Clinical value of 64-slice spiral CT in traumatic brain injury and its correlation study on cognitive function evaluation
10.3969/j.issn.1002-1671.2024.02.004
- VernacularTitle:64排螺旋CT在颅脑损伤中的临床价值及其认知功能评估中的相关性研究
- Author:
Xinlin LIU
1
;
Jun ZHANG
;
Linghan CHEN
Author Information
1. 舟山市普陀区人民医院放射科,浙江 舟山 316100
- Keywords:
traumatic brain injury;
computed tomography;
diagnostic score;
cognitive function;
correlation analysis
- From:
Journal of Practical Radiology
2024;40(2):190-193
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnostic effect of 64-slice spiral CT in patients with traumatic brain injury(TBI),and to evaluate the correlation between CT scores and cognitive function.Methods A total of 138 cases of TBI patients underwent surgical treatment were selected.The surgical pathological examination results were regarded as the gold standard.The prognosis was assessed by Glasgow outcome scale(GOS).The CT scores of all patients were compared by Montreal cognitive assessment(MoCA)and mini-mental state examination(MMSE)scores,and correlation between CT scores and cognitive-related scores was analyzed.Results The sensitivity of 64-slice spiral CT was 74.64%,82.61%and 98.55%within 3 hours,1 day and 2-3 days after admission,respectively.The MoCA and MMSE scores of severe patients were significantly higher than those of moderate and mild patients,and the MoCA and MMSE scores of moderate patients were significantly higher than those of mild patients(P<0.05).CT score was positively correlated with both MoCA and MMSE scores(P<0.05).The GOS of severe patients was significantly higher than that of moderate and mild patients,and the GOS of moderate patients was significantly higher than that of mild patients(P<0.05).Conclusion TBI can be detected with high sensitivity via 64-slice spiral CT.CT score has a significant positive correlation with the cognitive function,and is closely related to the prognosis.It can provide an effective basis for the clinical diagnosis and treatment.
