中国实用神经疾病杂志2025，Vol.28Issue(3)：382-386,5.DOI:10.12083/SYSJ.231410
基于MRA DWI成像的不同方法对急性缺血性脑卒中患者机械取栓的术前评估
Preoperative assessment of mechanical thrombolysis in patients with acute ischaemic stroke by different methods based on magnetic resonance angiography and diffusion weighted imaging
摘要
Abstract
Sustained successful revascularisation is an important prognostic factor for clinical outcome in patients with acute ischaemic stroke.Currently,the revascularization rate with thrombolysis can be as high as 90％,but the proportion of patients with good prognosis after treatment is only 40％to 50％.Rapid pre-procedural evaluation of patients with acute ischaemic stroke to maximise clinical benefit and prevent ineffective or even detrimental reperfusion is a hot topic of research at present.Several large landmark trials have selected patients based on occlusion location,stroke onset time,and acceptable infarct load ASPECTS ≥ 6 or infarct volume＜70 mL.In this article,we reviewed the methods of intracranial vascular status,infarct volume,and infarct location assessment based on MRA,DWI imaging,and their application to patients undergoing mechanical thrombolysis by reviewing the relevant domestic and international literature and guidelines,and we hope to provide a useful tool for the clinical evaluation of patients with acute ischemic stroke.It is expected to provide more evidence for the rapid and accurate screening of patients suitable for mechanical thrombolysis and to improve the guidelines for the diagnosis and treatment of acute ischemic stroke.关键词
急性缺血性脑卒中/磁共振血管成像/弥散加权成像/梗死位置/梗死体积/机械取栓术/信号强度比Key words
Acute ischaemic stroke/Magnetic resonance angiography/Diffusion-weighted imaging/Infarct location/Infarct volume/Mechanical thrombectomy/Signal intensity ratio分类
临床医学引用本文复制引用
林雪琪,吴迎春..基于MRA DWI成像的不同方法对急性缺血性脑卒中患者机械取栓的术前评估[J].中国实用神经疾病杂志,2025,28(3):382-386,5.基金项目
内蒙古自治区科技计划项目(编号:2022YFSH0131) （编号:2022YFSH0131）
2022年度自治区卫生健康科技计划项目(编号:202202370) （编号:202202370）
内蒙古医科大学联合基金项目(编号:YKD2021LH070) （编号:YKD2021LH070）
