Head and Neck Imaging

Comparison and Analysis of Imaging Features of CT and MRI in Patients with Cerebral Hemorrhage*

Author:XU Xin, CHEN Liang

affiliation:Department of Medical Imaging Diagnostics, Hanzhong Central Hospital of Shaanxi, Hanzhong 723000, Shaanxi Province, China

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Abstract

Objective To compare and analyze the imaging features of CT and MRI in patients with cerebral hemorrhage. Methods The data of preoperative CT and MRI of 200 cases of patients with cerebral hemorrhage who were diagnosed and treated in our hospital from May 2016 to October 2017 were analyzed retrospectively. The CT and MRI imaging features, location, the consistency between lesion morphology results and pathological examination results were compared. Results Among 200 cases of patients with cerebral hemorrhage in this study, the detection rates of cerebral putamen hemorrhage, cerebral lobe hemorrhage and thalamus hemorrhage were 86.00%, 94.54%and 92.00% by MRI, which were higher than those by CT with 64.00%, 80.00% and 52.00% (P<0.05), and MRI could clearly reflect the the different periods of cerebral hemorrhage, and there were different signals characteristics in hyperacute, acute and subacute hemorrhage, chronic hemorrhage and stump periods, and CT scan can clearly distinguish the bleeding period, blood absorption period and complete blood absorption period. Conclusion The diagnostic sensitivity of MRI in intracerebral hemorrhage is better than that of CT scan, and both of them can identify the period of cerebral hemorrhage.

【Keyword】Cerebral Hemorrhage; Imaging Features; Lesion Location; Operative Pathology

【Chart number】R445

【Document Identification Number】A

【DOI】10.3969/j.issn.1672-5131.2018.12.007