II 級(jí)患者 > Ⅲ級(jí)患者,I級(jí)患者的MTT、TTP<Ⅱ級(jí)患者 ?<sub><</sub> II級(jí)患者,不同Hunt-Hess分級(jí)患者的CTP定量參數(shù)比較有統(tǒng)計(jì)學(xué)意義! (P<0.05) ;Fisher2級(jí)、3級(jí)、4級(jí)患者的CBF,CBV,MTT,TTP差異有統(tǒng)計(jì)學(xué)意義( P<0.05 ),2級(jí)患者的CBF、 CBV>3 級(jí)患者 <sup>?>4</sup> 級(jí)患者,2級(jí)患者的MTT、TTP <3 級(jí)患者 <4 級(jí)患者,差異有統(tǒng)計(jì)學(xué)意義( <sub>P<0.05</sub> ,不同F(xiàn)isher分級(jí)患者的CTP定量參數(shù)比較差異有統(tǒng)計(jì)學(xué)意義 (P<0.05) 。Spearman相關(guān)性分析顯示,CBF及CBV與Hunt-Hess分級(jí)、Fisher分級(jí)均呈負(fù)相關(guān)( P<0.05) ;平均通過(guò)時(shí)間(MTT、)及達(dá)峰時(shí)間(TTP)與Hunt-Hess分級(jí)、Fisher分級(jí)均呈正相關(guān) (P<0.05) 。結(jié)論一站式全腦CTP定量參數(shù)CBF、CBV、MTT及TTP與aSAH病情嚴(yán)重程度有明顯相關(guān)性,一站式全腦CTP檢查在aSAH患者的病情評(píng)估中有重要價(jià)值,CBF、CBV、MTT及TTP等CTP定量參數(shù)與aSAH病情嚴(yán)重程度密切相關(guān),可用于病情評(píng)估。-龍?jiān)雌诳W(wǎng)" />

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一站式全腦CT灌注成像檢查定量參數(shù)對(duì)動(dòng)脈瘤性蛛網(wǎng)膜下腔出血的評(píng)估價(jià)值

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Evaluation of quantitative parameters of one-stop whole brain CTP examination on aneurysmal subarachnoidhemorrhageLiuYi,ZhouXia,HuangYi,WuJie.DepartmentofDiagnosticRadiology,TheGeneralHospital ofWestern TheaterCommand,Chengdu,

【Abstract】ObjectiveTo explore the relationship between quantitative parameters of one-stop whole brain CT perfusion imaging (CTP) examination and severity of aneurysmal subarachnoid hemorhage (aSAH).MethodsThe clinicaldataof88patientswithaSAHadmitedtothe hospital fromDecember 202O toDecember2022 were retrospectively analyzed,and the diferences in CTP quantitative parameters were comparedamong patients with diffrent Hunt-Hess grades and Fisher grades,and Spearman correlation analysis was used to analyze thecorrelation between CTP quantitative parameters and Hunt-Hess grading and Fisher grading.ResultsThe CTP quantitative parameter cerebral blood flow(CBF) values in patients with Hunt-Hess grades I,I and II ,the cerebral blood volume(CBV)values the mean transit time (MTT)values and the time to peak(TTP)values had significant differences.The CBFand CBV were manifestedas gradeI patients>grade II patients>grade IIpatients,while the MTT and TTP revealed grade I patientsgrade 3 patients>grade 4 patients while MTTand TTP were manifested as grade2patients

【Key words】Subarachnoid hemorrhage;Perfusion imaging; Quantitative parameters; Cerebral blood flow;Cerebral blood volume

動(dòng)脈瘤性蛛網(wǎng)膜下腔出血(aneurysmal sub-arachnoidhemorrhage,aSAH)是一種常見(jiàn)出血性腦卒中疾病,起病急驟,致殘率、致死率較高。(剩余4363字)

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