MR三维动脉自旋标记技术联合磁共振血管成像诊断短暂性脑缺血发作的价值  

Value of MR three-dimensional arterial spin labeling combined with magnetic resonance angiography in the diagnosis of transient ischemic attack

作　　者：胡明辉[1] HU Minghui(MR Laboratory,Henan Traditional Chinese Medicine Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省中医院磁共振室

出　　处：《临床与病理杂志》2019年第9期1977-1982,共6页Journal of Clinical and Pathological Research

摘　　要：目的:分析MR三维动脉自旋标记(three-dimensional arterial spin labeling,3D-ASL)技术联合磁共振血管成像(magnetic resonance angiography,MRA)诊断短暂性脑缺血发作(transient ischemic attack,TIA)的临床价值。方法:收集2015年8月至2018年8月在河南省中医院住院且临床诊断为TIA的患者92例,均行MR弥散加权成像(diffusion weighted imaging,DWI)、MRA及3D-ASL检查,对病变检出率进行统计分析。结果:92例TIA患者,MR-DWI均显示阴性。MRA联合3D-ASL检查诊断的敏感度为78.26%(72/92),明显高于单一MRA(51.09%)或3D-ASL检查(63.04%),差异有统计学意义(P<0.05)。其中MRA与3D-ASL均显示阳性37例,MRA显示阳性而3D-ASL显示阴性14例,MRA显示阴性而3D-ASL显示阳性21例,二者均显示阴性20例。结论:3D-ASL联合MRA检查能够提高TIA的诊断率。Objective: To analyze the clinical value of MR three-dimensional arterial spin labeling (3D-ASL) combined with magnetic resonance angiography (MRA) in the diagnosis of transient ischemic attack (TIA). Methods: Ninetytwo patients clinically diagnosed with TIA in the hospital from August 2015 to August 2018 were enrolled. All patients underwent MR routine scan (DWI, etc.), MRA and 3D-ASL. Detection rates of lesions were statistically analyzed. Results: MR-DWI was negative in 92 patients with TIA. The sensitivity of diagnosis by MRA combined with 3D-ASL was 78.26%(72/92), which was significantly higher than that by MRA (51.09%) or 3D-ASL (63.04%) alone (P<0.05). There were 37 cases showing masculine by both MRA and 3D-ASL, 14 cases showing masculine by MRA and feminine by 3D-ASL, 21 cases showing feminine by MRA and masculine by 3D-ASL,and 20 cases showing feminine by both of the two. Conclusion: 3D-ASL combined with MRA can improve the diagnostic rate of TIA.

关 键 词：短暂性脑缺血发作 磁共振成像 三维动脉自旋标记 磁共振血管成像 

分 类 号：R445.2[医药卫生—影像医学与核医学]