SPECT在缺血性脑血管疾病中的临床应用

  • 摘要: 应用 ̄(99)Tc ̄m-ECD对329例缺血性脑血管病患者进行SPECT检查(其中脑梗塞160例,脑动脉硬化120例,椎基底动脉供血不足30例,短暂性脑缺血发作(TIA)19例),井将部分病例的SPECT结果与X线CT作比较,脑梗塞、脑动脉硬化、椎基底动脉供血不足、TIASPECT阳性率分别为90.6%、89.2%、86.7%及84.2%。329例中SPECT阳性者294例,总阳性率为89.4%,而X线O总阳性率为60.3%(135/224),提示 ̄(99)Tc ̄m-ECD和SPECT脑血流灌注显像不仅能准确地反映病变局部功能状态、代谢和血液供应情况,而且对缺血性脑血管病的早期诊断、评价治疗效果和判断预后有重要价值。

     

    Abstract: CLINICAL APPLICATION OF SPECT TO ISCHEMIC CEREBROVASCULAR DISEASES Wang Manqin; He Deqiang Li Chengqing; Xu Yaojun Liu Ping(Department of Nuclear Medicine, Dalin harbour Hospital, 116001)Jin Dequi; Qiu Shisheng; Wang Hui(Department of Physician, Dalin Harbour Hospital,116001)Xia Chongqi; Wang Xi'an;Jin Peiyong(Department of Visualization, Dalin Harbour Hospital, 116001)ABSTRACT 32 9 patients with ischemic cerebrovascular diseases are examined with~(99)Tc~m-ECD SPECT imag-ing. Among them,16 0 cases of cerebral infarction,12 0 cases of cerebral arteriosclerosis,30 casesof vertebrobasilar ischemia and l 9 cases of transient ischemic attack(TIA) are clinically confirmed.In the order of above cascs, the poqitive rate of SPECT imaging were 90.6%,8.2%, 86.7%and84.2%respectively. The overall po6itive rate is 89.4%(294/329). However, the overall positiverate Qf X(T was 60.3%(135/224). It is suggested that~(99)Tc~m-ECD SPECT cerebral perfusion imag-ing not only accurately reflects regiocal function , metabolism and blood supply of the ischemicparts , but also has important value for early diagnosis, evaluating the effect of therapy and prognosisjn ischemic cerebrovascular diseases.Key words brain ischemic cerebrovascular diseases radionuclidic imaging perfusion imag-ing

     

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