医学临床研究
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医学临床研究  2024, Vol. 41 Issue (11): 1722-1725    DOI: 10.3969/j.issn.1671-7171.2024.11.026
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3D CUBE T1序列与SWI序列对急性缺血性脑卒中患者预后的评估价值
张英1, 杨创勃2, 任岳宝3*
1.西安凤城医院放射科,陕西 西安 710016;
2.陕西中医药大学附属医院医学影像科,陕西 咸阳 712000;
3.西藏民族大学附属医院放射科,陕西 咸阳 712000
Evaluation of 3D CUBE T1 Sequence and SWI Sequence in the Prognosis of Patients with Acute Ischemic Stroke
ZHANG Ying, YANG Chuangbo, REN Yuebao
Radiology department, Xi'an Fengcheng Hospital, Xi'an Shaanxi 710016
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摘要 【目的】探讨高分辨率磁共振管壁成像(HR-MRI)3D CUBE T1序列与SWI序列信号征象对急性缺血性脑卒中(AIS)患者预后的评估价值。【方法】选择2019年7月至2021年7月西安凤城医院收治的84例急性缺血性脑卒中患者的临床资料,根据治疗3个月后的Rankin量表评分分为预后不良组、预后良好组。比较两组AIS患者的一般资料、HR-MRI不同序列图像,采用Logistic回归分析AIS患者预后的影响因素,根据受试者工作特征(ROC)曲线分析3D CUBE T1序列与SWI序列信号征象对AIS预后的评估价值。【结果】预后不良组病变部位3D CUBE T1序列呈高信号征象,SWI序列呈低信号征象及NIHSS评分>15分患者占比高于预后良好组(P<0.05)。Logistic回归分析结果显示,患者病变部位3D CUBE T1序列高信号征象、SWI序列低信号征象及NIHSS评分>15分是AIS患者预后不良的独立危险因素(P<0.05)。ROC曲线分析显示,3D CUBE T1序列呈现高信号征象、SWI序列呈现低信号征象评估AIS预后的曲线下面积(AUC)分别为0.758、0.778,二者联合预测的AUC值为0.885。【结论】HR-MRI 3D CUBE T1序列呈现高信号征象与SWI序列呈现低信号征象对于评估AIS患者预后均有一定的价值,二者联合对于AIS患者预后的评估价值更高。
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张英
杨创勃
任岳宝
关键词 脑缺血/影像诊断卒中/影像诊断急性病磁共振成像/方法预后    
Abstract:【Objective】To explore the prognostic value of high-resolution magnetic resonance imaging (HR-MRI) 3D CUBE T1 sequence and SWI sequence in patients with acute ischemic stroke (AIS).【Methods】The clinical data of 84 patients with AIS admitted to our hospital from July 2019 to July 2021 were collected. According to the Rankin scale score after 3 months of treatment, the patients were divided into a poor prognosis group and a good prognosis group. All patients were examined by HR-MRI 3D CUBE T1 sequence and SWI sequence, and the general data and HR-MRI images of different sequences of AIS patients were compared between the two groups. Logistic regression was used to analyze the prognostic factors of AIS patients, and the ROC curve was used to analyze the evaluation value of 3D CUBE T1 sequence and SWI sequence signal signs in the prognosis of AIS.【Results】The proportion of patients with high signal on 3D CUBE T1 sequence, low signal on SWI sequence and NIHSS score>15 in the poor prognosis group was higher than that in the good prognosis group (P<0.05).Logistic regression analysis showed that 3D CUBE T1 sequence high signal, SWI sequence low signal and NIHSS score >15 were independent risk factors for poor prognosis of AIS patients (P<0.05). The ROC analysis showed that the AUC values of 3D CUBE T1 sequence, SWI sequence to evaluate the prognosis of AIS were 0.758 and 0.778, respectively. The AUC value of the joint prediction (3D CUBE T1 and SWI combination) was 0.885.【Conclusion】Both the hyperintense signs of HR-MRI 3D CUBE T1 sequence and the hypointense signs of SWI sequence have certain value for evaluating the prognosis of AIS patients, while the combination of the two has higher value for evaluating the prognosis of AIS patients.
Key wordsBrain Ischemia/DG    Stroke/DG    Acute Disease    Magnetic Resonance Imaging/MT    Prognosis
收稿日期: 2023-03-27     
中图分类号:  R743.3  
通讯作者: *E-mail:renyuebao159@163.com   
引用本文:   
张英, 杨创勃, 任岳宝. 3D CUBE T1序列与SWI序列对急性缺血性脑卒中患者预后的评估价值[J]. 医学临床研究, 2024, 41(11): 1722-1725.
ZHANG Ying, YANG Chuangbo, REN Yuebao. Evaluation of 3D CUBE T1 Sequence and SWI Sequence in the Prognosis of Patients with Acute Ischemic Stroke. JOURNAL OF CLINICAL RESEARCH, 2024, 41(11): 1722-1725.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.11.026     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I11/1722
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