Launes J, Nikkinen P, Lindroth L, Brownell A L, Liewendahl K, Iivanainen M
Department of Neurology, Helsinki University Central Hospital, Finland.
Nucl Med Commun. 1989 Dec;10(12):891-900. doi: 10.1097/00006231-198912000-00005.
The results of previous reports on the usefulness of brain perfusion single photon emission computed tomography (SPECT) in predicting the outcome of patients with acute cerebral infarction are conflicting. We therefore studied brain perfusion in 64 patients with a single supratentorial infarction. Contradictory to previous results the perfusion defect volume estimated from transversal and coronal slices correlated significantly with both presenting clinical findings and outcome. Although the clinical status at admission also correlated well with outcome, there was a subgroup of patients in which the favourable outcome was predicted only by SPECT and not by physical or any other examination at admission.
先前有关脑灌注单光子发射计算机断层扫描（SPECT）在预测急性脑梗死患者预后方面的实用性的报告结果相互矛盾。因此，我们研究了64例幕上单发梗死患者的脑灌注情况。与先前的结果相反，从横断面和冠状面切片估计的灌注缺损体积与目前的临床发现和预后均显著相关。虽然入院时的临床状况也与预后密切相关，但有一个亚组患者，其良好预后仅由SPECT预测，而不是入院时的体格检查或任何其他检查。
