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双源CT 4D- CTA联合灌注成像在急性脑缺血性疾病中的应用价值

程有根 杨光钊 茅国群 楼明芳 魏福全

浙江医学Issue(20):1816-1819,4.
浙江医学Issue(20):1816-1819,4.

双源CT 4D- CTA联合灌注成像在急性脑缺血性疾病中的应用价值

Application of dual-source 4D-CTA combined with CT perfusion imaging in diagnosis of acute cerebral ischemic diseases

程有根 1杨光钊 2茅国群 3楼明芳 1魏福全4

作者信息

  • 1. 310009 杭州,浙江大学医学院附属第二医院放射科
  • 2. 310009 杭州,浙江大学医学院
  • 3. 浙江省立同德医院放射科
  • 4. 浙江省立同德医院放射科
  • 折叠

摘要

Abstract

Objective To investigate the application of dual- source four- dimensional CT angiography (4D- CTA) com-bined with CT perfusion imaging (CTPI) in diagnosis of acute cerebral ischemic diseases. Methods Thirty patients with clinical y suspected acute cerebral ischemic disease underwent head plain CT scan and whole brain CTPI examination 2~16h after onset, the images of CBF, CBV, MTT, TTP and 4D- CTA were obtained. Patients also underwent MRI examination in 1~3 d. The findings of plain CT scan, CTPI, 4D- CTA and MRI were analyzed. Results Plain CT scan found 16 ischemic lesions in 12 cases, CTPI found 32 ischemic lesions in 26 cases, MRI found 28 ischemic lesions in 25 cases, and 4D- CTA demonstrated various degree of stenosis or occlusion in supplying vessels in 20 cases. Conclusion Dual- source 4D- CTA combined with CT perfusion imaging provides comprehensive and detailed imaging information, so that has important value for early diagnosis and treatment in pa-tients with acute cerebral ischemia.

关键词

脑缺血/体层摄影术/X线计算机/灌注成像/血管成像

Key words

Brain ischemia/Tomography/X- ray computed/Perfusion/Angiography

引用本文复制引用

程有根,杨光钊,茅国群,楼明芳,魏福全..双源CT 4D- CTA联合灌注成像在急性脑缺血性疾病中的应用价值[J].浙江医学,2013,(20):1816-1819,4.

浙江医学

OACSTPCD

1006-2785

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