MRI对急性脑缺血半暗带组织存活的评估
被引量:5
摘要
脑缺血半暗带组织存活与否的判断是选择溶栓治疗及评估疗效的重要指标,PWI、DWI、MRS均可用于组织存活的评价,以DWI、脑血流量(CBF)、乳酸/胆碱浓度、NAA浓度应用较多,目前倾向于各种MR技术的综合运用,并且对组织存活的评估应当是动态的。
参考文献19
-
1Keir SL, Wardlaw JM. Systematic review of diffusion and perfusion imaging in acute ischemic stroke. Stroke, 2000, 31(11): 2723-2731
-
2Heiss WD, Kracht LW, Thiel A, et al. Pneumbral probability thresholds of cortical flumazenil binding and blood flow predicting tissue outcome in patients with cerebral ischemia. Brain, 2001, 124(1): 20-29
-
3Grandin CB, Duprez TP, Smith AM, et al. Usefulness of magnetic resonance - derived quantiative measurements of cerebral blood flow and volume in prediction of infract growth in hyperacute stroke. Stroke, 2001, 32(5): 1147-1153
-
4Wild JM, Wardlaw JM, Marshall I, et al. N- acetylaspartate distribution in proton spectroscopic images of ischemic stroke, relationship to infract appearance on T2 -weighted magnetic resonance imaginbg. Stroke, 2000, 31(2): 3008-3014
-
5Provenzale JM, Soreensen AG. Diffusion - weighted MR imaging in acute stroke: theoretic considerations and Clinical applications. AJR, 1999, 173(6): 1459-1467
-
6Beauchamp NJ, Baeker PB, Wang PY, et al. Imaging of acute cerebral ischemia. Radiology, 1999, 212(2): 307-324
-
7Sunshine JL, Bambakidis N, Tarr RW, et al. Benefits of perfusion MR imaging relative to diffusion MR imaging in the diagnosis and treatmemt of hyperacute stroke. AJNR, 2001, 22(5): 915-921
-
8Li F, Sliva MD, Sotak CH, et al. Temporal evolution of ischemic injury evaluted with diffusion, perfusion, and T_2 - weighted MRI. Neurology, 2000, 54(1,2): 689-696
-
9Parson MW, Yang Q, Barber PA, et al. Perfusion magnetic resonance imaging maps in hyperacute stroke, relative cerebral blood flow most accurately identifies tissue destined to infract. Stroke, 2001, 32(7): 1581-1597
-
10Yamada N, Imakita S, Sakuma T. Value of diffusion - weighted imaging and apparent diffusion coefficient in recent cerebral infractions: a correlation study with contrast- enhanced T1-weighted imaging. AJNR, 2000, 20(2): 193-198
同被引文献54
-
1呼日勒,张春雨,牛广明.急性脑血管病脑缺血半暗带的研究进展[J].实用医学影像杂志,2004,5(3):173-174. 被引量:8
-
2李壮志,于立明,孙学东,张学军,刘书深,戚本广.针刺对脑挫裂伤缺血半暗区血流变化的半定量研究[J].中华神经医学杂志,2006,5(1):63-67. 被引量:4
-
3魏巍,彭国光.缺血半暗带的影像学研究现状[J].中国临床康复,2006,10(14):144-146. 被引量:1
-
4徐秀辉.急性颅脑损伤后合并脑梗死10例临床分析[J].海南医学,2007,18(7):112-113. 被引量:1
-
5Moseley ME,Cohen Y, Mintorovitch J,et al. Early detection of regional cerebral ischemia in cats:comparison of diffusion and T2- weighted MRI and spectroscopy[J]. Magn Reson Med, 1990; 14(7): 330-347
-
6Soorenson A, Buananno F, Gonzalezz R, et al.Hyperacute stroke: evaluation with combined multisection diffusion weighted and hemodynamically weighted echoplanar imaging[J].Radiology, 1996; 199(3): 391-401
-
7Darby DG, Barber PA, Gerraty RP, et al.Pathophysiological topography of acute ischemia by combined diffusion-weighted and perfusion MRI[J].Stroke, 1999;30(9) :2043-2052
-
8Beauchamp NJ, Backer PB, Wang PY, et al. Imaging of acute cerebral ischemia [J]. Radiology, 1999; 173(6): 1459-1467
-
9Dunlop DS, McHale DM, Lajtha A. Decreased brain N-acetylaspartate in Huntingtons disease [J]. Brain Res, 1992 ;580(1~2) :44-48
-
10ereira AC, Saunders DE, Doyle VL, et al.Measurement of initial N-acetylaspartate concentration by MRI predicts outcome in patients with middle cerebral artery territory infarction[J].Stroke, 1999; 30(8) :1577-1582
引证文献5
-
1呼日勒,牛广明,韩晓东.脑梗死的研究进展[J].内蒙古医学院学报,2004,26(2):145-148. 被引量:2
-
2韦冲.急性脑梗死溶栓治疗现状和进展[J].海南医学,2006,17(2):141-143. 被引量:5
-
3李壮志,于立明,孙学东,张学军,刘书深,戚本广.针刺对脑挫裂伤缺血半暗区血流变化的半定量研究[J].中华神经医学杂志,2006,5(1):63-67. 被引量:4
-
4李振举,朱侠,鞠砚,张弘,郝志文,王剑伟,刘长江,于春雷.SPECT检测在颅脑损伤中的应用[J].中国厂矿医学,2009,22(3):264-265.
-
5邓淑珍,曾献军,丁爱民.MRI评价缺血半暗带的进展研究[J].医疗装备,2020,33(10):192-193. 被引量:2
二级引证文献13
-
1李宇,谭文澜,王艳红,王珊,李伟丽,江颖.补阳还五汤对脑梗死超早期静脉溶栓患者影像学的影响[J].内蒙古中医药,2022,41(10):26-29.
-
2陆一敏,寇光,胡建新.缺血性脑血管病的药物治疗[J].中国医药导报,2007,4(09X):154-154. 被引量:1
-
3吴强,吴东,郝迎军,张皎皎.急性脑梗死尿激酶静脉溶栓治疗疗效观察[J].中国民康医学,2009,21(2):112-112. 被引量:3
-
4李振举,朱侠,鞠砚,张弘,郝志文,王剑伟,刘长江,于春雷.SPECT检测在颅脑损伤中的应用[J].中国厂矿医学,2009,22(3):264-265.
-
5吕立舫.缺血性脑血管病的药物治疗[J].菏泽医学专科学校学报,2009,21(2):68-70. 被引量:3
-
6赵文汝,霍剑菲,王峥,赵海红,张学敏,孙爱萍,曹效,李欣.肢体多功能训练箱的设计及临床适应证[J].中国组织工程研究与临床康复,2009,13(39):7675-7678. 被引量:1
-
7万春晓.不同穴位组合对脑卒中后面神经损伤的血流动力学影响[J].中国伤残医学,2010,18(6):35-37. 被引量:4
-
8万春晓.整体针刺治疗卒中后面神经损伤的临床疗效研究[J].中华全科医师杂志,2011,10(11):823-824. 被引量:1
-
9吴武姿,夏晓玲.尿激酶超早期静脉溶栓治疗重症脑干梗死1例[J].江西医药,2012,47(8):702-704.
-
10柳毅.尤瑞克林对治疗早期脑梗死的临床疗效[J].中国医药指南,2013,11(17):193-194. 被引量:3
-
1高万军,张云亭.急性脑缺血半暗带的影像学研究进展[J].国外医学(临床放射学分册),2006,29(2):94-97. 被引量:5
-
2赵学媛,么恩亮,孙志华.ADC值变化对溶栓治疗前后脑缺血性半暗带的评估[J].临床放射学杂志,2016,35(2):171-174. 被引量:10
-
3Lodi R.,Pierangeli G.,Tonon C.,李青波(译).利用质子MR波谱分析研究丛集性头痛患者的下丘脑代谢[J].世界核心医学期刊文摘(神经病学分册),2006,2(9):20-20.
-
4刘珍友,张云亭,张敬,刘洁.3.0TMR R_2'图在诊断急性脑梗死中的初步应用[J].中国医学影像技术,2012,28(7):1282-1286. 被引量:1
-
5钱采韵.急性缺血性脑卒中的内科治疗[J].国外医学(内科学分册),1993,20(7):313-315. 被引量:1
-
6程骁,黄燕,孙景波.微血管保护在中风病神经保护治疗中的作用[J].解剖学研究,2013,35(2):139-141. 被引量:2
-
7阮水良,顾文江.20例原发性脑干出血临床分析[J].浙江医学,2001,23(9):549-550.
-
8令狐海瑞,程世翔,涂悦,孙洪涛,徐忠伟,魏向阳,张赛.亚低温干预对颅脑创伤大鼠β-淀粉样蛋白前体蛋白表达的影响[J].中国中西医结合急救杂志,2013,20(2):75-78. 被引量:12
-
9曹茜,刘连祥,吴育锦.多发性硬化MR成像研究[J].放射学实践,2003,18(10):764-766.
-
10叶锦棠,郭雪梅,王霄英,李飞宇,蒋学祥.MR波谱分析对前列腺癌诊断效能的研究[J].中华放射学杂志,2009,43(6):616-620. 被引量:19