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颅脑CT灌注成像及磁共振成像在脑梗死患者中的应用OACSTPCD

Application of CT perfusion imaging and magnetic resonance imaging in patients with cerebral infarction

中文摘要英文摘要

目的 分析颅脑CT灌注成像及磁共振成像对脑梗死患者的诊断价值.方法 选取2022-03-2023-05在江苏省中西医结合医院就诊的80例疑似脑梗死患者为研究对象,对比分析GE Revolution CT颅脑灌注成像、磁共振成像及联合检查的敏感性、特异性、准确性,制作3种影像学检查的受试者工作特征(ROC)曲线.结果 根据患者病情和临床综合诊断确诊,80例疑似脑梗死患者中脑梗死阳性69例(86.25%),脑梗死阴性11例(13.75%).3种影像学检查方法的灵敏度、准确率比较,从高到低依次为联合检查、GE Revolution CT颅脑灌注成像检查、磁共振成像检查,差异有统计学意义(P<0.05).GE Revolution CT颅脑灌注成像检查、磁共振成像检查、联合检查诊断脑梗死的ROC曲线下面积(AUC)分别为0.8109、0.7688、0.8682.结论 GE Revolution CT颅脑灌注成像与磁共振成像检查的联合应用,有利于提高脑梗死患者诊断的灵敏度、准确率及AUC水平.

Objective To analyze the diagnostic value of GE Revolution CT cerebral perfusion imaging and magnetic resonance imaging in patients with cerebral infarction.Methods From March 2022 to May 2023,80 patients with suspected cerebral infarction in Jiangsu Province Integrated Traditional Chinese and Western Medicine Hospital were selected as the study objects,and the differences between sensitivity,specificity,and accuracy of GE Revolution CT cerebral perfusion imaging,magnetic resonance imaging and combined examination were compared and analyzed,and the receiver operating characteristic(ROC)curve of three imaging examinations was made.Results According to the patient's condition and comprehensive clinical diagnosis,among the 80 patients with suspected cerebral infarction,69 cases were positive(86.25%)and 11 cases(13.75%).The sensitivity and accuracy of the three imaging methods,from high to low,GE Revolution CT cerebral perfusion imaging,magnetic resonance imaging,the difference was statistically significant(P<0.05).The ROC area under the curve(AUC)of GE Revolution CT cerebral perfusion imaging,magnetic resonance imaging and combined examination for the diagnosis of cerebral infarction was 0.8109,0.7688 and 0.8682,respectively.Conclusion The combined application of GE Revolution CT cerebral perfusion imaging and magnetic resonance imaging is conducive to improving the diagnostic sensitivity,accuracy and AUC level of patients with cerebral infarction.

荆梅;顾欣欣

江苏省中西医结合医院 南京中医药大学附属中西医结合医院,江苏 南京 210028

临床医学

脑梗死GE Revolution CT颅脑灌注成像磁共振成像灵敏度准确率

Cerebral infarctionGE Revolution CTCerebral perfusion imagingMagnetic resonance imagingSensitivityAccuracy

《中国实用神经疾病杂志》 2024 (001)

43-47 / 5

江苏省卫生健康委科研课题(编号:BJ21029)

10.12083/SYSJ.230920

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