目的分析3 T MRI三维T2加权快速梯度回波(three-dimensional T2-weighted fast field echo,3D-T2*-FFE)序列显示胎儿脊柱解剖及椎体畸形的价值。材料与方法本研究纳入46例产前超声提示胎儿椎体异常或脊柱部分显示不清的中晚期孕妇,所有...目的分析3 T MRI三维T2加权快速梯度回波(three-dimensional T2-weighted fast field echo,3D-T2*-FFE)序列显示胎儿脊柱解剖及椎体畸形的价值。材料与方法本研究纳入46例产前超声提示胎儿椎体异常或脊柱部分显示不清的中晚期孕妇,所有胎儿均行脊柱MRI检查,扫描序列包括:3D-T2*-FFE、二维单次激发快速自旋回波(two-dimensional single shot fast spin echo,2D SSH TSE)和二维平衡式自由稳态进动(two-dimensional balance turbo fast field echo,2D BTFE)。由两名诊断医师对三个序列获得的脊柱各节段图像质量进行评分,采用非参数检验之Friedman检验比较各序列图像之间评分的差异。对所有病例勾画感兴趣区(region of interest,ROI),并分别计算三个序列颈、胸、腰骶段相应的椎体与椎间盘信号差值比,以评价图像对比度,通过单因素方差分析比较三个序列各节段信号差值比的差异是否有统计学意义。结果与2D SSH TSE和2D BTFE序列相比3D-T2*-FFE可以获得更好的胎儿颈椎图像,2D BTFE与3D-T2*-FFE序列在胎儿胸椎及腰骶椎的图像质量均优于2D SSH TSE序列;3D-T2*-FFE和2D BTFE序列的信号差值比高于2D SSH TSE序列,且差异有统计学意义(P<0.05);胎儿胸椎和腰椎在各序列的信号差值比差异无统计学意义(P>0.05)。结论3D-T2*-FFE序列对胎儿椎体成像效果较好,能显示更多脊柱解剖细节,其不受胎儿体位影响,且扫描时间较短,临床MRI扫描时可将其作为胎儿脊柱成像的重要补充序列。展开更多
目的判断T2加权梯度回波（GRE-T2WI）通过检测脑微出血来预测高血压性脑出血患者血肿扩大的可行性。方法选取2011年6月至2014年6月我院收治的高血压性脑出血患者107例为研究对象,患者均进行CT及GRE-T2WI检查,判断其是否存在脑微出血,并...目的判断T2加权梯度回波（GRE-T2WI）通过检测脑微出血来预测高血压性脑出血患者血肿扩大的可行性。方法选取2011年6月至2014年6月我院收治的高血压性脑出血患者107例为研究对象,患者均进行CT及GRE-T2WI检查,判断其是否存在脑微出血,并于入院后24小时及72小时复查CT观察血肿变化情况。结果 107例患者中通过GRE-T2WI检查发现,共有56例患者存在脑微出血。72小时CT显示,脑微出血患者中19例血肿进展,发生率为33.9%;无微出血患者中5例进展,发生率为9.8%。脑微出血患者72小时后血肿扩大4～19 m L,平均（13.2±3.5）m L;无微出血患者血肿扩大1～16 m L,平均（9.7±3.4）m L。两类患者血肿进展率及血肿扩大量相比,差异具有统计学意义（P〈0.05）。结论通过GRE-T2WI观察高血压性脑出血患者是否存在脑微出血,对预测患者是否存在继续出血意义重大,可根据GRE-T2WI结果给予及早干预,减少血肿进一步扩大可能。展开更多
Background and Purpose -In contrast to platelet-rich white thrombi, red thrombi in the heart are rich in fibrin and trapped erythrocytes. The magnetic susceptibility effect of deoxygenated hemoglobin in red thrombi ma...Background and Purpose -In contrast to platelet-rich white thrombi, red thrombi in the heart are rich in fibrin and trapped erythrocytes. The magnetic susceptibility effect of deoxygenated hemoglobin in red thrombi may result in hypointense signals on T2*-weighted gradient echo imaging (GRE). We tested the hypothesis that a GRE susceptibility vessel sign (SVS) is specific for cardioembolic stroke. Methods -This retrospective study examined data from acute ischemic stroke patients who underwent diffusion-weighted imaging, GRE and magnetic resonance angiography (MRA) within 24 hours of stroke onset and who had symptomatic occl usion of large intracranial arteries in the circle of Willis. Hypointense signals within vascular cisterns on GRE corresponding to symptomatic vascular occlusio n were termed “GRE SVS.”Recanalization was assessed on follow-up MRA performe d within 7 days of onset. The relationships between GRE SVS and stroke subtypes and subsequent recanalization were explored. Results -Of the 95 patients who me t the inclusion criteria, GRE SVS was observed in 45 (47.4%). GRE SVS was more commonly associated with cardioembolic stroke patients (31 of 40, 77.5%) than w ith other stroke subtypes (14 of 55, 25.5%; P < 0.001). In 66 patients who unde rwent follow-up MRA, GRE SVS was associated with subsequent recanalization (P < 0.001). Multivariate analysis showed that GRE SVS was an independent predictor of cardioembolic stroke and subsequent recanalization (odds ratio, 10.75 and 4.2 6; 95%CI, 3.68 to 31.47 and 1.12 to 16.30). Conclusions -GRE SVS may predict c ardioembolic stroke and subsequent recanalization. Identifying clot composition may be important in choosing the optimal treatment based on clot characteristics .展开更多
文摘目的分析3 T MRI三维T2加权快速梯度回波(three-dimensional T2-weighted fast field echo,3D-T2*-FFE)序列显示胎儿脊柱解剖及椎体畸形的价值。材料与方法本研究纳入46例产前超声提示胎儿椎体异常或脊柱部分显示不清的中晚期孕妇,所有胎儿均行脊柱MRI检查,扫描序列包括:3D-T2*-FFE、二维单次激发快速自旋回波(two-dimensional single shot fast spin echo,2D SSH TSE)和二维平衡式自由稳态进动(two-dimensional balance turbo fast field echo,2D BTFE)。由两名诊断医师对三个序列获得的脊柱各节段图像质量进行评分,采用非参数检验之Friedman检验比较各序列图像之间评分的差异。对所有病例勾画感兴趣区(region of interest,ROI),并分别计算三个序列颈、胸、腰骶段相应的椎体与椎间盘信号差值比,以评价图像对比度,通过单因素方差分析比较三个序列各节段信号差值比的差异是否有统计学意义。结果与2D SSH TSE和2D BTFE序列相比3D-T2*-FFE可以获得更好的胎儿颈椎图像,2D BTFE与3D-T2*-FFE序列在胎儿胸椎及腰骶椎的图像质量均优于2D SSH TSE序列;3D-T2*-FFE和2D BTFE序列的信号差值比高于2D SSH TSE序列,且差异有统计学意义(P<0.05);胎儿胸椎和腰椎在各序列的信号差值比差异无统计学意义(P>0.05)。结论3D-T2*-FFE序列对胎儿椎体成像效果较好,能显示更多脊柱解剖细节,其不受胎儿体位影响,且扫描时间较短,临床MRI扫描时可将其作为胎儿脊柱成像的重要补充序列。
文摘目的判断T2加权梯度回波（GRE-T2WI）通过检测脑微出血来预测高血压性脑出血患者血肿扩大的可行性。方法选取2011年6月至2014年6月我院收治的高血压性脑出血患者107例为研究对象,患者均进行CT及GRE-T2WI检查,判断其是否存在脑微出血,并于入院后24小时及72小时复查CT观察血肿变化情况。结果 107例患者中通过GRE-T2WI检查发现,共有56例患者存在脑微出血。72小时CT显示,脑微出血患者中19例血肿进展,发生率为33.9%;无微出血患者中5例进展,发生率为9.8%。脑微出血患者72小时后血肿扩大4～19 m L,平均（13.2±3.5）m L;无微出血患者血肿扩大1～16 m L,平均（9.7±3.4）m L。两类患者血肿进展率及血肿扩大量相比,差异具有统计学意义（P〈0.05）。结论通过GRE-T2WI观察高血压性脑出血患者是否存在脑微出血,对预测患者是否存在继续出血意义重大,可根据GRE-T2WI结果给予及早干预,减少血肿进一步扩大可能。
文摘Background and Purpose -In contrast to platelet-rich white thrombi, red thrombi in the heart are rich in fibrin and trapped erythrocytes. The magnetic susceptibility effect of deoxygenated hemoglobin in red thrombi may result in hypointense signals on T2*-weighted gradient echo imaging (GRE). We tested the hypothesis that a GRE susceptibility vessel sign (SVS) is specific for cardioembolic stroke. Methods -This retrospective study examined data from acute ischemic stroke patients who underwent diffusion-weighted imaging, GRE and magnetic resonance angiography (MRA) within 24 hours of stroke onset and who had symptomatic occl usion of large intracranial arteries in the circle of Willis. Hypointense signals within vascular cisterns on GRE corresponding to symptomatic vascular occlusio n were termed “GRE SVS.”Recanalization was assessed on follow-up MRA performe d within 7 days of onset. The relationships between GRE SVS and stroke subtypes and subsequent recanalization were explored. Results -Of the 95 patients who me t the inclusion criteria, GRE SVS was observed in 45 (47.4%). GRE SVS was more commonly associated with cardioembolic stroke patients (31 of 40, 77.5%) than w ith other stroke subtypes (14 of 55, 25.5%; P < 0.001). In 66 patients who unde rwent follow-up MRA, GRE SVS was associated with subsequent recanalization (P < 0.001). Multivariate analysis showed that GRE SVS was an independent predictor of cardioembolic stroke and subsequent recanalization (odds ratio, 10.75 and 4.2 6; 95%CI, 3.68 to 31.47 and 1.12 to 16.30). Conclusions -GRE SVS may predict c ardioembolic stroke and subsequent recanalization. Identifying clot composition may be important in choosing the optimal treatment based on clot characteristics .
