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脑血流灌注SPECT与经颅多普勒、核磁血管减影术对脑动脉狭窄的评价
引用本文:袁耿彪,孟璇,李西焕,陈雪红,王正江. 脑血流灌注SPECT与经颅多普勒、核磁血管减影术对脑动脉狭窄的评价[J]. 中国临床医学影像杂志, 2002, 0(Z1)
作者姓名:袁耿彪  孟璇  李西焕  陈雪红  王正江
作者单位:兰州医学院第二附属医院核医学科 兰州医学院第二附属医院核医学科 甘肃兰州 甘肃兰州
摘    要:目的:了解SPECT对脑动脉狭窄相对应区域的功能成像,判断放射性减低区域对脑血管狭窄区域的价值。方法:对162例脑血管病患者行脑血流灌注显像(SPECT)检查及核磁血管减影术(MRA)、经颅多普勒(TCD)。结果:162例脑血管病患者阳性率SPECT为72.72%,MRA为69.81%,TCD为48.83%。结论:脑SPECT对MCA狭窄区域的功能判断具有重要意义,结合MRA、TCD能够指导临床治疗,预测疾病的预后。

关 键 词:脑动脉疾病  体层摄影术  发射型计算机  单光子  减影技术  超声检查  多普勒  经颅

Assessment of cerebral blood perfusion SPECT in cerebral artery stenosis in comparison with TCD and MRA
YUAN Geng-biao,MENG Xuan,LI Xi-Hu an,CHENG Xue-hong,WANG Zheng-jiang. Assessment of cerebral blood perfusion SPECT in cerebral artery stenosis in comparison with TCD and MRA[J]. Journal of China Clinic Medical Imaging, 2002, 0(Z1)
Authors:YUAN Geng-biao  MENG Xuan  LI Xi-Hu an  CHENG Xue-hong  WANG Zheng-jiang
Affiliation:YUAN Geng-biao,MENG Xuan,LI Xi-Hu an,CHENG Xue-hong,WANG Zheng-jiang Department of Nuclear Medicine,The Seco nd Affiliated Hospital of Lanzhou Medical College,Lanzhou730030,China
Abstract:Objective:To study SPECT functional imaging and to judge the evaluat io n of lighter radiotracer uptake for region of cerebral artery stenosis.Metho ds:One hundred and sixty-two cases with cerebrovascular disease received SPEC T with 99m Tc-ethylcysteinate (ECD),the results is compared with MRA and TCD.Resul ts:For the162cases who underwent SPECT,MRA and TCD,the total positive ra te of the three modalities were72.72%,69.81%,48.83%.Conclu sion:99m Tc-ECD SPECT imaging is highly important for functional region of cerebr al artery stenosis,with MRA,TCD together,not only can help clinical treatmen t,but also can predict the prognosis.
Keywords:cerebral artery diseases  tom ography  emission-computed  single-photon  subtraction technique  ultrasonogra phy  Doppler  transcranial
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