CAJ | 학술논문

目的探讨磁共振多方位弥散加权成像(DWI)及表观弥散常数对急性脑干梗死的诊断价值.方法 24例急性脑干梗死患者,其中2例超急性期(＜6 h)、22例急性期(6～72 h);中脑梗死2例,桥脑梗死21例,延髓梗死1例;均行MRI常规检查、T1WI、T2WI检查,并进行DWI和ADC值测量.结果 24例急性脑干梗死中,横轴位T2WI及DWI的横轴位、冠状位、矢状位三个方位清晰地显示病灶并能确定诊断13例(54.2%);T2WI不能清楚显示病灶信号及范围,而横轴位、冠状位、矢状位DWI、ADC图像能明确诊断9例(37.5%);T2WI阴性、DWI及ADC图像的横轴位不能确定诊断,但在DWI及ADC图像的冠状位、矢状位清晰地显示病灶能够确定诊断2例(8.3%).结论 DWI结合ADC图像,易发现的脑干较低位置的病灶,是目前诊断急性脑干梗死的最佳方法之一.
목적 탐토자공진다방위미산가권성상(DWI)급표관미산상수대급성뇌간경사적진단개치.방법 24례급성뇌간경사환자,기중2례초급성기(＜6 h)、22례급성기(6～72 h);중뇌경사2례,교뇌경사21례,연수경사1례;균행MRI상규검사、T1WI、T2WI검사,병진행DWI화ADC치측량.결과 24례급성뇌간경사중,횡축위T2WI급DWI적횡축위、관상위、시상위삼개방위청석지현시병조병능학정진단13례(54.2%);T2WI불능청초현시병조신호급범위,이횡축위、관상위、시상위DWI、ADC도상능명학진단9례(37.5%);T2WI음성、DWI급ADC도상적횡축위불능학정진단,단재DWI급ADC도상적관상위、시상위청석지현시병조능구학정진단2례(8.3%).결론 DWI결합ADC도상,역발현적뇌간교저위치적병조,시목전진단급성뇌간경사적최가방법지일.
Objective To investigate the diagnostic value of multidirectional diffusion weighted image (DWI) and apparent diffusion coefficient(ADC) image in acute brainstem infarction.Methods 24 cases of brainstem infarction included 2 cases in super acute stage,22 cases in acute stage.All cases were performed multidirectional DWI,ADC and T1 WI、T2 WI examination including of 2 cases of midbrain,21 cases of pons and 1 case of medulla.All of them were accompanied with infarction of other location.Results Among 24 cases there were 13 cases that their lesions displayed clearly and established by transverse T2WI,transverse、coronary or sagittal DWI、ADC and the diagnostic accuracy was 54.2%.In other 9 cases(37.5%) could not display the signal and extent of the lesions,but they could be confirmed by transverse、coronary or sagittal DWI 、ADC.Moreover there were 2 cases(8.3%) who were indicated accurately the diagnosis by coronary、sagittal DWI 、ADC.Conclusion Multidirectional DWI and ADC could show the location of lesions in the lower brainstem so the multidirectional DWI and ADC scan could be an excellent method for the diagnosis of the brainstem infarction.