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The Application of Diffusion- and Perfusion-Weighted Magnetic Resonance Imaging in the Diagnosis and Therapy of Acute Cerebral Infarction

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机构: [1]Beijing Normal Univ, Inst Cognit Neurosci & Learning, Beijing 100875, Peoples R China; [2]Beijing Tiantan Hosp, Associated Lab, Beijing 100050, Peoples R China; [3]Chinese Acad Sci, Inst Automat, Med Image Proc Grp, Beijing 100080, Peoples R China; [4]Beijing Univ, Shougang Hosp, Dept Neurol, Beijing 100041, Peoples R China
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Diffusion- and perfusion-weighted magnetic resonance imaging (DWI and PWI) was applied for stroke diagnose in 120 acute (< 48 h) ischemic stroke patients. At hyperacute (< 6 h) stage, it is difficult to find out the infarction zone in conventional T1 or T2 image, but it is easy in DWI, apparent diffusion coefficient ( ADC) map; when at 3-6-hour stage it is also easy in PWI, cerebral blood flow (CBF) map, cerebral blood volume (CBV) map, and mean transit time (MTT) map; at acute (6-48 h) stage, DWI or PWI is more sensitive than conventional T1 or T2 image too. Combining DWI with ADC, acute and chronic infarction can be distinguished. Besides, penumbra which should be developed in meaning was used as an indication or to evaluate the therapeutic efficacy. There were two cases (< 1.5 h) that broke the model of penumbra because abnormity was found in DWI but not that in PWI, finally they recovered without any sequela. Copyright (C) 2006 Ying Han et al.

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大类 | 4 区 医学
小类 | 4 区 工程:生物医学
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第一作者机构: [1]Beijing Normal Univ, Inst Cognit Neurosci & Learning, Beijing 100875, Peoples R China;
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通讯机构: [1]Beijing Normal Univ, Inst Cognit Neurosci & Learning, Beijing 100875, Peoples R China;
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