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CT脑灌注成像在超急性期脑梗死中的应用
引用本文:隋昕,卢洁,李坤成. CT脑灌注成像在超急性期脑梗死中的应用[J]. 医学影像学杂志, 2008, 18(12): 1464-1466
作者姓名:隋昕  卢洁  李坤成
作者单位:首都医科大学宣武医院医学影像学部放射科,北京,100053
摘    要:
CT脑灌注成像(CTP)可以显示脑血流动力学信息,早期即可显示缺血的梗死灶和缺血性半暗带,预测可以存活的脑组织,对早期诊断和治疗脑梗死及判断预后具有重要价值。随着64层螺旋CT的广泛应用,明显缩短了扫描时间,CT平扫、CTP和CT血管造影(CTangiography,CTA)联合扫描20min内即可完成,而且利用CTA和平扫图像获得三维脑灌注血容量(perfused blood volume,PBV)成像,可以全面显示病灶范围,避免小病灶的漏诊。

关 键 词:脑缺血,超急性期  灌注  体层摄影术,X线计算机

The application of CT cerebral perfusion imaging in patients with hyperacute stroke
SUI Xin,LU Jie,LI Kun-cheng. The application of CT cerebral perfusion imaging in patients with hyperacute stroke[J]. Journal of Medical Imaging, 2008, 18(12): 1464-1466
Authors:SUI Xin  LU Jie  LI Kun-cheng
Affiliation:SUI Xin,LU Jie,LI Kun-cheng Department of Radiology,Xuanwu Hospital,Capital University of Medical Sciences,Beijing 100053,P.R.China
Abstract:
CT perfusion(CTP)can provide cerebral hemodynamic information and demonstrate infarct core and ischemic penumbra in acute ischemic stoke.CTP is helpful in diagnosing ischemia,making therapeutic decision and predicting clinical outcome.With the advent of 64-slice CT,the combination of noncontrast-enhanced CT(NECT),CTP,and CT angiography(CTA)can rapidly provide comprehensive information in acute ischemic stroke patients within 20 minutes.3D perfused blood volume calculations are based on CTA and NECT images that cover the whole brain to avoid omitting lesions.
Keywords:Cerebral ischemia  Hyperacute  Perfusion  Tomography  X-ray computed
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