CAJ | 학술논문

目的：探讨磁共振弥散加权成像(MR-DWI)检查作为排查临床住院患者中怀疑急性脑卒中的首选检查方法的可行性及实用性。方法2013年1月-2013年3月间所有怀疑急性脑卒中需要紧急行神经影像检查的住院患者，只要没有MR检查禁忌证均优先行MR-DWI检查。对研究期间核磁检查进行的结果进行分析。结果研究期间共有135例怀疑急性脑血管事件需要紧急行神经影像检查，其中128例没有MR检查禁忌证。在无MR检查禁忌证的患者中95例患者(74.2%)实现优先行MR-DWI检查。有MR检查禁忌症的7例患者和无法紧急行MR检查的33例患者改行CT检查。结论对于适合行MR检查的患者本试验实现了70%以上患者及时安全行MR-DWI检查，说明了在排查急性脑卒中时MR-DWI检查的可行性和安全性。
목적：탐토자공진미산가권성상(MR-DWI)검사작위배사림상주원환자중부의급성뇌졸중적수선검사방법적가행성급실용성。방법2013년1월-2013년3월간소유부의급성뇌졸중수요긴급행신경영상검사적주원환자，지요몰유MR검사금기증균우선행MR-DWI검사。대연구기간핵자검사진행적결과진행분석。결과연구기간공유135례부의급성뇌혈관사건수요긴급행신경영상검사，기중128례몰유MR검사금기증。재무MR검사금기증적환자중95례환자(74.2%)실현우선행MR-DWI검사。유MR검사금기증적7례환자화무법긴급행MR검사적33례환자개행CT검사。결론대우괄합행MR검사적환자본시험실현료70%이상환자급시안전행MR-DWI검사，설명료재배사급성뇌졸중시MR-DWI검사적가행성화안전성。
Objective In order to assess the feasibility and utility of diffusion-weighted magnetic resonance imaging (MR-DWI) as first-line neuroimaging for in-patients with clinically suspected acute stroke. Methods From January 2013 to march 2013, the patients with clinically suspected acute stroke were scheduled to receive MRI with DW and T2-weighted sequence as initial neuroimaging inspection, if he/she was deemed MRI safe. The results of this project in the study were analyzed. Results During the study period, 135 patients who had neuroimaging for suspected cerebrovascular accident, and 128 were MRI safe. The total of 95 patients(74.2%) had underwent MR-DWI as first-line investigation. Seven patients were not MRI safe and 33 had computed tomography(CT) as first-line imaging due to lack of available MRI capacity. Conclusions The use of MR-DWI as a first-line investigation were successfully achieved in over 70% patients with a clinically suspected diagnosis of acute stroke who were deemed MRI safe, that proved this method were accurate and feasible.