[1]吴赣香.CT与MRI在急性脑梗死患者诊断中的应用价值[J].医学信息,2025,38(13):154-157.[doi:10.3969/j.issn.1006-1959.2025.13.031]
　WU Ganxiang.Application Value of CT and MRI in the Diagnosis of Patients with Acute Cerebral Infarction[J].Journal of Medical Information,2025,38(13):154-157.[doi:10.3969/j.issn.1006-1959.2025.13.031]
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CT与MRI在急性脑梗死患者诊断中的应用价值()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年13期
页码:
154-157
栏目:
论著
出版日期:
2025-07-01

文章信息/Info

Title:
Application Value of CT and MRI in the Diagnosis of Patients with Acute Cerebral Infarction
文章编号:
1006-1959（2025）13-0154-04
作者:
吴赣香
婺源县中医院放射科，江西 婺源 333200
Author(s):
WU Ganxiang
Department of Radiology, Wuyuan County Hospital of Traditional Chinese Medicine, Wuyuan 333200, Jiangxi, China
关键词:
急性脑梗死; CT; MRI; 诊断准确性; 敏感度; 特异性; 发病时间
Keywords:
Acute cerebral infarction;  CT;  MRI;  Diagnostic accuracy;  Sensitivity;  Specificity;  Time of onset
分类号:
R743.3；R445.2；R816.1
DOI:
10.3969/j.issn.1006-1959.2025.13.031
文献标志码:
A
摘要:
目的 探究CT与MRI在急性脑梗死（ACI）诊断中的应用价值。方法 以2020年1月-2024年1月婺源县中医院收治的61例疑似ACI患者为研究对象，依次行CT、MRI检测，随后以综合诊断结果为金标准，分析CT、MRI及其联合检测对ACI的诊断效能，比较CT、MRI及其联合检测对不同发病时间ACI的诊断准确率，统计其对ACI不同部位病灶的检出结果。结果 CT、MRI联合检测对ACI的诊断准确性、敏感度、特异性高于其单一检测（P＜0.05）。CT、MRI联合检测对发病时间＜24 h、24~72 h ACI的诊断准确率高于其单独检测（P＜0.05）。CT、MRI联合检测对ACI不同部位病灶的检出率高于其单独检测（P＜0.05）。结论 CT与MRI联合检测ACI诊断可获得更高诊断效能，对不同发病时间及不同部位病灶均具有较高诊断价值。
Abstract:
Objective To explore the application value of CT and MRI in the diagnosis of acute cerebral infarction (ACI). Methods A total of 61 suspected ACI patients admitted to Wuyuan County Traditional Chinese Medicine Hospital from January 2020 to January 2024 were selected as the study subjects. CT and MRI tests were performed sequentially, and the comprehensive diagnostic results were used as the gold standard to analyze the diagnostic efficacy of CT, MRI, and their combined tests for ACI. The diagnostic accuracy of CT, MRI, and their combined tests for ACI at different onset times was compared, and their detection results for lesions in different parts of ACI were statistically analyzed. Results The diagnostic accuracy, sensitivity and specificity of combined detection of CT and MRI for ACI were higher than those of single detection (P<0.05). The diagnostic accuracy of combined detection of CT and MRI for ACI with onset time <24 h and 24-72 h was higher than that of single detection (P<0.05). The detection rate of lesions in different parts of ACI by combined detection of CT and MRI was higher than that by single detection (P<0.05). Conclusion The combined detection of CT and MRI in the diagnosis of ACI can obtain higher diagnostic efficiency, and has high diagnostic value for different onset time and different parts of the lesion.

参考文献/References:

[1]陈师铭.CT血管成像及MRI对急性缺血性脑卒中患者责任血管狭窄的评估价值[J].川北医学院学报,2024,39(2):261-264.[2]黄竞远,李瑞峰,沈杉杉.磁共振常规序列结合加权弥散成像与CT扫描在急性脑梗死患者中的诊断价值研究[J].中国医学装备,2023,20(11):36-40.[3]彭静,黄志香,厉彦新,等.MRI影像组学评估急性脑梗死患者临床预后的价值[J].分子影像学杂志,2023,46(1):28-32.[4]吴传松,宛华,储昭宝,等.MR-DWI与CT对急性期脑梗死合并脑微出血诊断的应用价值[J].医学影像学杂志,2023,33(10):1886-1889.[5]吴以森,夏林峰.MSCT和MRI在脑血管疾病中的诊断价值比较[J].吉林医药学院学报,2022,43(6):427-429.[6]包婉秋,彭霞,张春霞,等.非增强CT纹理特征对超急性期脑梗死溶栓后出血转化的预测价值[J].中国中西医结合影像学杂志,2022,20(2):122-127.[7]闫伟峰,张进利.磁共振成像和CT在急性脑梗死诊断中的应用价值[J].中国卫生检验杂志,2022,32(5):588-590.[8]林婷庭,司徒炜宸.急性脑梗死患者MRI表现与炎症、凝血及血管新生因子的关系研究[J].海南医学,2021,32(4):430-433.[9]Kambiz N.Detection of Acute Infarction on Non-Contrast-enhanced CT: Closing the Gap with MRI via Machine Learning[J].Radiology,2020,294(3):645-646.[10]郭华峰,王晓男,杨璐.多层螺旋CT联合MRI检查在脑梗死合并脑出血诊断中的应用[J].实用临床医药杂志,2020,24(23):8-10,14.[11]张常青.CT与MRI检查急性脑梗死临床价值分析[J].医学影像学杂志,2021,31(7):1095-1097.[12]高红凤.磁共振弥散加权成像对不同临床分期脑梗死的诊断价值[J].临床医学,2022,42(10):65-67.[13]陈鹏飞,梁奕,王剑.CT与MRI在急性脑梗塞诊断中有效性评价分析[J].中国CT和MRI杂志,2021,19(7):21-23.[14]陈少辉,周志宏.CT、MRI联合诊断老年多发性急性期脑梗死的价值[J].临床医学,2022,42(1):91-92.[15]赵星.MRI和CT检查在腔隙性脑梗死中的应用分析[J].实用心脑肺血管病杂志,2020,28(1):247-248.[16]Seiya K,Shinji N,Motohiro A,et al.Initial medical protocol efforts using both CT and MRI/MRA for acute cerebral infarction [J].American Journal of Emergency Medicine,2022,61,199-204.[17]许涛,郭静,由秀,等.磁共振成像和CT对短暂性脑缺血发作患者的急性脑梗死诊断价值研究[J].中国医学装备,2021,18(1):54-58.[18]贺振平,项行林.多发性脑梗死老年患者临床诊断中MRI与颅脑CT的临床价值对比分析[J].贵州医药,2020,44(12):1868-1869.[19]张勇,王明利,庞小东.CT联合MRI检查对不同发病时间脑梗死患者的诊断效果分析[J].中国CT和MRI杂志,2021,19(9):19-21.[20]唐鑫,敬方园,谢欢,等.高分辨率MRI和动态对比增强MRI在中枢神经系统血管炎诊断和预后评估中的应用价值[J].实用心脑肺血管病杂志,2022,30(3):122-125.[21]李兆勇,梁俊生,王青云,等.多模态MRI联合CT评估大面积脑梗死相关脑皮质层状坏死的影像学特征及其临床意义[J].中国中西医结合影像学杂志,2021,19(4):338-342.[22]雷立存,杜亚强,刘振宇,等.磁共振扩散加权成像对不同时期脑梗死的诊断意义[J].河北医科大学学报,2021,42(1):90-94.[23]罗孝钢,罗孝平,黄娟.MRI、CT诊断老年多发性脑梗死病人预后价值分析[J].现代消化及介入诊疗,2020,14(1):278-279.[24]Zhang W,Cheng J,Zhang Y,et al.Analysis of CT and MRI Combined Examination for the Diagnosis of Acute Cerebral Infarction[J].J Coll Physicians Surg Pak,2019,29(9):898-899.

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更新日期/Last Update: 1900-01-01