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新疆医科大学附属第二医院影像中心
纸质出版日期:2008,
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[1]王红,马景旭,王皓.MR磁敏感加权成像在脑部疾病中的应用[J].重庆医科大学学报,2008(10):1232-1235.
WANG Hong, et al. Clinical application MR susceptibility weighted imaging(SWI) in brain diseases[J]. Journal of Chongqing Medical University, 2008,(10):1232-1235.
目的:探讨磁敏感加权成像(Susceptibility weighted imaging
SWI)在脑部疾病中的临床应用价值。方法:收集疑有血管病变的脑部疾病37例
其中海绵状血管瘤8例
脑梗塞10例
脑肿瘤15例
静脉畸形2例
静脉窦血栓2例
行常规T1WI、T2WI、DWI、FLAIR、SWI序列及增强T1WI、MRA。评价SWI序列较其他序列对显示小的出血灶、小的静脉
含铁血黄素、钙化等顺磁性物质的优越性。结果:SWI在海绵状血管瘤
能鉴别出血与血管发现更多的的小出血灶。在静脉畸形
能够发现平扫不能发现的小静脉畸形及显示更多的细小的静脉向大静脉引流。在急性脑梗死
SWI可发现小的出血灶
在脑肿瘤
SWI显示出小的引流静脉及病灶内的钙化灶。在静脉窦血栓
SWI可以清楚的显示出深部引流静脉及脑表面扩张的静脉网。结论:SWI是显示低流量血管畸形
小的静脉结构、多发细小的出血以及铁钙沉积十分敏感的新型脉冲序列
可以做为MRI常规序列的重要补充
应用于中枢神经系统疾病的诊断和鉴别诊断。
Objective:To study the clinical value of susceptibility weighted imaging(SWI)in brain diseases.Methods:37 cases with blood vessel pathological change of brain diseases were collected and analyzed
including 8 example of angioma cavernosum
10 cerebral infarction
15 brain tumor
2 venous malformation and 2 venous sinus thrombus.Conventional T1WI
T2WI
DWI
the SWI and enhanced T1WI
MRA images were performed to compare the superiority of the SWI images to the others in demonstrating the small hemorrhagic focuses
the small vein
hemosiderin
calcification and other paramagnetic materials.Results:SWI could distinguish the hemorrhage from the blood vessel and discover the smaller hemorrhagic focuses of the angioma cavernosum.It could discover more tiny veins adjacent to the dilated draining vein.SWI could detect small hemorrhages in acute cerebral infarction and small draining veins in brain tumor.And draining veins in deep part and expanded rete venosum in the surfaces of brains could be obviously demonstrated when sinus venosus thrombus occurred.Conclusion:SWI is a new pulse sequence that can demonstrate the abnormal low current capacity blood vessels
the structure of small vein
the tiny hemorrhages as well as ferrugination and calcium deposition sensitively.So it can be applied in the diagnosis and antidiastole of the central nervous system diseases as an important supplement to the MRI conventional sequences.
磁敏感加权成像海绵状血管瘤静脉畸形
Susceptibility weighted imaging(SWI)Angioma cavernosumVenous malformation
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