临床医学工程2025，Vol.32Issue(3)：241-244,4.DOI:10.3969/j.issn.1674-4659.2025.03.0241
磁共振成像在痉挛型与非痉挛型脑瘫鉴别诊断中的应用效果研究
Study on the Application Effect of Magnetic Resonance Imaging in the Differ-ential Diagnosis of Spastic and Non-Spastic Cerebral Palsy
摘要
Abstract
Objective To explore the application effect of magnetic resonance imaging(MRI)in the differential diagnosis of spastic cerebral palsy(CP)and non-spastic CP.Methods A total of 89 children with CP who underwent MRI examination were selected as the research subjects.The MRI features of spastic CP and non-spastic CP were compared.With the final clinical diagnosis results as the gold standard,the efficacy of MRI in the differential diagnosis of spastic CP and non-spastic CP was evaluated.Kappa test was used to analyze the consistency between MRI diagnostic results and the gold standard.Results The proportions of white matter injury,abnormal ventricular morphology,and abnormal sulci and fissures in children with spastic CP were significantly higher than those in children with non-spastic CP(P<0.05).With the final clinical diagnosis results as the gold standard,the sensitivity,specificity,and accuracy of MRI in the differential diagnosis of spastic CP from non-spastic CP were 83.33%,78.05%,and 80.90%,respectively.The Kappa test result showed that the consistency between MRI in the differential diagnosis of spastic CP and non-spastic CP and the gold standard was moderate(Kappa value=0.615,P<0.001).Conclusions The MRI features of spastic CP and non-spastic CP show significant differences,and MRI examination has a high efficacy in differential diagnosis of spastic CP and non-spastic CP.关键词
磁共振成像/痉挛型脑瘫/非痉挛型脑瘫/鉴别诊断Key words
Magnetic resonance imaging/Spastic cerebral palsy/Non-spastic cerebral palsy/Differential diagnosis分类
临床医学引用本文复制引用
柳计强,彭雪辉..磁共振成像在痉挛型与非痉挛型脑瘫鉴别诊断中的应用效果研究[J].临床医学工程,2025,32(3):241-244,4.基金项目
河南省医学科技攻关计划联合共建项目(项目编号:LHGJ20220642) （项目编号:LHGJ20220642）
北京医卫健康公益基金会医学科学研究基金资助(项目编号:YWJKJJHKYJJ-202409031129197323) （项目编号:YWJKJJHKYJJ-202409031129197323）
