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扩散和灌注加权成像对兔脑缺血半暗带的量化

姜传武 刘学军 刘珍友 李文华 隋庆兰 徐文坚 许波

中国中西医结合影像学杂志2011,Vol.9Issue(1):4-8,5.
中国中西医结合影像学杂志2011,Vol.9Issue(1):4-8,5.DOI:10.3969/j.issn.1672-0512.2011.01.002

扩散和灌注加权成像对兔脑缺血半暗带的量化

Diffusion and perfusion weighted imaging in quantization of ischemic penumbra in brain of rabbits

姜传武 1刘学军 2刘珍友 2李文华 1隋庆兰 2徐文坚 2许波3

作者信息

  • 1. 山东省青岛市海慈医疗集团影像科,山东,青岛,266003
  • 2. 青岛大学医学院附属医院影像科,山东,青岛266003
  • 3. 山东省青岛市中心医院神经内科,山东,青岛,266042
  • 折叠

摘要

Abstract

Objective : To discuss the value of diffusion weighted imaging (DWI) and perfusion weighted imaging (PWI) in the evaluation of ischemic penumbra (IP) salvaged.Methods : Fifty-eight successful models of middle cerebral artery occlusion (MCAO) with rahbits were randomly divided into permanent ischemic group (A group) and ischemic reperf'usion group (B group ).The A group was further divided into ischemic 1h , 3h , 6h , 12h , 24h , 48h groups (A1-6 group ).The B group was further divided into reperfusion Oh , 2h, 5h, 11h , 23h , 47h groups (B1-6 group ) after ischemic 1h.Then every group was examined with modalities including DWI and PWI.Results : The area of the abno rmal signal intensity on DWI in ischemic reperfusion group was significantly smaller than that in permanent ischemic group at the same time ; at ischemic 24h , the area of infarction got smoothly.At ischemic 1h, if the ADC , rCBV , rMTT ratio of region of interest changed respectively during (73.40±4.33 )% ,(46.83±9.89 )% and 1.58±0.04 , it might be IP , but if the ADC , rCBV ratio of region of' interest changed below respectively (58.83±6.06 )% ,(22.87±8.19 )% , and the rMTT ratio of region of interest was higher than 1.94±0.11 , it would become mreverdible necrosis.Conclusion : Comhined DWI with PWI could evaluate IP quickly and efficiently .

关键词

缺血半暗带/磁共振成像,弥散/灌注加权成像/脑缺血/再灌注

分类

医药卫生

引用本文复制引用

姜传武,刘学军,刘珍友,李文华,隋庆兰,徐文坚,许波..扩散和灌注加权成像对兔脑缺血半暗带的量化[J].中国中西医结合影像学杂志,2011,9(1):4-8,5.

基金项目

山东省卫生厅和青岛市科技局基金资助项目(编号:04-2-NY-46). (编号:04-2-NY-46)

中国中西医结合影像学杂志

OACSTPCD

1672-0512

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