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高血压脑微出血的磁共振诊断价值
引用本文:周旭峰,卢超,张璐,张丽雅,高志翔.高血压脑微出血的磁共振诊断价值[J].中国厂矿医学,2007,20(6):597-598.
作者姓名:周旭峰  卢超  张璐  张丽雅  高志翔
作者单位:洛阳市中心医院磁共振室,河南省洛阳市,471009
摘    要:目的探讨磁共振回波、快速场回波-平面回波技术在高血压脑微出血(CMB)中的诊断价值。方法对14例CMB患者行常规快速自旋回波(FSE)T1WI、T2WI、液体衰减反转恢复序列(FLAIR)和场回波序列(FE)T2*WI、快速场回波-平面回波(FFE-EPI)T2*WI扫描,比较常规序列与FE、FFE-EPI序列对脑微出血的显示率,分析其信号特征。结果FE和FFE-EPI序列对CMB的病灶对比度明显高于常规T2WI。对于CMB的检出率,FE和FFE-EPI与常规序列的差异有统计学意义。结论FE和FFE-FPI可以准确诊断不同类型的CMB。FE序列能提高CMB病灶的检出数,应作为MR诊断CMB的首选。

关 键 词:高血压  脑出血  微出血  磁共振成像
文章编号:1004-7956(2007)06-0597-02
收稿时间:2007-01-09
修稿时间:2007年1月9日

The value of MR imaging scan technique in diagnosis of hypertension cerebral microbleeds
ZHOU Xu-feng,LU Chao,ZHANG Lu,ZHANG Li-ya,GAO Zhi-xiang.The value of MR imaging scan technique in diagnosis of hypertension cerebral microbleeds[J].Chinese Medicine of Factory and Mine,2007,20(6):597-598.
Authors:ZHOU Xu-feng  LU Chao  ZHANG Lu  ZHANG Li-ya  GAO Zhi-xiang
Abstract:Objective To evaluate the value of MRI field echo(FE) and fast field echo-echo planar imaging(FFE-EPI) scan technique in diagnosis of hypertension cerebral microbleeds(CMB).Methods Fourteen palients with CMB were examined by using conventional FSE T1WI,T2WI,FLAIR and FE T2WI,FFE-EPI T2WI MR sequences.The detection rate of cerebral FE and FFE-EPI lesions were compared among the sequences,and the characteristic signals were analyzed.Results In the observation of CMB,the FE and FFE-EPI sequence was better T2WI.The detectcon rate of CMB lesion on FE and FFE-EPI was the highest and significantly higher than that on FSE.Conclusions The exact diagnosis of different types of acute CMB could be made by FE and FFE-EPI scan technique.FE could be the first sequence of choice of MR imaging in diagnosing CMB owing to its performance with a highest detected numbers of CMB lesions.
Keywords:Hypertension  Cerebral hemorrhage  Microbleeds  MRI
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