DIAGNOSTIC VALUE OF MAGNETIC RESONANCE DWI AND FLAIR SEQUENCES FOR EARLY DIAGNOSIS OF ACUTE CEREBRAL INFARCTION
Journal Title: European Journal of Pharmaceutical and Medical Research - Year 2018, Vol 5, Issue 11
Abstract
Objective To analyze the value of diffusion-weighted magnetic resonance imaging (DWI) and fluid attenuated inversion recovery (FLAIR) for the early diagnosis of acute cerebral infarction. For the better diagnosis of the disease in the future, to provide guidance for treatment. Methods A retrospective analysis method was used to include 80 patients with acute cerebral infarction treated in the author's hospital from February 2016 to February 2018. All of the patients were in compliance with the relevant conditions of the study and were divided into hyperacute and acute phases. Subacute patients. Magnetic resonance DWI and FLAIR sequence scans were performed. The number and distribution of lesions were recorded; the detection of T1WI, T2WI, FLAIR, and DWI were recorded; and the imaging findings of T1WI, T2WI, FLAIR, and DWI in the superacute, acute, and subacute patients were compared; Standardized treatment was performed, and the independent living ability index (BI) score and neurological deficit score (NIHSS) score were compared before and after treatment. Results A total of 97 lesions were detected in 180 patients, including 82 new lesions, including 28 lesions in the brainstem, 20 lesions in the brain lobe, 13 lesions in the basal ganglia region, and 11 lesions in the cerebellum, 10 The lesions are in the center of the semiovale. The T1WI, T2WI, FLAIR, and DWI were detected as 70.00%, 67.50%, 81.25%, and 100.00%, respectively, P<0.05. 2 Subacute patients with T1WI, T2WI, FLAIR, and DWI showed similar signs of abnormal increase. In the acute phase, some patients had abnormal signals on T1WI and T2WI, and there were more abnormal signals on FLAIR. DWI had high signal and signs. Symptoms corresponded; in the super-acute phase, the signals on T1WI and T2WI were normal, and the FLAIR signal was abnormally increased. DWI was significantly increased. 3 Compared with b=1000s/mm2, the lesion image obtained by b=1200s/mm2 in DWI imaging is clearer, and the range is larger. The diffuse omnidirectional lesions are more unidirectionally cleaned and have more advantages in white matter lesions. 4 Image analysis showed that DWI showed high signal and was consistent with symptoms and signs. 5 After treatment, NIHSS scores decreased, and BI scores increased. P<0.05 Conclusion DWI technique is more advantageous in the early diagnosis of acute cerebral infarction, especially in hyperacute cerebral infarction with high sensitivity and can guide treatment.Objective To analyze the value of diffusion-weighted magnetic resonance imaging (DWI) and fluid attenuated inversion recovery (FLAIR) for the early diagnosis of acute cerebral infarction. For the better diagnosis of the disease in the future, to provide guidance for treatment. Methods A retrospective analysis method was used to include 80 patients with acute cerebral infarction treated in the author's hospital from February 2016 to February 2018. All of the patients were in compliance with the relevant conditions of the study and were divided into hyperacute and acute phases. Subacute patients. Magnetic resonance DWI and FLAIR sequence scans were performed. The number and distribution of lesions were recorded; the detection of T1WI, T2WI, FLAIR, and DWI were recorded; and the imaging findings of T1WI, T2WI, FLAIR, and DWI in the superacute, acute, and subacute patients were compared; Standardized treatment was performed, and the independent living ability index (BI) score and neurological deficit score (NIHSS) score were compared before and after treatment. Results A total of 97 lesions were detected in 180 patients, including 82 new lesions, including 28 lesions in the brainstem, 20 lesions in the brain lobe, 13 lesions in the basal ganglia region, and 11 lesions in the cerebellum, 10 The lesions are in the center of the semiovale. The T1WI, T2WI, FLAIR, and DWI were detected as 70.00%, 67.50%, 81.25%, and 100.00%, respectively, P<0.05. 2 Subacute patients with T1WI, T2WI, FLAIR, and DWI showed similar signs of abnormal increase. In the acute phase, some patients had abnormal signals on T1WI and T2WI, and there were more abnormal signals on FLAIR. DWI had high signal and signs. Symptoms corresponded; in the super-acute phase, the signals on T1WI and T2WI were normal, and the FLAIR signal was abnormally increased. DWI was significantly increased. 3 Compared with b=1000s/mm2, the lesion image obtained by b=1200s/mm2 in DWI imaging is clearer, and the range is larger. The diffuse omnidirectional lesions are more unidirectionally cleaned and have more advantages in white matter lesions. 4 Image analysis showed that DWI showed high signal and was consistent with symptoms and signs. 5 After treatment, NIHSS scores decreased, and BI scores increased. P<0.05 Conclusion DWI technique is more advantageous in the early diagnosis of acute cerebral infarction, especially in hyperacute cerebral infarction with high sensitivity and can guide treatment.
Authors and Affiliations
Dr. Guangyao Wu
Keywords
Related Articles
- EP ID EP639686
- DOI -
- Views 156
- Downloads 0
COMPARATIVE STUDY BETWEEN PEG-IFN BASED REGIMEN (PEG-IFN / SOFOSBUVIR / RIBAVIRIN) AND PEG-IFN FREE REGIMENS (SOFOSBUVIR / SIMEPREVIR) -(SOFOSBUVIR / RIBAVIRIN) IN EGYPTIAN PATIENTS WITH CHRONIC HCVINFECTION.
Annually about 150 million people worldwide have chronic hepatitis C viral (HCV) infection. Advances in the molecular biology of the HCV replication life cycle have led to the discovery of several molecules that specific...
CAN MEAN PLATELET VOLUME/PLATELET COUNT RATİO BE USED TO PREDİCT THE MORTALİTY İN ACUTE İSCHEMİC STROKE PATİENTS?
Objective: It is revealed that, increased mean platelet volume/platelet count ratio (MPV/PC), obtained by dividing mean platelet volume (MPV), which indicates platelet function and activity, by platelet count, is associa...
DPPH RADICAL SCAVENGING ACTIVITY EFFECT OF EDIBLE SEAWEEDS FOR NOODLES
The 1- diphenyl 2-picrylhyorazyl (DPPH) scavenging activity from ethanol extracts of four edible alga, Porphyra tenera,Undaria pinnatifida, Sargassum fusiformeand Enteromorpha linzawere evaluated. DPPH scavenging activit...
KNOWLEDGE, ATTITUDE AND PRACTICES OF PRE-CONSULTATION USE OF ANTIBIOTICS FOR THE TREATMENT OF COMMON AILMENTS BY MOTHERS/CAREGIVERS OF UNDER-FIVE IN ILE LFE OSUN STATE, NIGERIA
The use antibiotics by mothers without prescription by a doctor are of concern in developing countries because of the inherent danger. The study assessed the knowledge, attitudes and practices of pre-consultation use of...
EXPERIMENTAL STUDY ON SWISS WHITE MICE TO EVALUATE THE ANTIANXIETY EFFECT OF COMMON WILD FIG EXTRACT (FICUS THONNINGII)
Since prehistoric times, man has relied on herbal plants as source of medicine in curing various ailments. This study was carried out to assess the anti- anxiety-like effect of the ethanol extract of Wild fig (Ficus thon...