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影像学评估急性缺血性脑卒中溶栓后出血转化的研究进展

纪兴贵 张瑞杰 刘振河 张欢 刘童 苏童 许万博

磁共振成像2025,Vol.16Issue(10):130-136,7.
磁共振成像2025,Vol.16Issue(10):130-136,7.DOI:10.12015/issn.1674-8034.2025.10.021

影像学评估急性缺血性脑卒中溶栓后出血转化的研究进展

Research progress of imaging evaluation of hemorrhagic transformation after thrombolysis in acute ischemic stroke

纪兴贵 1张瑞杰 2刘振河 2张欢 2刘童 2苏童 2许万博2

作者信息

  • 1. 山东第二医科大学医学影像学院,潍坊 261053
  • 2. 山东大学齐鲁医院德州医院放射科,德州 253000
  • 折叠

摘要

Abstract

The incidence of acute ischemic stroke is increasing day by day.Intravenous thrombolysis is one of the effective methods to treat AIS patients with great vascular occlusion within the time window,but hemorrhagic after thrombolysis is one of its main complications.It is necessary to accurately evaluate whether acute ischemic stroke patients can benefit from thrombolysis.At present,there are many clinical scoring tables,laboratory and imaging indicators to predict the hemorrhagic transformation after thrombolysis.The review points out the limitations of previous research and points out the direction of future research.In this paper,the research progress of hemorrhagic transformation classification,imaging characteristics and artificial intelligence is reviewed,aiming at providing reference for clinical diagnosis and treatment.

关键词

急性缺血性脑卒中/溶栓后出血/计算机断层成像/磁共振成像/人工智能/预测

Key words

acute ischemic stroke/hemorrhagic transformation/computed tomography/magnetic resonance imaging/artificial intelligence/prediction

分类

医药卫生

引用本文复制引用

纪兴贵,张瑞杰,刘振河,张欢,刘童,苏童,许万博..影像学评估急性缺血性脑卒中溶栓后出血转化的研究进展[J].磁共振成像,2025,16(10):130-136,7.

基金项目

Science and Technology Project of Traditional Chinese Medicine in Shandong Province(No.M-2023114). 山东省中医药科技项目(编号:M-2023114) (No.M-2023114)

磁共振成像

OA北大核心

1674-8034

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