He Yuqing, Wei Liping, Li Wenbo
Yuqing He, Department of Neurology, Ward-I, Luoyang Central Hospital, Affiliated to Zhengzhou University, Zhengzhou, 471000, China.
Liping Wei, Department of Neurology, Ward-I, Luoyang Central Hospital, Affiliated to Zhengzhou University, Zhengzhou, 471000, China.
Pak J Med Sci. 2018 Jan-Feb;34(1):190-193. doi: 10.12669/pjms.341.13619.
To analyze and compare the values of computed tomography (CT) and magnetic resonance imaging (MRI) in the diagnosis of early lacunar infarction.
Eighty-eight patients with early lacunar infarction who were admitted to the hospital were selected as research subjects, and all of them underwent MRI and CT. The study was conducted at our hospital between May 2015 to July 2016.
Four hundred and forty-one lesions were detected by MRI, and 145 were detected by CT. Most of the lesions were located at the thalamus, frontal lobe and parietal lobe. The detection rate of small lesions with a diameter less than 5 cm using MRI was significantly higher than that with CT, and the difference had statistical significance (P<0.05). Forty-nine cases who reached hospital within six hours were scanned in which no images were observed by CT, while small flake-like or spotted images were observed in 47 cases by MRI. The efficacy of MRI in displaying early lesions and micro lesions was superior to that of CT.
In the diagnosis of early lacunar infarction, the detection rate of lesions with MRI is significantly higher than that with CT. MRI can clearly display the specific conditions of lesions, which is worth clinical promotion.
分析并比较计算机断层扫描（CT）和磁共振成像（MRI）在早期腔隙性脑梗死诊断中的价值。
选取88例入院的早期腔隙性脑梗死患者作为研究对象，所有患者均接受MRI和CT检查。本研究于2015年5月至2016年7月在我院进行。
MRI检测到441个病灶，CT检测到145个病灶。大多数病灶位于丘脑、额叶和顶叶。MRI对直径小于5cm的小病灶的检出率显著高于CT，差异具有统计学意义（P<0.05）。对6小时内入院的49例患者进行扫描，CT未观察到图像，而MRI在47例中观察到小片状或点状图像。MRI在显示早期病灶和微小病灶方面的效果优于CT。
在早期腔隙性脑梗死的诊断中，MRI对病灶的检出率显著高于CT。MRI能清晰显示病灶的具体情况，值得临床推广。
