当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2015年
24期
9-10,11
,共3页
急性脑梗死%CT灌注成像%进展
急性腦梗死%CT灌註成像%進展
급성뇌경사%CT관주성상%진전
Acutecerebral infarction%CT perfusion imaging%Progress
CT灌注成像是对比剂经静脉团注入后,连续快速扫描选定层面的检验手段,作为一种功能成像,CT灌注成像可以早期发现急性脑梗死,通过分析时间-密度曲线,反映脑局部的血流动力学改变,判定半暗带,进而判断脑梗死演变,为脑梗死的诊治以及预后提供很好的影像学依据。本文主要介绍了CT灌注成像原理及检测方法,因为急性缺血性脑血管病的主要病因病机为脑血流量的低灌注导致的,CT灌注成像可精确反映脑血流灌注的基本状况,探讨CT灌注成像对于急性脑梗死的早诊断,对于早期治疗和疾病的预后均是至关重要的,具有广阔的临床应用前景。
CT灌註成像是對比劑經靜脈糰註入後,連續快速掃描選定層麵的檢驗手段,作為一種功能成像,CT灌註成像可以早期髮現急性腦梗死,通過分析時間-密度麯線,反映腦跼部的血流動力學改變,判定半暗帶,進而判斷腦梗死縯變,為腦梗死的診治以及預後提供很好的影像學依據。本文主要介紹瞭CT灌註成像原理及檢測方法,因為急性缺血性腦血管病的主要病因病機為腦血流量的低灌註導緻的,CT灌註成像可精確反映腦血流灌註的基本狀況,探討CT灌註成像對于急性腦梗死的早診斷,對于早期治療和疾病的預後均是至關重要的,具有廣闊的臨床應用前景。
CT관주성상시대비제경정맥단주입후,련속쾌속소묘선정층면적검험수단,작위일충공능성상,CT관주성상가이조기발현급성뇌경사,통과분석시간-밀도곡선,반영뇌국부적혈류동역학개변,판정반암대,진이판단뇌경사연변,위뇌경사적진치이급예후제공흔호적영상학의거。본문주요개소료CT관주성상원리급검측방법,인위급성결혈성뇌혈관병적주요병인병궤위뇌혈류량적저관주도치적,CT관주성상가정학반영뇌혈류관주적기본상황,탐토CT관주성상대우급성뇌경사적조진단,대우조기치료화질병적예후균시지관중요적,구유엄활적림상응용전경。
CT perfusion imaging is after intravenous bolus injection of contrast agent,conducted an inspection of selected aspects of fast continuous scanning method,as a functional imaging,CT perfusion imaging for early detection of acute cerebral infarction,by analyzing the time-Density curve,reflecting changes in local cerebral hemodynamics determine penumbra,and then determine infarct evolution,providing a good basis for the radiological diagnosis of cerebral infarction and prognosis. This paper describes the principles of CT perfusion imaging and detection methods,because of acute ischemic cerebrovascular disease pathogenesis mainly low cerebral bloodfl ow perfusion caused,CT perfusion imaging can accurately refl ect the underlying condition of cerebral perfusion explore CT perfusionimaging of acute cerebral infarction for early diagnosis,treatment and prognosis for early stage disease are critical,have broad clinical application.