中国实用神经疾病杂志2018,Vol.21Issue(1):75-78,4.DOI:10.12083/SYSJ.2018.01.019
弥散加权成像在早期新生儿缺氧缺血性脑病中的诊断价值
Diagnostic value of diffusion-weighted imaging (DWI) in early neonatal hypoxic-ischemic Encephalopathy
摘要
Abstract
Objective To evaluate the value of nuclear magnetic resonance diffusion weighted imaging (DWI) in the early diagnosis of neonatal hypoxic-ischemic encephalopathy (HIE) .Methods From June 2013 to January 2017 ,43 children with HIE were enrolled in this study .Routine MRI and DWI were performed within 7 days after birth .At the same time ,43 cases of children with four lesions in the lesion examination were compared :bilateral basal ganglia with internal capsule hind limbs ,lateral ventricle white matter ,semi-oval center and cerebral cortex .Results MRI routine scan showed the number of lesions in each region :6 in bi-lateral basal ganglia with internal capsule hind legs ,10 in lateral ventricle around white matter ,2 in half oval center and 2 in cere-bral cortex .MRI routine and DWI sequence scan showed 15 ,14 ,4 and 5 ,respectively .The detection rate of MRI in conventional MRI group was significantly higher than that in conventional MRI group (P<0.05) .Conclusion DWI examination is more sensi-tive than conventional MRI in the early detection of brain injury in children with HIE ,which can reflect the hypoxic-ischemic brain injury earlier and make a good predictor of the prognosis of children .It has important clinical application value .关键词
磁共振(MRI)/弥散加权成像(DWI)/新生儿缺血缺氧性脑病(HIE)/扫描序列/影像学表现Key words
Magnetic resonance imaging (MRI)/Diffusion weighted imaging (DWI)/Neonatal hypoxic ischemic encepha-lopathy (HIE)/Scanning sequence/Imaging findings分类
医药卫生引用本文复制引用
白洁,段芙红,韩新巍..弥散加权成像在早期新生儿缺氧缺血性脑病中的诊断价值[J].中国实用神经疾病杂志,2018,21(1):75-78,4.基金项目
国家高技术研究发现计划 (863 计划) ,编号 :2015AA020301 (863 计划)