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MRI扩散张量成像确定退行性脊柱侧凸责任节段的价值 被引量:1
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作者 王前 高鹏 +3 位作者 陈建 唐鹏宇 凡进 殷国勇 《中国矫形外科杂志》 CAS CSCD 北大核心 2022年第3期225-229,共5页
[目的]探讨MR扩散张量成像(magnetic resonance imaging with diffusion tensor imaging,MRI-DTI)在确定成人退行性脊柱侧凸(adult degenerative scoliosis,ADS)患者责任节段中的应用价值.[方法]选取2017年6月-2019年9月本院退变性脊柱... [目的]探讨MR扩散张量成像(magnetic resonance imaging with diffusion tensor imaging,MRI-DTI)在确定成人退行性脊柱侧凸(adult degenerative scoliosis,ADS)患者责任节段中的应用价值.[方法]选取2017年6月-2019年9月本院退变性脊柱侧凸患者36例纳入研究,均行常规MRI及MRI-DTI检查,比较有症状神经根及无症状神经根FA值的差异,采用ODI、JOA、VAS评分及影像学参数评价临床疗效.[结果]ADS患者症状神经根与无症状神经根FA值存在显著差异(P<0.05),MRI-DTI神经根定位与患者症状或神经阻滞定位基本相符.随时间推移,患者的ODI、VAS-BP、VAS-LP评分显著降低(P<0.05),而JOA评分显著增加(P<0.05).术后不同时间的JOA、ODI、VAS-BP、VAS-LP评分差异无统计学意义(P>0.05).影像测量方面,术后Cobb角、LL角、SS角、PT角、椎间隙高度和椎间孔面积较术前明显改善(P<0.05).[结论]MRI-DTI可作为判定症状神经根节段的依据,并与临床症状高度一致.根据MRI-DTI结果定位责任节段,进行精准神经根减压,临床疗效良好. 展开更多
关键词 退行性脊柱侧凸 责任节段 定位 mri扩散张量成像 手术治疗
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EFFECT OF POSITIVE-INDEFINITE MATRIX ON MAGNETIC RESONANCE DIFFUSION TENSOR-DERIVED PARAMETERS 被引量:1
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作者 张怀岺 任红润 +2 位作者 金新安 何青 高嵩 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI 2010年第1期102-106,共5页
To evaluate the effect of the positive-indefinite matrix on the diffusion tensor-derived parameters, a modified algorithm is proposed for calculating these parameters. Magnetic resonance (MR) diffusion tensor images... To evaluate the effect of the positive-indefinite matrix on the diffusion tensor-derived parameters, a modified algorithm is proposed for calculating these parameters. Magnetic resonance (MR) diffusion tensor images of five healthy volunteers are collected. The diffusion sensitive gradient magnetic fields are applied along 25 directions and the diffusion weighting value is 1 000 s/mm^2. Many positive-indefinite diffusion tensors can be found in the white matter area, such as the genu and the splenium of corpus callosum. Due to the positive-indefinite matrix, the mean diffusivity (MD) and the fractional anisotropy (FA) are under-estimated and over-estimated by using the conventional algorithm. Thus, the conventional algorithm is modified by using the absolute values of all eigenvalues. Results show that both the robustness and the reliability for deriving these parameters are improved by the modified algorithm. 展开更多
关键词 magnetic resonance imaging mri functional magnetic resonance imaging (fmri diffusion tensor image (DTI)
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Diffusion tensor imaging of the brain in patients with Alzheimer's disease and cerebrovascular lesions 被引量:5
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作者 CHEN Shao-qiong KANG Zhuang +2 位作者 HU Xi-quan HU Bing ZOU Yan 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2007年第4期242-247,共6页
Background:Recent autopsy study showed a high incidence of cerebrovascular lesions in Alzheimer's disease(AD).To assess the impact of cerebrovascular pathology in AD,we used diffusion tensor imaging(DTI) to study ... Background:Recent autopsy study showed a high incidence of cerebrovascular lesions in Alzheimer's disease(AD).To assess the impact of cerebrovascular pathology in AD,we used diffusion tensor imaging(DTI) to study AD patients with and without cerebrovascular lesions.Materials and Methods:Conventional and DTI scans were obtained from 10 patients with probable AD,10 AD/V patients(probable AD with cerebrovascular lesions) and ten normal controls.Mean diffusivity(D) and fractional anisotropy(FA) values of some structures involved with AD pathology were measured.Results:D value was higher in AD patients than in controls in hippocampus and the cingulate gyrus.In AD/V patients,increased D value was found in the same structures and also in the thalamus and basal ganglia compared to controls.There was a significant difference of D value between AD and AD/V patients.FA value reduced in the white matter of left inferior temporal gyrus and in the bilateral middle cingulate gyrus in patients with AD/V compared with controls.The MMSE(mini-mental state examination) score significantly correlated with FA value in the right hippocampus(r=0.639,P<0.019),in the right anterior cingulate gyrus(r=0.587,P<0.035) and in left parahippocampal gyrus(r=0.559,P<0.047).Conclusion:Cerebrovascular pathology had stronger impact on the D value than the AD pathology alone did.Elevated D value in thalamic and basal ganglia may contribute to cognitive decline in AD/V patients.Reduced FA values in AD/V patients may indicate that cerebrovascular pathology induced more severe white matter damage than the AD pathology alone did. 展开更多
关键词 Diffusion tensor imaging (DTI) Alzheimer's disease (AD) CEREBROVASCULAR Magnetic resonance imaging mri
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阿尔茨海默病DT-MRI脑图像的识别 被引量:4
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作者 章炜炜 张志广 +3 位作者 冯树理 王亮 于春水 李坤成 《清华大学学报(自然科学版)》 EI CAS CSCD 北大核心 2005年第12期1684-1687,共4页
利用脑部的扩散张量磁共振图像(d iffus ion tensorm agnetic resonance im ag ing,DT-M R I),探索对阿尔茨海默病计算机辅助诊断方法,提出了一种线性识别方法。对9例阿尔茨海默病患者和9例正常人脑部在1.5 T磁共振成像系统上作DT-M R ... 利用脑部的扩散张量磁共振图像(d iffus ion tensorm agnetic resonance im ag ing,DT-M R I),探索对阿尔茨海默病计算机辅助诊断方法,提出了一种线性识别方法。对9例阿尔茨海默病患者和9例正常人脑部在1.5 T磁共振成像系统上作DT-M R I扫描。测量胼胝体膝部、胼胝体压部和海马的表观扩散系数和各向异性分数。对这些参数进行了统计,以训练识别器。用留一法估算,得到识别正确率为83.33%。结果表明,DT-M R I图像可以反映阿尔茨海默患者脑部的受损情况,该识别方法能为阿尔茨海默病的临床诊断提供帮助。 展开更多
关键词 磁共振(mri) 磁共振扩散成像(DT—mri) 阿尔茨海默病(AD) 识别方法
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