Clinical prognosis of patients with acute ischemic stroke and its application value were evaluated using 3D CUBE T1 high resolution imaging and magnetic sensitivity techniques
- VernacularTitle: 联合核磁共振3D CUBE T1高分辨率成像和磁敏感技术评估急性缺血性脑卒中患者的临床预后及其应用价值
- Author:
Xin LI
1
;
Wenjuan LANG
1
;
Kai SHI
1
Author Information
- Publication Type:Journal Article
- Keywords: High resolution magnetic resonance imaging; Susceptibility weighted imaging; Ischemic stroke
- From: Journal of Apoplexy and Nervous Diseases 2020;37(5):393-397
- CountryChina
- Language:Chinese
- Abstract: Objective Clinical prognosis and clinical application value of patients with acute ischemic stroke were evaluated using magnetic resonance 3D CUBE T1 high resolution vascular wall imaging and magnetic sensitive vascular signs （SVS）. Methods Demographic data and imaging characteristics of patients with acute ischemic stroke with in 24 hours were collected to evaluate the NIH Stroke Scale （NIHSS） and the modified Rankin Scale. The risk factors of 3D CUBE T1 high signal and SVS （dual-symptom group） were found by binary logistic regression analysis，and whether there a difference between NIHSS score at admission and discharge time and the score of modified Rankin scale 3 months later. Results No risk factors associated with MRA occlusion or dual-sign group were found by binary logistic regression analysis. When the NIHSS score was compared at 7 days’ discharge，it was found that the patients in the MRA group （P=0.007） and the double-sign group （P=0.010） had higher NIHSS score and heavier clinical manifestations. By comparing the modified Rankin scores of the patients 3 months after discharge，it was found that the patients in the MRA group （P=0.019） and the dual-sign group （P=0.026） had worse prognosis at 3 months. At the same time，the data showed that there was a good consistency between dual-sign and MRA in assessing the severity of symptoms and prognosis of patients （P=0.996 for comparison of NIHSS score and P=0.912 for the modified Rankin Scale score）. Conclusion In patients with acute ischemic stroke，the combination of 3D CUBE T1 sequence high signal and magnetic sensitive vascular signs of thrombosis can better determine and predict the prognosis of patients. Meanwhile，patients with 3D CUBE T1 high signal and magnetic sensitive vascular signs （SVS） have higher NIHSS score at discharge and worse prognosis after 3 months. Compared with the MRA group，the combination of 3D CUBE T1 sequence high signal and magnetic sensitive vascular signs of thrombosis has a better consistency in the assessment of patients’ clinical manifestations and prognosis，which is worthy of clinical technology promotion and application.
- Full text:2024080123162689160Clinical prognosis of patients with acute ischemic stroke and its application value were evaluated using 3D CUBE T1 high resolution imaging and magnetic sensitivity techniques.pdf
