| 脑葡萄糖代谢显像诊断缺血性脑血管病 |
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| 引用本文： | 何洁,许英路,翟勇,张人玲,张顺英,孙素花. 脑葡萄糖代谢显像诊断缺血性脑血管病[J]. 中国医学影像技术, 2005, 21(4): 625-628 |
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| 作者姓名： | 何洁 许英路 翟勇 张人玲 张顺英 孙素花 |
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| 作者单位： | 首都医科大学宣武医院核医学科,北京,100053 |
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| 摘 要： | 目的通过比较脑血流灌注显像和脑葡萄糖代谢显像,观察脑葡萄糖代谢显像在缺血性脑血管病诊断中的价值.方法对43例缺血性脑血管病患者和5例正常人的脑18氟-脱氧葡萄糖(18F-FDG)符合线路显像与99锝m-双半胱氨酸乙酯(99Tcm-ECD)脑血流灌注显像进行对比分析.结果脑葡萄糖代谢显像的灵敏度、特异度分别为71.81%、95.71%,脑血流灌注显像的灵敏度、特异度分别为57.45%(P＜0.01)、92.86%(P＞0.05).结论在诊断缺血性脑血管病中脑葡萄糖代谢显像较脑血流灌注显像更灵敏,故可用于早期诊断缺血性脑血管病.
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| 关 键 词： | 体层摄影术,发射型计算机 脑葡萄糖代谢显像 脑血流灌注显像 脑血管病 锝 |
| 文章编号： | 1003-3289(2005)04-0625-04 |
| 收稿时间： | 2004-11-12 |
| 修稿时间： | 2004-11-12 |
18F-FDG brain glucose metabolism scan in patients with ischemic cerebrovascular diseases |
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| HE Jie,XU Ying-lu,ZHAI Yong,ZHANG Ren-ling,ZHANG Shun-ying and SUN Su-hua. 18F-FDG brain glucose metabolism scan in patients with ischemic cerebrovascular diseases[J]. Chinese Journal of Medical Imaging Technology, 2005, 21(4): 625-628 |
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| Authors: | HE Jie XU Ying-lu ZHAI Yong ZHANG Ren-ling ZHANG Shun-ying SUN Su-hua |
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| Affiliation: | Deparement of Nuclear Medicine, Xuanwu Hospital Capital University of Medical Scicences, Beijing 100053, China;Deparement of Nuclear Medicine, Xuanwu Hospital Capital University of Medical Scicences, Beijing 100053, China;Deparement of Nuclear Medicine, Xuanwu Hospital Capital University of Medical Scicences, Beijing 100053, China;Deparement of Nuclear Medicine, Xuanwu Hospital Capital University of Medical Scicences, Beijing 100053, China;Deparement of Nuclear Medicine, Xuanwu Hospital Capital University of Medical Scicences, Beijing 100053, China;Deparement of Nuclear Medicine, Xuanwu Hospital Capital University of Medical Scicences, Beijing 100053, China |
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| Abstract: | Objective To investigate the clinical value of 18 F-FDG brain metabolism image in patients with ischemic cerebrovascular disease by comparing region cerebral blood flow scan and region cerebral glucose metabolism scan. Methods A total of 43 patients and 5 normal persons underwent 18 F-FDG brain metabolism scan and 99m Tc-ECD cerebral blood flow scan, and the results were compared. Results The sensitivity and specificity of 18 F-FDG brain metabolism scan was 71.81% and 95.71% respectively ischemic cerebrovascular diseases, but 57.45% ( P <0.01) and 92.86% ( P >0.05) in cerebral blood flow scan. Conclusion 18 F-FDG brain metabolism scan is more sensitive than 99m Tc-ECD cerebral blood flow scan in correctly diagnosing cerebrovascular disease, and thus can be used to diagnose cerebrovascular disease in the early stage. |
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| Keywords: | Tomography emission-computed Brain metabolism scan Cerebral blood flow scan Cerebrovascular disease Technetium |
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