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脑微出血的影像学检查

Imaging of Cerebral Microbleeds.

作者信息

Linn J

机构信息

Institute for Diagnostic and Interventional Neuroradiology, University Hospital Carl Gustav Carus, Fetscherstr. 74, 01307, Dresden, Germany.

出版信息

Clin Neuroradiol. 2015 Oct;25 Suppl 2:167-75. doi: 10.1007/s00062-015-0458-z. Epub 2015 Sep 4.

DOI:10.1007/s00062-015-0458-z
PMID:26337706
Abstract

Cerebral microbleeds (CMBs) are defined as small, rounded, or ovoid, homogeneous hypointense lesions on T2*-weighted gradient-echo and other susceptibility-sensitive magnetic resonance imaging (MRI) sequences. They must be differentiated from other causes of focal hypointensities on these sequences. Although CMBs can be caused by a variety of diseases, they are most frequently associated with different forms of cerebral small vessel diseases. This review summarizes the MRI characteristics of CMBs including methodological considerations, as well as prevalence, differential diagnosis, mimics, and clinical relevance of CMBs.

摘要

脑微出血(CMBs)被定义为在T2*加权梯度回波和其他敏感性磁共振成像(MRI)序列上呈小的、圆形或椭圆形、均匀低信号的病变。必须将它们与这些序列上导致局灶性低信号的其他原因区分开来。尽管CMBs可由多种疾病引起,但它们最常与不同形式的脑小血管疾病相关。本综述总结了CMBs的MRI特征,包括方法学考量,以及CMBs的患病率、鉴别诊断、类似病变和临床相关性。

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Incidence of symptomatic hemorrhage in patients with lobar microbleeds.叶状微出血患者的有症状性出血发生率。
Stroke. 2014 Aug;45(8):2280-5. doi: 10.1161/STROKEAHA.114.005151. Epub 2014 Jun 19.
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Cerebral microbleeds as a predictor of macrobleeds: what is the evidence?脑微出血作为大出血的预测指标:证据是什么?
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Clinical value of 3D T₂*-weighted imaging with multi-echo acquisition: comparison with conventional 2D T₂*-weighted imaging and 3D phase-sensitive MR imaging.
近期单发性皮质下梗死长期随访MRI上出血灶的患病率及预测因素
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Quantitative susceptibility mapping as an imaging biomarker for Alzheimer's disease: The expectations and limitations.定量磁化率成像作为阿尔茨海默病的一种影像生物标志物:期望与局限
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Association of cerebral small vessel disease burden with brain structure and cognitive and vascular risk trajectories in mid-to-late life.脑小血管病负担与中年后期脑结构及认知和血管风险轨迹的关系。
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Pretreatment cerebral microbleeds and symptomatic intracerebral hemorrhage post-thrombolysis: a systematic review and meta-analysis.溶栓后预处理脑微出血与症状性脑出血:系统评价和荟萃分析。
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Radiol Med. 2018 Jun;123(6):441-448. doi: 10.1007/s11547-018-0863-x. Epub 2018 Feb 17.
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The Presence of Previous Cerebral Microbleeds Has a Negative Effect on Hypertensive Intracerebral Hemorrhage Recovery.既往存在脑微出血对高血压性脑出血的恢复有负面影响。
Front Aging Neurosci. 2017 Mar 7;9:49. doi: 10.3389/fnagi.2017.00049. eCollection 2017.
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