磁敏感加权成像在脑静脉及其相关疾病中应用的研究进展

doi:10.3760/cma.j.issn.2095-7041.2018.04.020

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摘要目的探讨磁敏感加权成像在脑静脉及其相关疾病中应用的研究进展。方法在中国知网、万方数据和PubMed、Web of Science等数据库,以“磁敏感加权成像” “脑静脉”“血管畸形” “缺血性卒中”和“susceptibility weighted imaging”“cerebral veins”“vascular malformation”“ischemic stroke”为关键词,查阅2017年12月之前发表的有关磁敏感加权成像对脑静脉及其相关疾病研究的文献,进行归纳总结。结果磁敏感加权成像技术是根据不同组织间的磁敏感性差异产生图像对比的MRI技术。磁敏感加权成像技术可良好地显示脑静脉内血栓和脑静脉性血管畸形;对脑内出血检测的灵敏度高,特别是对脑微出血点检测的灵敏度明显高于CT以及MRI常规序列;可清楚显示多发性硬化及急性缺血性卒中患者的脑皮质、髓质静脉改变,有助于多发性硬化与急性缺血性卒中的诊断和鉴别诊断,并可以预测急性缺血性卒中患者的进展和预后。结论磁敏感加权成像技术可良好显示脑静脉及其相关疾病的影像学改变,但其与疾病的诊疗、预后等关系仍需进一步探讨研究。

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	张小芬
	陈争珍
	郭玉
	缪慧中
	陈成春

关键词 ：磁共振成像, 磁敏感加权成像, 脑静脉, 血管畸形, 卒中

Abstract：Objective To discuss the research progress on the application of susceptibility weighted imaging in cerebral venous and related diseases.Methods The key words “susceptibility weighted imaging”, “cerebral veins”, “vascular malformation” and “ischemic stroke” were used to search the related literatures in PubMed, Web of Science, CNKI and Wanfang Data before December 2017 and to summarize the research progress on the application of Susceptibility Weighted Imaging in cerebral venous and related diseases.Results Susceptibility weighted imaging is a magnetic resonance imaging (MRI) technology which generates image contrast according to the magnetic sensitivity difference between different tissues. Susceptibility Weighted Imaging demonstrates the cerebral venous thrombosis and venous malformations clearly. The sensitivity to the detection of intracerebral hemorrhage is high, especially the sensitivity to the detection of cerebral microhemorrhage is significantly higher than that of CT and MRI conventional sequence. The changes of cerebral cortex and medullary veins in patients with multiple sclerosis and acute ischemic stroke can be clearly showed on susceptibility weighted imaging. The changes could predict the progression and prognosis of patients with acute ischemic stroke.Conclusions Susceptibility weighted imaging can clearly display the imaging changes of cerebral venous and related diseases. However, the relationship with the diagnosis and treatment of diseases still need to be further explored.

Key words： Magnetic resonance imaging Susceptibility weighted imaging Cerebral veins Vascular malformation Stroke

收稿日期: 2018-03-28

基金资助:国家自然科学基金项目(31671250);浙江省教育厅科研项目(Y201636616)

通讯作者: 陈成春,Email:cccwzmc@126.com

引用本文:

张小芬, 陈争珍, 郭玉, 缪慧中, 陈成春. 磁敏感加权成像在脑静脉及其相关疾病中应用的研究进展[J]. 中华解剖与临床杂志, 2018, 23(4): 361-364.
Zhang Xiaofen, Chen Zhengzhen, Guo Yu, Miu Huizhong, Chen Chengchun.. Research progress on application of susceptibility weighted imaging in cerebral venous and related diseases. Chinese Journal of Anatomy and Clinics, 2018, 23(4): 361-364.

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http://www.cjac.com.cn/CN/10.3760/cma.j.issn.2095-7041.2018.04.020 或 http://www.cjac.com.cn/CN/Y2018/V23/I4/361

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