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新生儿动脉缺血性脑梗死的危险因素及MRI特点 被引量:1
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作者 白娟 徐树明 《生物医学工程与临床》 CAS 2022年第5期556-561,共6页
目的探讨新生儿动脉缺血性脑梗死(NAIS)的危险因素及MRI特点。方法选择64例确诊为NAIS的患儿作为研究组,其中男性34例,女性30例;胎龄35.86~42.00周,平均胎龄39.53周;年龄1~28 d,平均年龄7.67 d;足月儿60例(93.8%),早产儿4例。同期住院但... 目的探讨新生儿动脉缺血性脑梗死(NAIS)的危险因素及MRI特点。方法选择64例确诊为NAIS的患儿作为研究组,其中男性34例,女性30例;胎龄35.86~42.00周,平均胎龄39.53周;年龄1~28 d,平均年龄7.67 d;足月儿60例(93.8%),早产儿4例。同期住院但MRI表现正常的新生儿128例为对照组,其中男性77例,女性51例;胎龄25.57~43.00周,平均胎龄36.96周;年龄1~28 d,平均年龄8.88 d;足月儿86例,早产儿42例。均完善常规MRI及扩散加权成像(DWI)检查,对两组的临床表现、危险因素进行组间比较,总结MRI影像特征。结果研究组与对照组组间比较,在惊厥、肌张力改变、反应差、面色灰白、青紫和发热上差异均有统计学意义(P<0.05)。进行多因素二元Logistic回归分析,结果提示性别、足月、妊娠期高血压、缺氧缺血性脑病(HIE)、中枢神经系统感染及先天性心脏病是新生儿患NAIS的危险因素(P<0.05)。MRI表现方面,21例DWI发现病灶范围及部位明显大于或多于常规序列;病灶累及单侧58例(90.6%,其中左侧65.5%),双侧6例(9.4%),皮质脊髓束走行区受累26例(40.6%);磁共振血管成像(MRA)显示血管中断、分支减少或增多19例(19/26),大脑中动脉受累15例(78.9%),血管增粗/分支丰富7例(36.8%)。19例复查MRI均呈脑梗死后遗改变。结论NAIS的主要危险因素包括性别、足月、妊娠期高血压、HIE、中枢神经系统感染及先天性心脏病;MRI检查是诊断的金标准,要重视常规序列、DWI及MRA的联合应用。 展开更多
关键词 新生儿 动脉缺血性脑梗死 危险因素 MRI 扩散加权成像(DWI) 磁共振血管成像(MRA)
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Analysis on missed diagnosis or misdiagnosis of anomalous origin of left coronary artery from pulmonary artery by echocardiography from one single medical center
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作者 林珊 《China Medical Abstracts(Internal Medicine)》 2023年第3期165-166,共2页
Objective To analyze the reasons of missed diagnosis or misdiagnosis on anomalous origin of left coronary artery from pulmonary artery(ALCAPA)by echocardiography.Methods This is a retrospective study.Patients with ALC... Objective To analyze the reasons of missed diagnosis or misdiagnosis on anomalous origin of left coronary artery from pulmonary artery(ALCAPA)by echocardiography.Methods This is a retrospective study.Patients with ALCAPA who underwent surgical treatment in Union Hospital,Tongji Medical College,Huazhong University of Science and Technology from August 2008 to December 2021 were included. 展开更多
关键词 DIAGNOSIS CORONARY ECHOCARDIOGRAPHY
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Abnormal striatum functional connectivity in major depressive disorder: a resting state functional magnetic resonance imaging study
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作者 CHEN Feng 《China Medical Abstracts(Internal Medicine)》 2019年第3期192-192,共1页
Objective To investigate the characteristics of striatum functional connectivity(FC)in patients with major depressive disorder(MDD).Methods Fifty unmedicated patients with MDD and 48 healthy controls underwent resting... Objective To investigate the characteristics of striatum functional connectivity(FC)in patients with major depressive disorder(MDD).Methods Fifty unmedicated patients with MDD and 48 healthy controls underwent resting-state functional magnetic resonance imaging(rsfMRI)scan.Routine preprocessing of rs-fMRI data was performed.The striatum was divided into bilateral inferior ventral striatum,bilateral superior ventral striatum,bilateral dorsal caudate,bilateral dorsal caudal putamen,bilateral dorsal rostral putamen,and bilateral ventral rostral putamen.Whole brain functional connectivity analysis was performed with the above 12 seed points.And significant differences of each seed FC between every two groups were calculated with Two-sample t-test and multiple comparison correction of threshold-free cluster enhancement(TFCE).Finally,correlation analysis was performed between the FC of the brain regions and clinical features(i.e.Hamilton Depression Scale of 24 items(HAMD24)scores).Results In comparison with the control group,the MDD patients significantly decreased FC in the left dorsal caudal putamen and the right superior temporal gyrus(t=-5.46,P<0.008,TFCE correction),the right dorsal rostral putamen and bilateral postcentral gyrus(right t=-4.85,left t=-4.81,P<0.008,TFCE correction)and left precuneus(t=-4.58,P<0.008,TFCE correction).There were no significant correlations between the FC values in these regions and HAMD24 scores(r=0.171,0.002,0.005,0.098;all P<0.05).Conclusion The MDD patients possibly have abnormal FC in the striatum and the superior temporal gyrus,the postcentral gyrus and the precuneus,and it suggests these sensorimoter areas may play an important role in the pathological mechanisms of MDD. 展开更多
关键词 STRIATUM CONNECTIVITY FUNCTIONAL
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Discussion of grading method of small opacity profusion of pneumoconiosis on CT scans and the corresponding reference images
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作者 ZHAI Rongcun 《China Medical Abstracts(Internal Medicine)》 2021年第4期201-201,共1页
Objective To explore the CT grading method of small opacity profusion of pneumoconiosis, and draw up the corresponding CT reference film.Methods In December 2019, three hundred thirty-seven cases of pneumoconosis and ... Objective To explore the CT grading method of small opacity profusion of pneumoconiosis, and draw up the corresponding CT reference film.Methods In December 2019, three hundred thirty-seven cases of pneumoconosis and suspected pneumoconiosis were examined by chest radiography and Computed Tomography(CT) in the same period. 展开更多
关键词 PNEUMOCONIOSIS GRADING CT
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Insular subdivisions functional connectivity in patients with major depressive disorder:a restingstate functional magnetic resonance imaging study
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作者 CHEN Pan 《China Medical Abstracts(Internal Medicine)》 2019年第4期235-236,共2页
Objective To provide a basic profile of resting-state functional connectivity(FC)in unmedicated patients with major depressive disorder(MDD).Methods Fifty unmedicated patients with MDD and 51 healthy controls underwen... Objective To provide a basic profile of resting-state functional connectivity(FC)in unmedicated patients with major depressive disorder(MDD).Methods Fifty unmedicated patients with MDD and 51 healthy controls underwent the resting-state functional magnetic resonance imaging(rs-fMRI).After preprocessing of rs-fMRI. 展开更多
关键词 Insular CONNECTIVITY PATIENTS
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Changes of cerebral blood flow perfusion in bipolar disorder patients with suicidal ideation:a resting-state functional magnetic resonance imaging study
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作者 PAN Youling 《China Medical Abstracts(Internal Medicine)》 2021年第1期64-64,共1页
Objective To compare the changes of cerebral blood flow (CBF) in bipolar disorder type Ⅱ patients with and without suicidal ideation.Methods Pseudo-continuous arterial spin labelling (pCASL) was examined with resting... Objective To compare the changes of cerebral blood flow (CBF) in bipolar disorder type Ⅱ patients with and without suicidal ideation.Methods Pseudo-continuous arterial spin labelling (pCASL) was examined with resting-state functional magnetic resonance imaging (rs-fMRI) on all subjects,CBF images of bipolar disorder typeⅡ depression with suicidal ideation (n=48),Bipolar Disorder type Ⅱ without suicidal ideation (n=41). 展开更多
关键词 PATIENTS CEREBRAL ARTERIAL
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Quantitative analysis of brain metabolites in patients,with non-dementia vascular cognitive impairment and mild cognitive impairment
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作者 刘艳艳 《China Medical Abstracts(Internal Medicine)》 2013年第2期127-128,共2页
Objective To investigate metabolite changes in the brain of patients with non-dementia vascular cognitive impairment(VCIND) and mild cognitive impairment(MCI) using magnetic resonance spectroscopy(MRS)
关键词 impairment METABOLITE bilateral CHOLINE displayed inositol GYRUS FRONTAL absolute CREATINE
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A deformation-based morphometry study on gray matter abnormalities in drug-naive patients with first-onset major depressive disorder
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作者 LIU Xiao-dan 《China Medical Abstracts(Internal Medicine)》 2021年第3期190-191,共2页
Objective To explore the structural changes of grey matter(GM)in drug-naive patients with first-onset major depressive disorder(MDD)by using deformation-based morphometry(DBM)and the possible imaging biomarkers for ea... Objective To explore the structural changes of grey matter(GM)in drug-naive patients with first-onset major depressive disorder(MDD)by using deformation-based morphometry(DBM)and the possible imaging biomarkers for early diagnosis of MDD.Methods 3D T_(1)-weighted structural MRI scans were performed on 38 MDD patients and 65 healthy controls(HCs),matched with age and gender. 展开更多
关键词 diagnosis DRUG MATTER
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