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急性卒中及其模仿疾病患者脑CTP成像表现的图像综述:普通放射科医生入门指南

Pictorial Review on Imaging Findings in Cerebral CTP in Patients with Acute Stroke and Its Mimics: A Primer for General Radiologists.

作者信息

Haggenmüller Benedikt, Kreiser Kornelia, Sollmann Nico, Huber Magdalena, Vogele Daniel, Schmidt Stefan A, Beer Meinrad, Schmitz Bernd, Ozpeynirci Yigit, Rosskopf Johannes, Kloth Christopher

机构信息

Department of Diagnostic and Interventional Radiology, Ulm University Medical Center, Albert-Einstein-Allee 23, 89081 Ulm, Germany.

Department of Radiology and Neuroradiology, RKU-Universitäts- und Rehabilitationskliniken Ulm, Oberer Eselsberg 45, 89081 Ulm, Germany.

出版信息

Diagnostics (Basel). 2023 Jan 26;13(3):447. doi: 10.3390/diagnostics13030447.

Abstract

The imaging evaluation of computed tomography (CT), CT angiography (CTA), and CT perfusion (CTP) is of crucial importance in the setting of each emergency department for suspected cerebrovascular impairment. A fast and clear assignment of characteristic imaging findings of acute stroke and its differential diagnoses is essential for every radiologist. Different entities can mimic clinical signs of an acute stroke, thus the knowledge and fast identification of stroke mimics is important. A fast and clear assignment is necessary for a correct diagnosis and a rapid initiation of appropriate therapy. This pictorial review describes the most common imaging findings in CTP with clinical signs for acute stroke or other acute neurological disorders. The knowledge of these pictograms is therefore essential and should also be addressed in training and further education of radiologists.

摘要

计算机断层扫描(CT)、CT血管造影(CTA)和CT灌注(CTP)成像评估在每个急诊科对疑似脑血管损伤的诊断中至关重要。对于每位放射科医生来说,快速准确地识别急性中风的特征性影像学表现及其鉴别诊断至关重要。不同的病症可能会模仿急性中风的临床症状,因此了解并快速识别类似中风的病症很重要。快速准确的诊断对于正确诊断和迅速启动适当治疗是必要的。本图像综述描述了CTP中与急性中风或其他急性神经系统疾病临床症状相关的最常见影像学表现。因此,了解这些图像对于放射科医生的培训和继续教育也至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f1/9914845/7603c9dbe5a8/diagnostics-13-00447-g001.jpg

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