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SWI对弥漫性轴索损伤的诊断价值

杜丽云 王金花 冯结映 胡海菁 刘海平

中国中西医结合影像学杂志2016,Vol.14Issue(3):243-245,3.
中国中西医结合影像学杂志2016,Vol.14Issue(3):243-245,3.DOI:10.3969/j.issn.1672-0512.2016.03.003

SWI对弥漫性轴索损伤的诊断价值

The application value of 3.0 T MR susceptibility weighted imaging in diffuse axonal injury

杜丽云 1王金花 1冯结映 1胡海菁 1刘海平1

作者信息

  • 1. 广东省佛山市南海区人民医院放射科,广东 佛山 528200
  • 折叠

摘要

Abstract

Objective:To explore the clinic application value of 3.0 T MR susceptibility weighted imaging (SWI) in the di-agnosis of patients with diffuse axonal injury. Methods:35 cases of suspected diffuse axonal injury patients were collected and analyzed by 3.0 T MRI examination,including conventional TSE sequence,fluid-attenuated inversion recovery sequence (Flair) and SWI sequence. The characteristics of lesions in different imaging techniques were observed and compared to analyze the clinic application value of SWI. Results:302 lesions were detected from 35 cases with 2 cases of single lesion and 33 of mul-tiple. Conventional T1WI had 114 lesions detected,with 93 pure edema lesion and 21 lesions of edema concurrent with hemor-rhagic;T2WI had 231 lesions detected,with 182 pure edema lesion and 49 lesions of edema concurrent with hemorrhagic;FLAIR sequence had 268 lesions detected,with 203 pure edema lesions and 65 lesions of edema concurrent with hemorrhage. While SWI sequence discovered 302 lesions,with 40 pure edema lesion and 262 edema concurrent with hemorrhagic lesion. Compared with conventional T1WI,T2WI and FLAIR sequences,SWI had higher sensitivity in detecting lesions and hemorrhagic lesions,and the difference was statistically significant (P<0.05). Conclusion:SWI is effective in the examination of patients with diffuse axonal injuries caused by traumatism,especially sensitive to the diagnosis of hemorrhagic and non-hemorrhagic lesions,so it is significant in the early clinic diagnosis and treatment of patients.

关键词

弥漫性轴索损伤/磁共振成像/脑出血

Key words

Diffuse axonal injury/Magnetic resonance imaging/Cerebral hemorrhage

引用本文复制引用

杜丽云,王金花,冯结映,胡海菁,刘海平..SWI对弥漫性轴索损伤的诊断价值[J].中国中西医结合影像学杂志,2016,14(3):243-245,3.

基金项目

广东省佛山市科技局医学类攻关项目(2015AB000562)。 ()

中国中西医结合影像学杂志

1672-0512

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