损伤指数预测早期的神经系统恶化在lenticulostriate单个小皮下心脏病发作
Yuan Gao1, Ke Zhang1, Hongbing Liu1
1From the Department of Neurology (Y.G., K.Z., H.L., C.Z., H.Y., Y.Y., Y.X.), The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China.
AJNR. American journal of neuroradiology
|May 9, 2024
概括
根据位置预测单次小皮下心脏病发作 (SSSI) 的早期神经系统恶化. 后部中部类型 (PM类型) 的SSSI显示了早期神经系统恶化的最高风险.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 脑卒中医学 脑卒中医学
背景情况:
- 早期神经系统恶化 (END) 是由于单次小皮下心脏病发作 (SSSI) 住院期间的常见并发症.
- 确定END的预测因子对于患者的管理和预后至关重要.
研究的目的:
- 在患有单次小皮下心脏病发作 (SSSI) 的患者中确定早期神经病变 (END) 的成像预测因素.
主要方法:
- 在中风发作72小时内对402名SSSI患者进行了回顾性分析.
- 在DWIMRI扫描上评估后部和横向指数.
- 多变量逻辑回归用于确定 END. 的预测因素.
主要成果:
- 93名 (23.1%) 患者经历了END.
- 后位指数≥0.669 (OR:2.53) 和横位指数≥0.950 (OR:2.03) 是END的独立预测指标.
- 与前侧类型相比,后部中部类型 (PM类型) SSSI 的 END 风险最高 (OR:6.77).
结论:
- 基于SSSI位置的成像分类,特别是PM类型,可以预测早期神经系统恶化的风险.
- 后置性和横向性指数是评估SSSI中END风险的有价值的成像生物标志物.
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