脑血管疾病的神经影像诊断和进展

Neuroimaging diagnosis and progress of cerebrovascular diseases

脑血管疾病是我国首位致死致残类疾病,对患者进行精确的影像学评估是制定救治方案并改善预后的重要环节,这对急性缺血性脑卒中(acute ischemic stroke,AIS)患者尤为关键。神经影像学近年来得到飞速发展,各项新技术的涌现有助于临床医生对缺血卒中患者的梗死面积、缺血半暗带区域及责任血管病变情况进行全面评估,为临床个体化治疗提供有益的信息。本文简要总结电子计算机断层成像(computerized tomography,CT)、磁共振成像(magnetic resonance imaging,MRI)等在脑血管疾病诊疗方面的新技术和应用进展,以期对临床脑血管疾病的影像学应用提供借鉴和参考。

Cerebrovascular disease is the leading cause of mortality and disability in China,and assessing the imaging diagnosis accurately,especially in patients with acute ischemic stroke(AIS),is of great importance in formulating treatment program and improving prognosis.Neuroimaging has been developing rapidly in recent years,and new techniques have emerged to help clinicians in assessing the infarct size,evaluating the ischemic penumbra,and identifying responsible vessels in patients with AIS,these measures provide useful information for individualized clinical treatment.In this paper,we briefly summarized the new technologies and applications of computerized tomography(CT)and magnetic resonance imaging(MRI)in the diagnosis and treatment of cerebrovascular diseases,in order to provide reference for clinical imaging applications in cerebrovascular diseases.