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• Clinical Article •
The value of the application of the SWAN and ASL in the blood vessels and thrombus of acute cerebral ischemic stroke
ZHOU Zhen-jiang  ZHOU Jian-guo  MENG Yun  MA Xian-jun  LIU Xiao-li 

DOI:10.12015/issn.1674-8034.2017.12.002.


[Abstract] Objective: To study the magnetic susceptibility weighted angiography (SWAN) and arterial spin labeling (ASL) on acute cerebral infarction responsible blood vessels and the clinical diagnostic value of blood clots.Materials and methods: Thirty patients with acute cerebral infarction due to severe stenosis or occlusion of the middle cerebral artery were collected from January 2015 to June 2017 in our hospital. Using conventional sequence of GE 3.0 T superconductive MRI scanner, MRA, SWAN and 3D-pCASL inspection, MRA, SWAN minimum density was obtained by post-processing software projection and ASL pseudo color map. Observed the blood vessels and blood clots.Results: In 30 cases of patients, SWAN prompted MCA responsible blood vessels and 25 cases of blood clots, CBF pseudo color map prompted middle cerebral artery M1 period of 23 cases of blood stasis or slow, two kinds of display method and MRA results have good consistency.Conclusions: SWAN combined with ASL showed significant clinical value in the indication of blood vessel site and blood clots components in acute cerebral ischemic stroke.
[Keywords] Susceptibility weighted imaging；Susceptibility weighted angiography；Arterial spin labeling；Responsibility；Vascular artery thrombosis；Cerebral infarction；Magnetic resonance imaging

ZHOU Zhen-jiang Department of Radiology, Cerebrovascular diseases, Nanjing University of Chinese Medicine affiliated Lianyungang Hospital and Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang 222004, China

ZHOU Jian-guo* Department of Radiology, Cerebrovascular diseases, Nanjing University of Chinese Medicine affiliated Lianyungang Hospital and Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang 222004, China

MENG Yun Department of Radiology, Cerebrovascular diseases, Nanjing University of Chinese Medicine affiliated Lianyungang Hospital and Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang 222004, China

MA Xian-jun Department of Encephalopathy, Cerebrovascular diseases, Nanjing University of Chinese Medicine affiliated Lianyungang Hospital and Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang 222004, China

LIU Xiao-li Department of Encephalopathy, Cerebrovascular diseases, Nanjing University of Chinese Medicine affiliated Lianyungang Hospital and Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang 222004, China

*Corresponding to: Zhou JG, E-mail: 13645132158@163.com

Conflicts of interest   None.

Received  2017-08-29
Accepted  2017-11-06
DOI: 10.12015/issn.1674-8034.2017.12.002
DOI:10.12015/issn.1674-8034.2017.12.002.

[1]
张丹凤，陈慧铀，张卫东,等.动脉粥样硬化性大脑中动脉重构方式与脑梗死的关系.中华神经科杂志, 2016, 49(10): 785-788.
[2]
王昊，薛静，高培毅,等.磁敏感血管征对预测急性缺血性脑卒中静脉溶栓后血管再通的价值.放射学实践, 2016, 31(7): 599-603.
[3]
中国卒中学会，中国卒中学会神经介入分会，中华预防医学会卒中预防与控制专业委员会介入学组.急性缺血性卒中血管内治疗中国指南2015.中国卒中杂志, 2015, 10(7): 590-606.
[4]
中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2014.中华神经科杂志, 2015,48(4): 246-257.
[5]
Haacke EM, Mittal S, Wu Z, et al. Susceptibility-weighted imaging: Technical aspects and clinical applications, part 1. AJNR Am J Neuroradiol, 2009, 30(1): 19-30.
[6]
Fujimoto M, Salamon N, Mayor F, et al. Characterization of arterial thrombus composition by magnetic resonance imaging in a swine stroke model. Stroke, 2013, 44(3): 1463-1465.
[7]
Sillanpaa N, Saarinen JT, Rusanen H, et al. Location of the clot and outcome for perfusion defects in acute anterior circulation stroke treated with intravenous thrombolysis. AJNR, 2013, 34(1): 100-106.
[8]
廉凯茜，刘筠.磁敏感加权成像对急性脑梗死动脉血栓的诊断价值.现代医用影像学, 2015, 24(2): 128-131.
[9]
Ishimori Y, Kawamura H, Monma M. Feasibility of MR perfusion-weighted imaging by use of a time-spatial labeling inversion pulse. Radiol Phys Technol, 2013, 6(2): 461-466.
[10]
周建国，符大勇，李勇刚. SWAN与ASL联合应用对轻中度急性脑梗死诊断及预后评估的价值.磁共振成像, 2016, 7(9): 663-668.
[11]
郭淑宁，邹广东，尤克增.磁敏感加权成像与TOF-MR血管成像对急性脑梗死中大脑中动脉内血栓检测的对比研究.磁共振成像, 2015, 6(9): 652-655.

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