摘要
目的 探讨低磁场MRI对早期外伤性小灶性脑出血的诊断价值,为临床治疗提供参考依据。方法 对外伤后诊断为小 灶性脑出血的患者进行低磁场颅脑MRI平扫,扫描序列有横断位T1WI、T2WI、水抑制成像(FLAIR)及弥散加权成像 (DWI)。结果 在低磁场MRI中小灶性脑出血主要表现为T1WI为低、等信号或混杂信号,T2WI为高、等信号或混杂信 号,FIAIR与T2WI信号类似,但较T2WI更为敏感,弥散加权成像(DWI)为高低或等低混杂信号。结论 大部分早期小 灶性脑出血患者低磁场MRI所见与临床表现相符,低磁场MRI颅脑平扫可为外伤性小灶性脑出血患者提供影像学依 据,是颅脑CT检查表现为阴性患者必要的补充检查手段。
Objective To investigate the diagnosis value of traumatic focal cerebral hemorrhage in early stage by the low field MRI, in order to provide reference for clinical treatment. Methods A low magnetic field MRI was underwent in patients confirmed with focal cerebral hemorrhage after injury. Scan sequences such as axial T1WI, T2WI, FLAIR and DWI were included. Results By the low magnetic field MRI, low, equal or mixed signal was showed in T1WI, high or mixed signal in T2WI; FLAIR showed similar signal as T2WI but was more sensitive. DWI showed high-low or equal-low mixed signals. Conclusion Low field MRI findings for most of the early focal cerebral hemorrhage were consistent with the clinical manifestations. Low magnetic field MRI plain scan could provide traumatic focal cerebral hemorrhage with imaging evidence. Therefore, it was a necessary supplementary examination for traumatic patients whose CT examination showed negative.
【关键词】小灶性脑出血;外伤;低磁场MRI
【中图分类号】R743.34
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2015.06.005
前言
外伤性小灶性脑出血是颅脑外伤中较为常见的类 型,患者临床症状重,而影像学表现往往不明显,部 分患者在急诊CT扫描时可无阳性征象,对于此类患 者,应争取早期明确诊断,为临床及时治疗提供可靠 的诊断依据。目前,随着低场强MRI机器在基层医院 的普遍使用,在临床工作中,对怀疑外伤所致的小灶 性脑出血患者选择MRI检查越来越多,近年来,对脑 出血研究较多的是应用MRI磁敏感加权成像,血肿在 磁敏感加权成像表现为特征性的低信号,而且检出病 灶的敏感性极高。本文对早期外伤性小灶性脑出血的 低磁场MRI影像表现做出回顾性分析,旨在进一步提 高对早期外伤性小灶性脑出血的认识和诊断水平。
罕少疾病杂志
第22卷, 第 6 期
2019年11月
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