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用于缺血性脑卒中诊断和监测的神经影像学方法。

Neuroimaging Modalities Used for Ischemic Stroke Diagnosis and Monitoring.

机构信息

Faculty of Pharmacy and Health Travnik, University of Travnik, 72270 Travnik, Bosnia and Herzegovina.

Department of Radiology, General Hospital Novi Pazar, 36300 Novi Pazar, Serbia.

出版信息

Medicina (Kaunas). 2023 Oct 28;59(11):1908. doi: 10.3390/medicina59111908.

Abstract

Strokes are one of the global leading causes of physical or mental impairment and fatality, classified into hemorrhagic and ischemic strokes. Ischemic strokes happen when a thrombus blocks or plugs an artery and interrupts or reduces blood supply to the brain tissue. Deciding on the imaging modality which will be used for stroke detection depends on the expertise and availability of staff and the infrastructure of hospitals. Magnetic resonance imaging provides valuable information, and its sensitivity for smaller infarcts is greater, while computed tomography is more extensively used, since it can promptly exclude acute cerebral hemorrhages and is more favorable speed-wise. The aim of this article was to give information about the neuroimaging modalities used for the diagnosis and monitoring of ischemic strokes. We reviewed the available literature and presented the use of computed tomography, CT angiography, CT perfusion, magnetic resonance imaging, MR angiography and MR perfusion for the detection of ischemic strokes and their monitoring in different phases of stroke development.

摘要

中风是全球导致身体或精神损伤和死亡的主要原因之一,分为出血性中风和缺血性中风。当血栓阻塞或堵塞动脉并中断或减少脑组织的血液供应时,就会发生缺血性中风。选择用于中风检测的成像方式取决于医护人员的专业知识和可用性以及医院的基础设施。磁共振成像提供了有价值的信息,其对较小梗死灶的敏感性更高,而计算机断层扫描则更广泛地应用,因为它可以迅速排除急性脑出血,并且速度更快。本文旨在介绍用于诊断和监测缺血性中风的神经影像学方法。我们回顾了现有文献,并介绍了计算机断层扫描、CT 血管造影、CT 灌注、磁共振成像、磁共振血管造影和磁共振灌注在缺血性中风检测及其在中风发展不同阶段的监测中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38c7/10673396/a73aea906b75/medicina-59-01908-g001.jpg

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