预测原发性脑出血患者发生血肿扩大的影像学特征

Imaging Features for Predicting Hematoma Enlargement in Patients with Spontaneous Intracerebral Hemorrhage

原发性脑出血(sICH)是一种常见的神经系统疾病,占卒中患者总数的10%~15%,其首次发病后出现血肿扩大的概率超过30%。血肿扩大是sICH患者最严重的并发症之一,其出现预示着患者神经功能恶化和预后不良,如能早期预测血肿扩大并采取针对性的治疗措施,对降低sICH患者致死率、致残率具有重要意义。本文主要综述了可预测sICH患者发生血肿扩大的CT影像学特征、CTA影像学特征及影像组学,以期为sICH患者发生血肿扩大的预测提供一定帮助。

Spontaneous intracerebral hemorrhage(sICH)is a common neurological disease,accounting for 10%-15%of the total number of stroke patients,and the probability of hematoma enlargement after the first onset is more than 30%.Hematoma enlargement is one of the most serious complications in patients with sICH,which indicates the deterioration of neurological function and poor prognosis.If hematoma enlargement can be predicted early and taken targeted treatment measures,it is of great significance to reduce the mortality and disability rate of sICH patients.This article reviews the CT imaging features,CTA imaging features and radiomics of predicting hematoma enlargement in patients with sICH,in order to provide some help for the prediction of hematoma enlargement in patients with sICH.