance for the guidance of choosing the best treatment protocol and efficacy observation. CTP is mainly used in acute ischemic stroke to identify penumbra and infarct, as well as predicting hemorrhagic transformation in combination with other means and choosing tbrombolytic candidates. In addition, CIP is also used to assess cerebrovascular reserve capacity in patients with chronic ischemic diseases and diagnose cerebral vasospasm in patients with subarachnoid hemorrhage and their efficacy evaluation.
作者 刘创宏 徐斌 宋冬雷
机构地区 复旦大学附属华山医院神经外科
出处 《国际脑血管病杂志》 北大核心 2009年第8期604-608,共5页 International Journal of Cerebrovascular Diseases
关键词 体层摄影术 X线计算机 脑血管障碍 脑缺血 tomography, X-ray computed cerebrovascular disorders cerebral ischemia
分类号 R743.3 [医药卫生—神经病学与精神病学]
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参考文献25

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二级参考文献24

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共引文献34

同被引文献121

  • 1高山.经颅多普勒超声对颅内外动脉狭窄及侧支循环的评估价值[J].中国卒中杂志,2008,3(1):32-38. 被引量：47
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  • 3卢洁,李坤成,张苗,焦力群.慢性大脑中动脉狭窄与闭塞的MR灌注成像研究[J].放射学实践,2007,22(1):13-16. 被引量：8
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引证文献7

二级引证文献70

国际脑血管病杂志
2009年 第8期

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