期刊文献+
共找到593篇文章
< 1 2 30 >
每页显示 20 50 100
术中MRI指导下经鼻蝶入路神经内镜手术治疗巨大无功能垂体腺瘤的疗效分析
1
作者 谢森 韩轶鹏 +2 位作者 毛更生 朱伟杰 孟祥辉 《中国临床神经外科杂志》 2024年第1期8-11,共4页
目的探讨术中MRI指导下经鼻蝶入路神经内镜手术治疗巨大(最大径>4 cm)无功能垂体腺瘤的疗效。方法回顾性分析2009年2月至2015年6月经鼻蝶入路神经内镜手术治疗的24例巨大无功能垂体腺瘤的临床资料。术中使用MRI指导手术切除肿瘤。结... 目的探讨术中MRI指导下经鼻蝶入路神经内镜手术治疗巨大(最大径>4 cm)无功能垂体腺瘤的疗效。方法回顾性分析2009年2月至2015年6月经鼻蝶入路神经内镜手术治疗的24例巨大无功能垂体腺瘤的临床资料。术中使用MRI指导手术切除肿瘤。结果肿瘤最大直径4~5 cm有18例,>5 cm有6例。术中MRI扫描1次15例,2次6例,3次2例,4次1例;平均(1.5±0.8)次/例。肿瘤全切除18例,次全切除6例。术中发现脑脊液鼻漏2例,术后出现脑脊液鼻漏1例、一过性尿崩6例;未出现颅内感染、颅内血肿。术后随访3~60个月,平均45个月;术后视力及视野改善19例,头痛缓解11例;新发垂体功能低下3例,嗅觉功能障碍4例,肿瘤复发2例。结论术中MRI指导下经鼻蝶入路神经内镜手术是治疗巨大无功能垂体腺瘤安全有效的方式,能获得比较满意的疗效,手术安全性高、并发症少。 展开更多
关键词 垂体腺瘤 神经内镜 经鼻蝶入路 术中mri 疗效
下载PDF
MRI功能成像联合血清学对鉴别前列腺病变性质的临床意义
2
作者 刘涛 张孝孝 王敏旋 《国际医药卫生导报》 2024年第6期973-977,共5页
目的探讨MRI功能成像联合血清学对鉴别前列腺病变性质的临床意义。方法回顾性选取2021年7月至2023年7月延安市人民医院收治的疑似前列腺癌(PCa)患者120例,均为男性,均行3.0T MRI常规扫描、弥散加权成像(DWI)扫描、磁共振波谱(MRS)成像... 目的探讨MRI功能成像联合血清学对鉴别前列腺病变性质的临床意义。方法回顾性选取2021年7月至2023年7月延安市人民医院收治的疑似前列腺癌(PCa)患者120例,均为男性,均行3.0T MRI常规扫描、弥散加权成像(DWI)扫描、磁共振波谱(MRS)成像扫描及病理检查。根据病理结果,将患者分为PCa组(53例)及良性组(67例)。PCa组年龄(63.19±4.72)岁,良性组年龄(61.75±4.54)岁。比较两组血清游离前列腺特异性抗原(fPSA)水平、总前列腺特异性抗原(tPSA)水平、MRI功能成像结果、病理结果及不同检查方式的诊断效能。采用独立样本t检验和χ^(2)检验。结果PCa组血清fPSA、tPSA水平均高于良性组(均P<0.05);MRI常规扫描诊断灵敏度为69.81%(37/53)、特异度为83.58%(56/67)、准确率为77.50%(93/120),DWI诊断灵敏度为75.47%(40/53)、特异度为88.06%(59/67)、准确率为82.50%(99/120),MRS诊断灵敏度为73.58%(39/53)、特异度为86.57%(58/67)、准确率为80.83%(97/120),血清学诊断灵敏度为71.70%(38/53)、特异度为86.57%(58/67)、准确率为80.00%(96/120),联合诊断灵敏度为94.34%(50/53)、特异度为83.58%(56/67)、准确率为88.33%(106/120);联合诊断灵敏度、阳性预测值均高于MRI功能成像、血清学单独应用,漏诊率低于MRI功能成像、血清学单独应用(均P<0.05)。结论MRI功能成像联合血清学对PCa具有一定诊断价值,可作为临床鉴别前列腺病变性质的有效检查方式。 展开更多
关键词 前列腺病变 mri功能成像 游离前列腺特异性抗原 总前列腺特异性抗原
下载PDF
A review of functional MRI application for brain research of Chinese language processing 被引量:1
3
作者 Jianqiao Ge Jia-Hong Gao 《Magnetic Resonance Letters》 2023年第1期1-13,I0002,共14页
As one of the most widely used languages in the world,Chinese language is distinct from most western languages in many properties,thus providing a unique opportunity for understanding the brain basis of human language... As one of the most widely used languages in the world,Chinese language is distinct from most western languages in many properties,thus providing a unique opportunity for understanding the brain basis of human language and cognition.In recent years,non-invasive neuroimaging techniques such as magnetic resonance imaging(MRI)blaze a new trail to comprehensively study specific neural correlates of Chinese language processing and Chinese speakers.We reviewed the application of functional MRI(fMRI)in such studies and some essential findings on brain systems in processing Chinese.Specifically,for example,the application of task fMRI and resting-state fMRI in observing the process of reading and writing the logographic characters and producing or listening to the tonal speech.Elementary cognitive neuroscience and several potential research directions around brain and Chinese language were discussed,which may be informative for future research. 展开更多
关键词 functional mri Language task Chinese language processing Human brain RESTING-STATE
下载PDF
维生素D不足的老年糖尿病患者胼胝体的MRI影像改变与其认知功能的关系研究
4
作者 董俊杰 张玲 马丽 《脑与神经疾病杂志》 CAS 2024年第6期350-354,共5页
目的 研究维生素D摄入不足的老年2型糖尿病(T2DM)患者胼胝体的磁共振(MRI)影像改变与其认知功能的关系。方法 选择新疆维吾尔自治区人民医院干部保健中心一病区收治的127例维生素D摄入不足的老年T2DM患者为研究对象,均进行胼胝体MRI检查... 目的 研究维生素D摄入不足的老年2型糖尿病(T2DM)患者胼胝体的磁共振(MRI)影像改变与其认知功能的关系。方法 选择新疆维吾尔自治区人民医院干部保健中心一病区收治的127例维生素D摄入不足的老年T2DM患者为研究对象,均进行胼胝体MRI检查,并采用蒙特利尔认知评估量表(MoCA)评估其认知功能,根据MoCA评分结果将患者分为认知功能正常组与认知障碍组,对比两组胼胝体的MRI影像表现,探讨患者胼胝体的MRI影像改变与其认知功能的关系。结果 127例维生素D不足的老年T2DM患者中,MoCA评分≥26分者89例(认知功能正常组),MoCA评分<26分者38例(认知功能障碍组)。认知功能障碍组空腹血糖(FBG)、糖化血红蛋白(HbAlc)水平均高于认知功能正常组(P<0.05),维生素D水平低于认知功能正常组(P <0.05)。认知功能障碍组胼胝体压部与胼胝体膝部N-乙酰天门冬氨酸(NAA)、胆碱(Cho)、NAA/肌酸(Cr)、Cho/Cr均低于认知功能正常组(P<0.05),Cr与认知功能正常组比较差异无统计学意义(P> 0.05)。认知功能障碍组胼胝体压部与胼胝体膝部FA值均低于认知功能正常组(P<0.05),表现砚散系数(ADC)值均高于认知功能正常组(P<0.05)。Pearson相关性分析显示,认知功能障碍组胼胝体压部NAA、NAA/Cr与患者MoCA评分均呈正相关(P<0.05),胼胝体膝部NAA、Cho、NAA/Cr、Cho/Cr与患者MoCA评分均表现为正相关性(P<0.05)。认知功能障碍组胼胝体压部、胼胝体膝部FA值与患者MoCA评分均表现为正相关性(P<0.05),胼胝体压部、胼胝体膝部ADC值与患者MoCA评分均呈负相关(P <0.05)。结论 维生素D摄入不足的老年T2DM患者MRI影像改变与其认知功能存在明显相关性,1H-MRS和DTI参数有利于评估维生素D不足的老年T2DM患者认知功能损害情况。 展开更多
关键词 2型糖尿病 老年 维生素D摄入不足 胼胝体mri 认知功能
下载PDF
MRI对早期宫颈癌病情诊断及评估的研究进展
5
作者 马昕宇 顾辰洁 邢燕 《局解手术学杂志》 2024年第8期660-663,共4页
宫颈癌是女性生殖系统最常见的恶性肿瘤之一。磁共振成像(MRI)具有高软组织分辨率、无创、重复性强等特点,近年来发展非常迅速,已逐步应用于早期宫颈癌的诊断、分期、治疗及预后等方面,是早期宫颈癌诊治中不可缺少的影像学检查方法。本... 宫颈癌是女性生殖系统最常见的恶性肿瘤之一。磁共振成像(MRI)具有高软组织分辨率、无创、重复性强等特点,近年来发展非常迅速,已逐步应用于早期宫颈癌的诊断、分期、治疗及预后等方面,是早期宫颈癌诊治中不可缺少的影像学检查方法。本文就常规MRI及功能MRI在早期宫颈癌中的应用进展进行综述,以期为早期宫颈癌的临床诊断及治疗方案选择提供参考。 展开更多
关键词 早期宫颈癌 影像学检查 常规mri 功能mri
下载PDF
^(129)Xe通气功能MRI与肺部病灶类型关联研究
6
作者 陈琪 李海东 +10 位作者 方媛 沈路阳 刘无己 罗明 李业成 张鸣 赵修超 石磊 周倩 韩叶清 周欣 《波谱学杂志》 CAS 2024年第3期276-285,共10页
本研究旨在探索^(129)Xe通气功能MRI与肺部病灶类型之间的关联.我们对143例患者进行^(129)Xe通气功能MRI和肺部CT扫描,并分析了肺叶水平的通气功能与肺部病灶类型之间的关系.结果显示,大部分肺叶(74.6%)^(129)Xe肺通气功能MRI和CT结果一... 本研究旨在探索^(129)Xe通气功能MRI与肺部病灶类型之间的关联.我们对143例患者进行^(129)Xe通气功能MRI和肺部CT扫描,并分析了肺叶水平的通气功能与肺部病灶类型之间的关系.结果显示,大部分肺叶(74.6%)^(129)Xe肺通气功能MRI和CT结果一致.通气功能损伤与CT病灶类型相关,且混合疾病和肺气肿/肺大疱更易引起肺通气功能障碍.此外,我们的研究显示不同肺部病灶类型会呈现出不同的通气模式.即^(129)Xe通气功能MRI和肺部CT能够提供互补信息.本研究的初步结果将为肺部病灶引起的通气功能损伤评估提供数据支持,为临床影像学诊断提供更多的参考依据,有助于优化肺部疾病的诊断和治疗. 展开更多
关键词 超极化^(129)Xe 肺部通气功能磁共振成像 肺部CT 肺部疾病
下载PDF
功能MRI成像对低位前切除综合征的研究价值
7
作者 顾程 申新宇 +2 位作者 唐宇杰 张洁 韩德昌 《中国CT和MRI杂志》 2024年第9期149-152,共4页
目的探究功能MRI成像技术在评估低位直肠癌保肛术后低位前切除综合征中的应用价值。方法收集低位直肠癌保肛术后的患者38例,所有患者于术后第3个月内行盆腔功能MRI成像,并采用LARS评分表进行评分。将无LARS症状的患者纳入阴性组,轻度和... 目的探究功能MRI成像技术在评估低位直肠癌保肛术后低位前切除综合征中的应用价值。方法收集低位直肠癌保肛术后的患者38例,所有患者于术后第3个月内行盆腔功能MRI成像,并采用LARS评分表进行评分。将无LARS症状的患者纳入阴性组,轻度和重度LARS症状的患者纳入阳性组,阳性组患者均于盆腔功能MRI检查的1周内行3D HR-ARM检查。比较LARS阳性组和阴性组功能MRI检查间的差异,分析LARS阳性组功能MRI检查和3D HR-ARM检查间的相关性。结果LARS阳性组各时相的PR厚度和EAS厚度均小于阴性组,且差异有统计学意义(P<0.05)。功能MRI成像与3D HR-ARM检查相关性分析显示:静息相的H线长度与RAPD呈正相关,静息相的EAS厚度与MSP呈正相关,力排相的H线长度与IRP呈正相关,三时相的PR厚度与HPZ呈正相关,提肛相的IAS厚度与IRP和RAPD呈负相关(P<0.05)。结论低位直肠癌患者PR和EAS受损、功能减退是影响术后出现LARS的重要因素,功能MRI成像可清晰显示盆底解剖结构变化,与3D HR-ARM检查相结合,可对LARS患者进行全面评估和疗效监测。 展开更多
关键词 功能mri成像 3D高分辨直肠肛门测压 低位前切除综合征 低位直肠癌 盆底功能
下载PDF
MRI影像学参数变化与脊柱骨折患者术后功能恢复的相关性
8
作者 刘霞 车艳杰 《生物医学工程与临床》 CAS 2024年第5期668-672,共5页
目的研究MRI影像学参数变化与脊柱骨折患者术后功能恢复的相关性。方法选择衡水市第四人民医院于2020年1月至2023年1月收治的200例脊柱骨折患者,其中男性117例,女性83例;年龄43~68岁,平均年龄48.62岁;脊髓损伤节段胸椎78例,腰椎122例;... 目的研究MRI影像学参数变化与脊柱骨折患者术后功能恢复的相关性。方法选择衡水市第四人民医院于2020年1月至2023年1月收治的200例脊柱骨折患者,其中男性117例,女性83例;年龄43~68岁,平均年龄48.62岁;脊髓损伤节段胸椎78例,腰椎122例;高处坠落93例,重物压伤61例,交通事故46例。均接受常规经皮椎体成形术治疗,在术前和术后3个月接受MRI检查,根据术后3个月T_(2)加权成像(T_(2)WI)信号变化情况分为信号强度减少组、信号强度不变组和信号强度增加组。评估日本矫形外科协会(JOA)评分,比较3组患者治疗效果,以及治疗前后JOA评分、X射线指标变化情况。结果术后3个月,T_(2)WI信号强度减少者128例,信号强度不变者24例,信号强度增加者48例。治疗后JOA评分均明显增加,其中信号强度减少患者的变化值明显高于信号强度不变、信号强度增加患者[(25.27±1.12)分vs(24.34±1.17)分、(25.27±1.12)分vs(23.38±1.23)分。P<0.05]。治疗后Cobb's角、椎体前缘高度、椎体后缘高度均明显增加,其中信号强度减少患者X射线指标均高于信号强度不变、信号强度增加患者[(4.27±1.12)°vs(6.88±1.28)°、(4.27±1.12)°vs(7.16±1.52)°,(91.78±7.46)mm vs(85.73±8.44)mm、(91.78±7.46)mm vs(84.67±8.14)mm,(95.53±6.68)mm vs(90.69±6.36)mm、(95.53±6.68)mm vs(88.74±7.23)mm。P<0.05]。经治疗后,信号强度减少患者优良率明显高于信号强度不变、信号强度增加患者[87.50%(112/128)vs 70.83%(17/24)vs 66.67%(32/48)]。结论脊柱骨折功能恢复效果与MRI脊柱骨折处信号强度变化之间关联密切,其中T_(2)WI信号强度降低患者的脊柱骨折功能恢复效果较佳。 展开更多
关键词 椎体后凸成形术 脊柱骨折 mri 功能恢复 相关性
下载PDF
MSCT及MRI影像参数在腰椎管狭窄症的诊断价值及与腰椎功能改善的相关性
9
作者 王宏庆 董婕 +2 位作者 于振国 滕佳岐 孙凤龙 《中国CT和MRI杂志》 2024年第6期169-172,共4页
目的探索MSCT及MRI影像参数在腰椎管狭窄症的诊断价值及与腰椎功能改善的相关性。方法回顾性分析的80例腰椎管狭窄症患者(观察组)、81例非腰椎管狭窄症者(对照组)均在2020年5月至2023年4月期间收集,均进行了MSCT、MRI检查,比较两组各影... 目的探索MSCT及MRI影像参数在腰椎管狭窄症的诊断价值及与腰椎功能改善的相关性。方法回顾性分析的80例腰椎管狭窄症患者(观察组)、81例非腰椎管狭窄症者(对照组)均在2020年5月至2023年4月期间收集,均进行了MSCT、MRI检查,比较两组各影像参数(椎管面积、椎管矢径、椎管横径、硬膜囊面积),再针对观察组腰椎功能改善情况分为两组,即改善者(n=58),未改善者(n=22),比较两组MSCT及MRI的影像参数。结果MSCT检查下,改善患者椎管面积(202.87±36.43)mm^(2)、椎管矢径(15.75±2.49)m m、椎管横径(15.88±2.65)mm、硬膜囊面积(157.59±12.72)mm^(2)高于未改善患者(P<0.05),MRI.检查下,改善患者椎管面积(204.82±34.22)mm^(2)、椎管矢径(16.93±2.51)mm、椎管横径(15.98±1.44)mm、膜囊面积(158.77±10.51)mm^(2)高于未改善患者(P<0.05)。经RDC曲线分析,MSCT椎管面积、椎管矢径、椎管横径、硬膜囊面积预测腰椎管狭窄症患者腰椎功能改善情况的AUC分别为0.762、0.620、0.788、0.795。MRI椎管面积、椎管矢径、椎管横径、硬膜囊面积预测腰椎管狭窄症患者腰椎功能改善情况的AUC分别为0.806、0.796、0.874、0.880。结论MSCT、MRI在预测腰椎管狭窄症患者腰椎功能中均具有较高效能。 展开更多
关键词 多层螺旋CT 核磁共振 腰椎管狭窄症 诊断 腰椎功能 相关性
下载PDF
基于对比学习的非对称编解码结构的心脏MRI分割研究
10
作者 高爽 史轶伦 +1 位作者 徐巧枝 于磊 《计算机工程》 CAS CSCD 北大核心 2024年第8期290-300,共11页
全监督方法在心脏磁共振成像(MRI)分割任务中的成功依赖于大规模标记数据集,然而由于患者隐私及人工标注困难等问题,心脏MRI标注数据规模较小,使全监督方法面临挑战。基于半监督的对比学习方法,设计双分支编码与单分支解码的心脏MRI分... 全监督方法在心脏磁共振成像(MRI)分割任务中的成功依赖于大规模标记数据集,然而由于患者隐私及人工标注困难等问题,心脏MRI标注数据规模较小,使全监督方法面临挑战。基于半监督的对比学习方法,设计双分支编码与单分支解码的心脏MRI分割网络CPCL-Net,引入图像和像素的联合对比损失,提升了模型对数据样本的特征表达能力。为了增强CPCL-Net对Hard负样本的分割精度,设计动态自适应加权模块(DAWM),利用生成的α和β权重因子评估样本级别和像素级别的训练贡献度,使模型分割精度得到大幅提升。基于自动心脏诊断挑战赛(ACDC)数据集的实验结果表明,该网络模型仅利用少量标注样本即可获得较高的分割精度,缓解了心脏MRI高质量标注样本不足导致的分割精度低下问题,并且在标注样本规模相同的情况下,对心脏左心室、右心室、心肌等部位的分割精度分别为86.17%、85.52%、84.55%,优于现有的4种典型半监督分割模型以及经典的对比学习框架Sim-CLR,有效缓解了全监督分割模型对样本规模的依赖及过拟合问题。 展开更多
关键词 对比学习 动态自适应加权 医学图像分割 心脏磁共振成像 联合损失函数
下载PDF
基于MRI影像学指标及血清学指标构建肩袖损伤修复术后功能转归的列线图模型
11
作者 路支超 孙志强 +2 位作者 王新斌 王东 冷德国 《中国CT和MRI杂志》 2024年第8期138-141,共4页
目的探讨肩袖损伤修复术后功能转归影响因素,并构建列线图模型,为临床决策提供参考信息。方法选取2021年6月~2023年6月我院214例拟行肩袖损伤修复术患者,以术后3个月美国肩肘外科协会评分(ASES)作为功能转归判定标准,分为转归组和非转... 目的探讨肩袖损伤修复术后功能转归影响因素,并构建列线图模型,为临床决策提供参考信息。方法选取2021年6月~2023年6月我院214例拟行肩袖损伤修复术患者,以术后3个月美国肩肘外科协会评分(ASES)作为功能转归判定标准,分为转归组和非转归组。统计并比较2组一般资料、磁共振(MRI)影像学指标、血清学指标,采用Logistic回归方程分析肩袖损伤修复术后功能转归影响因素,并构建列线图模型,绘制校准曲线、受试者工作特征曲线、决策曲线(DCA)分析列线图模型预测效能及临床适用性。结果两组术后开始功能锻炼时间、术后功能锻炼依从性、SSP回缩距离、关节囊积液、SSP及SSC肌肉脂肪浸润程度分级、FIB、FDP、CRP比较差异有统计学意义(P<0.05);经Logistic回归方程分析,术后开始功能锻炼时间、SSP回缩距离、关节囊积液、SSC肌肉脂肪浸润程度分级、FIB、FDP是肩袖损伤修复术后功能未转归影响因素(P<0.05);参照肩袖损伤修复术后功能转归影响因素构建列线图模型,列线图模型在肩袖损伤修复术后功能转归中的AUC为0.876,95%CI为0.831~0.927,列线图模型表观线和偏差矫正线与理想线偏差不大,在0.10~0.75决策阈值下,列线图模型为临床参与者提供临床获益。结论MRI影像学指标及血清FIB、FDP、CRP对于肩袖损伤修复术后功能转归情况具有较高预测价值,为临床早期预测术后功能转归、制定相应干预方案提供参考。 展开更多
关键词 肩袖损伤修复术 功能转归 美国肩肘外科协会评分 mri影像学表现 血清学指标
下载PDF
静息态功能MRI应用于原发性失眠并认知障碍患者的诊断价值研究
12
作者 李子彦 杨秀荣 《世界睡眠医学杂志》 2023年第11期2551-2553,共3页
目的:研究分析静息态功能MRI应用于原发性失眠并认知障碍患者的诊断价值。方法:选取2020年1月至2021年12月福建省厦门大学附属第一医院放射科收治的原发性失眠患者51例作为研究对象。对患者采用蒙特利尔认知评估量表(MoCA)进行认知功能... 目的:研究分析静息态功能MRI应用于原发性失眠并认知障碍患者的诊断价值。方法:选取2020年1月至2021年12月福建省厦门大学附属第一医院放射科收治的原发性失眠患者51例作为研究对象。对患者采用蒙特利尔认知评估量表(MoCA)进行认知功能评价,选择MRI图像采集进行数据分析。根据评价原发性失眠并认知障碍患者的数量,同时评价认知障碍患者与非认知障碍患者的ReHo值,判断静息态功能MRI应用于原发性失眠并认知障碍患者的诊断价值。结果:根据蒙特利尔认知评估量表(MoCA)的评估结果可知原发性失眠并认知障碍患者为21例,发生率为41.18%;认知障碍患者分别在左侧海马旁回、左侧颞中回、左侧颞下回、右侧颞下回、右侧额下回、右侧后扣带回均显著高于非认知障碍组(P<0.05);认知障碍患者分别在左侧角回、左侧顶上小叶、左侧颞上回、左侧颞下回、右侧梭状回、右侧颞上回、右侧前扣带回均显著低于非认知障碍组(P<0.05);本研究以MoCA量表的评价结果作为金标,计算静息态功能MRI的诊断效果,灵敏度、特异度、准确度分别为76.19%、76.67%、76.47%。结论:静息态功能MRI应用于原发性失眠并认知障碍患者具有理想的诊断价值,可以为临床早期诊断、早治疗提供参考依据。 展开更多
关键词 原发性失眠 认知障碍 静息态功能mri
下载PDF
普美显增强MRI多模态定量技术在原发性肝癌患者中的应用 被引量:5
13
作者 陈松 黄泽和 +3 位作者 陈家源 阮期曾 李青春 李伟雄 《中国CT和MRI杂志》 2023年第4期150-152,共3页
目的 采用普美显增强MRI多模态定量技术评估原发性肝癌(PLC)患者肝功能,以评估患者手术风险。方法 选取医院2021年1月至2022年2月收治的82例PLC患者进行研究,所有患者均接受MRI检查并进行肝功能Child-Pugh分级评估,根据检查结果,记录MR... 目的 采用普美显增强MRI多模态定量技术评估原发性肝癌(PLC)患者肝功能,以评估患者手术风险。方法 选取医院2021年1月至2022年2月收治的82例PLC患者进行研究,所有患者均接受MRI检查并进行肝功能Child-Pugh分级评估,根据检查结果,记录MRI多模态定量参数[表观弥散系数(ADC)、真实扩散系数(D)、灌注相关扩散系数(D^(*))、灌注分数(f)],分析各参数与PLC患者肝功能Child-Pugh分级的关系。结果 82例PLC患者,评估为A级共25例,B级40例,C级17例,不同肝功能Child-Pugh分级的PLC患者一般资料相比较,差异无统计学意义(P>0.05)。A级、B级、C级患者T1、T2、ADC、D、D、f值相比较,差异有统计学意义(P<0.05)。采用Kendall’s tau-b相关系数检验,T1、D^(*)、f值与PLC患者肝功能Child-Pugh分级呈正相关性(r>0,P<0.05);T2、ADC、D值与PLC患者肝功能Child-Pugh分级呈负相关性(r<0,P<0.05)。结论 普美显增强MRI多模态参数均与PLC患者肝功能Child-Pugh分级有关,可用于评估PLC患者肝功能等级。 展开更多
关键词 原发性肝癌 普美显 mri多模态定量分析 肝储备功能
下载PDF
Acupuncture at Waiguan (TE5) influences activation/deactivation of functional brain areas in ischemic stroke patients and healthy people A functional MRI study 被引量:10
14
作者 Junqi Chen Yong Huang +6 位作者 Xinsheng Lai Chunzhi Tang Junjun Yang Hua Chen Tongjun Zeng Junxian Wu Shanshan Qu 《Neural Regeneration Research》 SCIE CAS CSCD 2013年第3期226-232,共7页
In the present study, 10 patients with ischemic stroke in the left hemisphere and six healthy controls were subjected to acupuncture at right Waiguan (TE5). In ischemic stroke subjects, functional MRI showed enhance... In the present study, 10 patients with ischemic stroke in the left hemisphere and six healthy controls were subjected to acupuncture at right Waiguan (TE5). In ischemic stroke subjects, functional MRI showed enhanced activation in Broadmann areas 5, 6, 7, 18, 19, 24, 32, the hypothalamic inferior lobe, the mamiilary body, and the ventral posterolateral nucleus of the left hemisphere, and Broadmann areas 4, 6, 7, 18, 19 and 32 of the right hemisphere, but attenuated activation of Broadmann area 13, the hypothalamic inferior lobe, the posterior lobe of the tonsil of cerebellum, and the culmen of the anterior lobe of hypophysis, in the left hemisphere and Broadmann area 13 in the right hemisphere. In ischemic stroke subjects, a number of deactivated brain areas were enhanced, including Broadmann areas 6, 11,20, 22, 37, and 47, the culmen of the anterior lobe of hypophysis, alae lingulae cerebella, and the posterior lobe of the tonsil of cerebellum of the left hemisphere, and Broadmann areas 8, 37, 45 and 47, the culmen of the anterior lobe of hypophysis, pars tuberalis adenohypophyseos, inferior border of lentiform nucleus, lateral globus pallidus, inferior temporal gyrus, and the parahippocampal gyrus of the right hemisphere. These subjects also exhibited attenuation of a number of deactivated brain areas, including Broadmann area 7. These data suggest that acupuncture at Waiguan specifically alters brain function in regions associated with sensation, vision, and motion in ischemic stroke patients. By contrast, in normal individuals, acupuncture at Waiguan generally activates brain areas associated with insomnia and other functions. 展开更多
关键词 neural regeneration acupuncture and moxibustion Waiguan (TE5) ischemic stroke specificity ofacupoints functional mri cerebral function imaging ACUPUNCTURE motion brain areas grants-supported paper photographs-containing paper NEUROREGENERATION
下载PDF
Activated and deactivated functional brain areas in the Deqi state: A functional MRI study 被引量:4
15
作者 Yong Huang Tongjun Zeng +5 位作者 Guifeng Zhang Ganlong Li Na Lu Xinsheng Lai Yangjia Lu Jiarong Chen 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第30期2362-2369,共8页
We compared the activities of functional regions of the brain in the Deqi versus non-Deqi state, as reported by physicians and subjects cludng acupuncture, Twelve healthy volunteers received sham and true needling at ... We compared the activities of functional regions of the brain in the Deqi versus non-Deqi state, as reported by physicians and subjects cludng acupuncture, Twelve healthy volunteers received sham and true needling at the Waiguan (TE5) acupoint. Real-time cerebral functional MRI showed that compared with non-sensation after sham needling, true needling activated Brodmann areas 3, 6, 8, 9, 10, 11, 13, 20, 21, 37, 39, 40, 43, and 47, the head of the caudate nucleus, the parahippocampal gyrus, thalamus and red nucleus. True needling also deactivated Brodmann areas 1,2, 3, 4, 5, 6, 7, 9. 10. 18.24.31.40 and 46. 展开更多
关键词 NEEDLING sham needling Waiguan (TE5) sham point DEQI functional mri brain region activation DEACTIVATION neural regeneration
下载PDF
A central analgesic mechanism of acupuncture for migraine An ongoing functional MRI study 被引量:3
16
作者 Lei Lan Yujie Gao +5 位作者 Fang Zeng Wei Qin Mingkai Dong Mailan Liu Taipin Guo Fanrong Liang 《Neural Regeneration Research》 SCIE CAS CSCD 2013年第28期2649-2655,共7页
Shaoyang acupoints are the most frequently used in migraine treatment. However, the central anal- gesic mechanism remains poorly understood. Studies have demonstrated that single stimulus of the verum acupuncture in h... Shaoyang acupoints are the most frequently used in migraine treatment. However, the central anal- gesic mechanism remains poorly understood. Studies have demonstrated that single stimulus of the verum acupuncture in healthy subjects can induce significant connectivity or activity changes in pain- related central networks compared with sham acupuncture. However, these findings are not indicative of the central analgesic mechanism of acupuncture at Shaoyang acupoints. Thus, we recruited 100 migraine sufferers and randomly assigned them into five groups: Shaoyang uncommon acupoint, Shaoyang common acupoint, Yangming uncommon acupoint, non-acupoint control, and blank control groups. Subjects were subjected to evaluation of curative effects and functional MRI prior to and after 10 and 20 acupuncture treatments. All subjects were diagnosed by physicians and enrolled following clinical physical examination. Subjects were observed during 1-4 weeks after inclusion. At the fifth week, the first clinical evaluation and resting functional MRI were conducted. The Shaoyang uncom- mon acupoint, Shaoyang common acupoint, Yangming uncommon acupoint, and non-acupoint control grousp then were treated with acupuncture, five times per week, 20 times in total over 4 weeks. The second and third clinical evaluations and resting functional MRI screenings were conducted following 10 and 20 acupuncture treatments. The blank control group was observed during the 5 to 8 week pe- riod, followed by clinical evaluation and resting functional MRI. The aim of this study was to examine changes in brain functional activity and central networks in subjects with migraine undergoing acu- puncture at Shaoyang uncommon acupoints. This study provides a further explanation of the central analgesic mechanism by which acupuncture at Shaoyang acupoints treats migraine, 展开更多
关键词 neural regeneration acupuncture and moxibustion MIGRAINE ACUPUNCTURE analgesia central re-sponse functional mri sessions of acupuncture continuous central activity study design grants-supported paper NEUROREGENERATION
下载PDF
Functional MRI activation of primary and secondary motor areas in healthy subjects 被引量:3
17
作者 Donghai Li Honghan Gong +1 位作者 Xiangzuo Xiao Jinhua Wan 《Neural Regeneration Research》 SCIE CAS CSCD 2008年第2期138-141,共4页
BACKGROUND: Functional MRI (fMRI) demonstrates the localization of hand representation in the motor cortex, thereby providing feasible noninvasive mapping of functional activities in the human brain. OBJECTIVE: To... BACKGROUND: Functional MRI (fMRI) demonstrates the localization of hand representation in the motor cortex, thereby providing feasible noninvasive mapping of functional activities in the human brain. OBJECTIVE: To observe cortical activation within different cortical motor regions during repetitive hand movements in healthy subjects through the use of fMRI. DESIGN: An observational study, with each subject acting as his own control. SETTING: Department of Radiology, the First Affiliated Hospital of Nanchang University. PARTICIPANTS: Seven healthy volunteers, 4 males and 3 females, aged 19 to 38 years, participated in the study. All subjects were right-handed, with no neurological or psychological disorders. Informed written consent was obtained from all subjects, and the study was approved by the Institutional Review Board of the First Affiliated Hospital of Nanchang University. METHODS: The study was performed at the Department of Radiology between June-August 2005. A 1.5 Tesla Siemens MRI scanner (Symphony, Germany) was used to acquire T1-weighted structural images, which were oriented parallel to the line running through the anterior and the posterior commissures. Subjects were instructed on a task and were allowed to practice briefly prior to the imaging procedure. The motor activation task consisted of the right hand performing a clenching movement. The T1-W images were acquired from six alternating epochs of rest and activation from all seven healthy subjects. Data were collected with echoplanar imaging of brain oxygen level dependent (BOLD) sequence. Each series comprised six cycles of task performance (30 seconds), alternating with rest (30 seconds) periods, and 3-second time intervals. The differences between active and baseline fMRI imaging were calculated using the student t-test. Differential maps were overlaid on the high resolution TI-W structural image for neuroanatomical correlation of activation areas. MAIN OUTCOME MEASURES: The omega-shaped hand knobs were recognized on T1-W structural images. Active signal changes in the primary (M1) and secondary motor (M2) areas, as well as the relationship between the hand knobs and M1 area activation, were analyzed. Region of interest was selected for signal change quantitative graphic analysis. RESULTS: All 7 enrolled volunteers were included in the final analysis. In the present study, hand knob structures were recognized on T1-weighted images in all subjects and were omega-shaped in the axial plane. Significant functional activations were observed in the contralateral primary motor area of all subjects. Activation signals were distributed mainly in the central sulcus around the hand knob. The contralateral primary sensory (S1) cortex was activated in most cases, and ipsilateral M1 was activated in 3 subjects. Contralateral or bilateral supplementary motor area (SMA) was also activated in 6 cases. Premotor area, or super parietal lobe, was activated in two subjects. Three-dimensional reconstruction demonstrated that the active signal of M1 was primarily located at the middle-lateral surface of the contralateral precentral gyrus in Brodman's area 4, and the signal of SMA activation was located in the mesial surface of the premotor area. CONCLUSION: The knob structure of the precentral gyrus is the representative motor area for hand movement. The cerebral cortical motor network was extensively activated during voluntary hand movements in normal subjects. In alert, conscious human subjects, the activated fMRI signal safely and non-invasively localized and lateralized the motor cortical activity associated with simple voluntary repetitive hand movements. Whether higher cognitive functions, such as perception and speech, can be similarly mapped using the fMRI technique and the BOLD method remains to be determined in future well-designed human studies. 展开更多
关键词 functional mri cerebral cortex motor area
下载PDF
Effective doctor-patient communication skills training optimizes functional organization of intrinsic brain architecture:a restingstate functional MRI study 被引量:2
18
作者 Bing Zhang Ling Ni +10 位作者 Fangfang Wang Weiping Li Xin Zhang Xiaohua Gu Zuzana Nedelska Fei Chen Kun Wang Bin Zhu Renyuan Liu Jun Xu Jinfan Wang 《The Journal of Biomedical Research》 CAS CSCD 2017年第6期486-493,共8页
We studied the influence of doctor-patient communication skills training on brain functional architecture using resting-state functional MRI(rs-fMRI) with a regional homogeneity(ReHo) method. Ten medical students ... We studied the influence of doctor-patient communication skills training on brain functional architecture using resting-state functional MRI(rs-fMRI) with a regional homogeneity(ReHo) method. Ten medical students participated in the study. A 1-year long doctor-patient communication skills training program was conducted. RsfMRI data were collected at baseline, one month and one year after training. There was a significant increase in the communication skills test average scores between baseline and 1-month duration of training(P〈0.001). After one month of communication skills training, medical students had decreased ReHo in the right superior temporal gyrus compared with the baseline. After one year of communication skills training, students had increased ReHo in multiple regions and decreased ReHo in several regions(P 〈0.05, Alphasim corrected). The change of ReHo values in the superior temporal gyrus negatively correlated with the change of communication skills scale score between one month after communication skills training and baseline(r=-0.734, P= 0.036). The training program we used can be an effective approach of improving doctor-patient communication skills, and the training resulted in functional plasticity of the brain’s architecture toward optimizing locally functional organization. 展开更多
关键词 brain architecture function resting-state functional mri(rs-fmri doctor-patient communication
下载PDF
The brain activation pattern of the medial temporal lobe during chewing gum: a functional MRI study 被引量:2
19
作者 Youn-Hee Choi Woo Hyuk Jang +5 位作者 Sang-Uk Im Keun-Bae Song Hee-Kyung Lee Han Do Lee You Sung Seo Sung Ho Jang 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第5期812-814,共3页
The human brain is known to be influenced by environmental stimuli(Feeney et al.,1982;Kaplan,1988).Therefore,research on the brain activation pattern by external stimuli has been an important topic in neuroscience(... The human brain is known to be influenced by environmental stimuli(Feeney et al.,1982;Kaplan,1988).Therefore,research on the brain activation pattern by external stimuli has been an important topic in neuroscience(Kaplan,1988).Chewing gum has been known to have a positive effect on cognition,including alertness,attention,cognitive processing speed, 展开更多
关键词 mri The brain activation pattern of the medial temporal lobe during chewing gum a functional mri study
下载PDF
Evaluating rehabilitation interventionsin Parkinson's disease with functional MRI:a promising neuroprotective strategy 被引量:2
20
作者 Carlo Augusto Mallio Bruno Beomonte Zobel Carlo Cosimo Quattrocchi 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第5期702-703,共2页
Parkinson's disease (PD) is a progressive neurodegenerative disorder affecting approximately 10 million people world- wide (Planetta et al., 2014; Zigmond and Smeyne, 2014). The principal clinical features of PD ... Parkinson's disease (PD) is a progressive neurodegenerative disorder affecting approximately 10 million people world- wide (Planetta et al., 2014; Zigmond and Smeyne, 2014). The principal clinical features of PD are bradykinesia, rigidity, tremor at rest and postural instability (Planetta et al., 2014). It is known that both PD itself and the use of anti-parkinson drugs are associated with several non-motor symptoms such as cognitive impairment, neuropsychiatric disturbances and sleep, autonomic, and sensory disorders (Park and Stacy, 2009; Foster et al., 2014). The histopathological hallmark of PD is the reduction of dopaminergic cells in the substantia nigra pars compacta, causing dopamine deficiency in spe- cific nuclei of the basal ganglia such as the dorsal striatum (Fearnley and Lees, 1991; Planetta et al., 2014). The disrup- tion of the dopaminergic system has long been regarded as the major cause of PD; however, it has been shown that a widespread involvement of several non-dopaminergic path- ways also contribute to the clinical manifestations of PD (Park et al., 2014). 展开更多
关键词 mri Evaluating rehabilitation interventionsin Parkinson’s disease with functional mri
下载PDF
上一页 1 2 30 下一页 到第
使用帮助 返回顶部