1.5T MRI评价颈动脉粥样硬化与脑梗死的相关性研究

发布时间：2018-02-28 03:43

本文关键词： 磁共振成像颈动脉粥样硬化脑梗死　出处：《中国医学计算机成像杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的:通过MRI检测探讨颈动脉粥样硬化与脑梗死之间的关系。方法:选取2014年10月-2015年12月我院收治的60例MRI证实的脑梗死患者和同期检查的60例体检正常的无脑梗死健康者(对照组),两组行MRI检查,扫描序列包括二维时间飞跃法(2D-TOF)成像、T1WI、T2WI及增强颈部血管成像,研究并分析斑块内成分及其分型。结果:60例急性脑梗死患者中有55例颈动脉颅外段检出粥样硬化斑块,与对照组比较(15/60)差异有统计学意义(P0.05);两组人群颈动脉粥样硬化斑块的分布情况比较差异无统计学意义(P0.05);两组人群颈动脉粥样硬化斑块不稳定斑块发生率比较有统计学意义(P0.05)。结论:颈动脉粥样硬化与脑梗死之间有密切的相关性,对中老年人常规进行1.5T MRI颈动脉粥样斑块成分预测,可作为脑梗死发生的预测因素,对积极防治颈动脉粥样硬化斑块导致的脑梗死发生具有非常重要的意义。
[Abstract]:Objective: to investigate the relationship between carotid atherosclerosis and cerebral infarction by MRI. Methods: from October 2014 to December 2015, 60 patients with cerebral infarction confirmed by MRI and 60 patients with normal physical examination from October 2014 to December 2015 were selected. Patients with cerebral infarction (control group) were examined by MRI. The scanning sequences included T1WII-T2WI, T1WII-T2WI and contrast-enhanced cervical angiography. Results Atherosclerotic plaques were detected in 55 out of 60 patients with acute cerebral infarction (ACI) in 55 of 60 patients with acute cerebral infarction. There was no significant difference in the distribution of carotid atherosclerotic plaques between the two groups, and there was no significant difference in the distribution of carotid atherosclerotic plaques between the two groups. Conclusion: there is a close correlation between carotid atherosclerosis and cerebral infarction. The prediction of carotid atherosclerotic plaque composition by 1.5T MRI is a predictor of cerebral infarction, which is of great significance for the prevention and treatment of cerebral infarction caused by carotid atherosclerotic plaque.
【作者单位】：上海交通大学医学院附属新华医院崇明分院放射科;上海交通大学医学院附属新华医院崇明分院神经内科;
【基金】：上海市科学技术委员会基金项目(13ZR1427100)~~
【分类号】：R743.3;R445.2

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