头颈CTA联合扫描及脑灌注成像(CTP)在短暂性脑缺血发作(TIA)的价值  

The Value of Head and Neck CTA Scan and Cerebral Perfusion Imaging(CTP) Used in Patients with Transient Ischemic Attack(TIA)

作　　者：吴凯宏[1] 肖格林[1] 余水全[1] 李水连[1] 刘峰[1] 杨伟聪[1] 高雅[1] 

机构地区：[1]广东省中山市中医院放射科,广东中山528400

出　　处：《中国CT和MRI杂志》2016年第2期31-33,共3页Chinese Journal of CT and MRI

基　　金：中山市卫生局科研立项项目编号(2014A020323)

摘　　要：目的评价MSCT平扫、头颈CTA以及颅脑灌注(CTP)对TIA患者的应用价值。方法选取符合临床诊断标准的TIA患者30例,所有病例均进行头颈CT平扫、CTA扫描,颅脑CTP成像,获得相关图像数据。结果本组椎基动脉系统TIA共10例,其中8例CTP脑灌注异常,CTA发现7例有椎基动脉粥样斑块和管腔狭窄。颈内动脉系统TIA共20例,其中15例CTP脑灌注异常,CTA发现14例有颈内动脉系统粥样斑块并血管狭窄。结论通过64层螺旋CT及时而方便地检查出头颈动脉狭窄或闭塞的存在及斑块性质,并分析软斑块发生的相关性因素,了解相应脑血流动力学改变,不仅能预测卒中风险,对TIA患者的早期发现及后续的治疗有非常重要的临床意义。Objective To evaluate the application value of MSCT scan, head and neck CTA and cerebral perfusion（CTP） in patients with TIA. Methods 30 cases meeting the standards of TIA clinical diagnosis were involved in this study, in which all patients underwent head and neck CT scan, CTA scan and cerebral perfusion imaging（CTP） to obtain the imaging data. Results Eight patients in ten cases with TIA related to the vertebral basal artery system, were detected with cerebral perfusion abnormalities, while seven patients with atheromatous plaques and luminal stenosis in CTA. 15 patients in 20 cases with TIA related to the Internal carotid artery system were detected with cerebral perfusion abnormalities and 14 patients were detected with atheromatous plaques and luminal stenosis in CTA. Conclusion Conclusion With the help of 64-layer spiral CT we can quickly discover the stenosis or block in the arterys of head and neck, analyize the correlation factors of soft plaques, and get further information about the cerebral hemodynamic changes. We think that it has great clinical significance not only in predicting the risk of stroke, but also in early diagnosis of TIA patients and their following treatment.

关 键 词：MSCT 脑灌注成像 短暂性脑缺血发作 CT血管成像 

分 类 号：R445.3[医药卫生—影像医学与核医学]