~(133)Xe脑图成像技术在缺血性脑病中的应用

APPLICATION OF ~(133)Xe ENCEPHALOGRAPHY IN LACK BLOOD DISEASES

  • 摘要: 应用CGEM 2000型~(133)Xe查脑图成像技术,测定大脑灰质局部血流量(rCBF)是判断缺血性脑疾患病情严重程度的可靠指标。受检者均采用头皮解剖定位,28个探头按额、顶、颞、枕叶分区,定位准确,重复性好。rCBF检测结果与XCT基本一致,但范围较XCT广,因此,rCBF测定对临床诊断是可靠的。它能定量地给出rCBF值,不仅可用于诊断脑内疾患,也可作为中风前的预报;尤其对眩晕待查病人有独特意义。对中老年眩晕患者应首先考虑是否由于rCBF值降低所致。对颈内动脉系统血栓病的检查,能正确的反映病变的真实范围。方法对治疗方案、估计预后、疗效监测和急性脑梗塞的诊断均优于XCT。国内脑血管病的发病率、患病率、病残率和复发率均很高,特别是老年人显得更为突出,故应用CGEM 2000型脑图成像技术作为筛选手段,累计病例1010例,取得了满意的结果。

     

    Abstract: The detemination of local blood flow in brain gray matter (rCBF) using the type CGEM 2000 ~(133)Xe encephalography is a reliable indication for judging the degree of lack blood disease. For all the inspected patients the scalp analogy localization is used. 28 probes are applied to some regions of the forehead, the vertex, the temporal folium and the occipital folium. The localization is a ccurate and repeatable. The result of rCBF determination is similar to XCT, but its range is rather wider than XCT. Therefore, the rCBF determinationinin in clinic diagnosis is reliable. It can give the rCBF value qualitively, it can be used not only for diagnosing the desease in brain, but also for the predication before apoplexy, especially for vertigo disease to be inspected. For the vertigo disease of middle age and old man, the first consideration should be the decreasing of rCBF value. For the inspection of thrombus of neck artery system, it can reflect the real range of pathological changes correctly. The method is superior to XCT for treatment planning, estimating the results, supervising the effect treatment, and the diagnosis of acute cerebral embolism. In our country, the morbidity rate, the sicknes rate, the disability rate and recurrent rate of cerebrovascular disease are very high, especially for the old man. In the paper, using type CGEM 2000 cerebral angiography technique for the screenning, satisfactory results for 1010 cases altogether are obtained.

     

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