期刊文献+

早期缺血性脑梗死磁共振扩散加权成像的实验研究 被引量:4

An experimental research of forepart cerebral ischemic infarction by using MR diffusionweighted imaging
下载PDF
导出
摘要 目的 :探讨扩散加权成像 (DWI)对早期脑梗死的诊断价值。方法 :实验组 32只经眶入路电凝法所制作的兔大脑中脉梗死模型行不同时间点 (0 .5h、1h、2h、4h、6h、8h、12h和 2 4h)DWI扫描 ,并测定表观扩散系数 (apparentdif fusioncoefficient,ADC)值。结果 :DWI上的异常高信号位于基底节、海马和顶叶皮层 ,脑梗死后 0 .5h ,ADC值开始下降 ,至 8h ,ADC值降至最低。DWI上的异常高信号区随时间推移 ,逐渐增大。结论 :DWI是诊断早期脑梗死的优选MRI序列。 Objective: To explore the diagnostic value of diffusion weighted imaging(DWI) for early cerebral infarction.Methods: 32 New Zealand rabbits, which underwent transorbital electrocoagulation to occlude the middle cerebral artery, were examined by DWI sequence in 0.5h, 1h, 2h, 4h, 6h, 8h, 12h and 24h. After MR scanning, ADC value was measured. Results: After MCAO, the position of the abnormal signal intensity was mostly located in the basal ganglia, hippocampal and frontal cortical areas. The value of ADC began to decrease in 0.5h, and reduced to the lowest in 8h. The abnormal high signal intensity area of DWI became enlarged with the time coursing.Conclusion: DWI is the excellent sequence for early diagnosing cerebral infarction.
作者 张勇 张焱
出处 《河南大学学报(医学科学版)》 CAS 2004年第1期5-7,共3页
关键词 早期缺血性脑梗死 扩散加权成像 DWI 磁共振成像 脑组织 神经元 诊断 cerebral infarction magnetic resonance imaging diffusion weighted imaging apparent diffusion coefficient
  • 相关文献

参考文献13

  • 1毕国荣,黄洁,张德英,卢丽萍,周卓,李强.脑梗死患者血浆一氧化氮兴奋性氨基酸与内皮素的含量测定及其相互关系的研究[J].中国危重病急救医学,1999,11(9):541-544. 被引量:9
  • 2张勇,韩仲岩.急性脑梗死患者脑脊液中抑制性氨基酸递质的动态观察[J].卒中与神经疾病,2000,7(2):78-80. 被引量:4
  • 3Gonzalez RG, Schaefer PW, Buonanno FS, et al. Diffusion weighted MR imaging: diagnotic accuracy in patients imaged within 6 hours of stroke symptom onset [ J ]. Radiology, 1999, 210 : 155 - 162.
  • 4Goldberg MP, Choi DW. Combined oxygen and glucose deprivation in cortical cell culture: calcium dependent and calcium independent mechanisms of neuronal injury[J]. J. Neurosci. 1993, 13:3510.
  • 5Benveniste H, Hedlund LW, Johnson A. Mechanism of detection of acute cerebral ischemia in rats by diffusion weighted magnetic resonance microscopy [ J ]. Stroke, 1992, 23:746.
  • 6Calabresi P, Maffia GA, Centonze D, et al. Sodium influx plays a major role in the membrane depolarization induced by oxygen and glucose deprivation in rat striated spiny neurons[Jl, stroke, 1999, 30:171.
  • 7Beauchamp NJ, Barker PB, Wang PY, et al. Imaging of acute cerebral ischemia[J]. Radiology, 1999, 212:307.
  • 8Wick M, Nagatomo Y, Prielmeier F, et al. Alteration of intracellular metabolite diffusion in rat brain in vivo during ischemia and reperfusion[ J]. Stroke, 1995, 26:1930.
  • 9Neumann- Haefelin T, Kastrup A, Crespigny A, et al. Serial MRI after transient focal cerebral ichemia in rats, dynamics of tissue injury, blood brain barrier damage, and edema formation [ J 1. Stroke, 2000, 31 : 1965.
  • 10Sevick R, Kanda F, Mintorovitch J, et al. Cytotoxic brain edema: assessment with diffusion weighted MR imaging [ J ].Radiology 1992, 185: 687.

二级参考文献11

  • 1金泽武道,蒲传强.脑缺血后血脑屏障超微结构的研究[J].中华神经精神科杂志,1994,27(2):67-69. 被引量:27
  • 2田恒力,张天锡,赵卫国.L-精氨酸对兔脑缺血脑水肿的影响[J].中华实验外科杂志,1995,12(3):186-186. 被引量:7
  • 3各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380. 被引量:33055
  • 4Globus MYT,Busto R,Dietrich WD,et al. Effect of ischemia on the in vivo release of striatal dopamine , Glutamte, and γ-aminobutyric acid studied by intracerebral microdialysis. Jneurochem , 1988,51:1455
  • 5Harris KM, Miller RJ. Excitatory amino acid-evoked relese of SHGABA from hipocampal neurons in primary culture. Brain Res, 1989,482:23
  • 6Sternau LL, Lust WD, Ricci AJ, et al. Role of gammaaminobutyric acid in selective vulnerability in gerbils. Stroke,1989,20:281
  • 7Lyden PD, Hedges B. Protective effect of synaptic inhibition during cerebral ischemia in rats and rabbits. Stroke ,1992,23:1463
  • 8Lyden PD, Lonzo L. Combination theray protects ischemic brain in rats:a glutamate antagonize plus a γ-aminobutyric acid agonist. Stroke, 1994.25:189
  • 9Morrisett RA, Mott DD, Lewis DV, et al. GABA B-receptor-mediated inhibition of N-methy-D-aspartate component of synaptic transmission in the rat hippocampus . J Neurosci,1991,11:203
  • 10Kelly PT, McCuloch J, The effects of the GABA agonist muscimol upon the relationship between local cerebral blood flow and glucose utilization. Brain Res, 1983,258:338

共引文献10

同被引文献50

引证文献4

二级引证文献12

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部