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Radiology：灌注CT定量评价急性脑卒中侧枝循环的预后价值

2019-07-14 shaosai MedSci原创

灌注CT定量急性脑卒中侧枝循环
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本研究旨在建立CT图像中侧枝循环灌注的定量评价方法，探究预测急性脑卒中（AIS）患者的预后价值。

本研究旨在建立CT图像中侧枝循环灌注的定量评价方法，探究预测急性脑卒中（AIS）患者的预后价值。

本研究回顾性分析了AIS且大脑中动脉M1段闭塞、行治疗前灌注CT的患者。计算每例患者外侧裂区脑组织侧枝血管(cCBFmax)的最大脑血流量(CBF)。良好结果定义为90天改良RS评分为0-2.利用多元Logistic回归分析评价cCBFmax 和脑出血转换和临床预后的相关性。

结果为，本研究最终纳入了204例患者。多元回归分析显示cCBFmax 越高是出血性转换风险越低(OR， 0.99； 95% CI： 0.98， 1.00； P = .009)和更好的临床预后(OR， 1.02； 95% CI： 1.01， 1.03； P = .001)的独立预测指标。

本研究表明，外侧裂区组织侧枝血管最大脑血流量测量是一种定量评价灌注CT侧枝循环功能的可行性方法。侧枝血管最大脑血流量与急性脑卒中患者临床预后具有相关性。

原始出处：

Shi F， Gong X， Liu C， Bakewell RJ，et al.Acute Stroke： Prognostic Value of Quantitative Collateral Assessment at Perfusion CT.Radiology.DOI：10.1148/radiol.2019181510

本文系梅斯医学（MedSci）原创编译整理，转载需授权！

评论区 (6)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=370558, encodeId=59883e05589f, content=学习学习，感谢！虽然有点深奥！, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/04/0723196b0475bd13fcb558f0517dbad7.jpg, createdBy=44622104218, createdName=apan小潘潘, createdTime=Wed Jul 31 14:05:05 CST 2019, time=2019-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370557, encodeId=9a9a3e0557d8, content=学习了，这个还是第一次了解, beContent=null, objectType=article, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/04/0723196b0475bd13fcb558f0517dbad7.jpg, createdBy=44622104218, createdName=apan小潘潘, createdTime=Wed Jul 31 14:02:42 CST 2019, time=2019-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1366963, encodeId=100413669632d, content=<a href='/topic/show?id=d0e0524218b' target=_blank style='color:#2F92EE;'>#急性脑卒中#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52421, encryptionId=d0e0524218b, topicName=急性脑卒中)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=856b247, createdName=songbq, createdTime=Tue Jul 16 03:15:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1385227, encodeId=3704138522e24, content=<a href='/topic/show?id=dc121001e22d' target=_blank style='color:#2F92EE;'>#预后价值#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100172, encryptionId=dc121001e22d, topicName=预后价值)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=70fe497, createdName=paperyu, createdTime=Tue Jul 16 03:15:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444550, encodeId=a7b71444550ff, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Tue Jul 16 03:15:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026405, encodeId=49a6102640596, content=卒中虽然是临床上常见病，溶栓，取栓等血管内治疗也很成熟，但是仍然有很多未知问题有待认知！, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Sun Jul 14 15:15:00 CST 2019, time=2019-07-14, status=1, ipAttribution=)]
    2019-07-31 apan小潘潘

    学习学习，感谢！虽然有点深奥！

    0

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    2019-07-31 apan小潘潘

    学习了，这个还是第一次了解

    0

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    2019-07-16 songbq

    #急性脑卒中#

    0

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    2019-07-16 paperyu

    #预后价值#

    0

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    2019-07-16 huagfeg

    #评价#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=370558, encodeId=59883e05589f, content=学习学习，感谢！虽然有点深奥！, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/04/0723196b0475bd13fcb558f0517dbad7.jpg, createdBy=44622104218, createdName=apan小潘潘, createdTime=Wed Jul 31 14:05:05 CST 2019, time=2019-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370557, encodeId=9a9a3e0557d8, content=学习了，这个还是第一次了解, beContent=null, objectType=article, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/04/0723196b0475bd13fcb558f0517dbad7.jpg, createdBy=44622104218, createdName=apan小潘潘, createdTime=Wed Jul 31 14:02:42 CST 2019, time=2019-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1366963, encodeId=100413669632d, content=<a href='/topic/show?id=d0e0524218b' target=_blank style='color:#2F92EE;'>#急性脑卒中#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52421, encryptionId=d0e0524218b, topicName=急性脑卒中)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=856b247, createdName=songbq, createdTime=Tue Jul 16 03:15:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1385227, encodeId=3704138522e24, content=<a href='/topic/show?id=dc121001e22d' target=_blank style='color:#2F92EE;'>#预后价值#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100172, encryptionId=dc121001e22d, topicName=预后价值)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=70fe497, createdName=paperyu, createdTime=Tue Jul 16 03:15:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444550, encodeId=a7b71444550ff, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Tue Jul 16 03:15:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026405, encodeId=49a6102640596, content=卒中虽然是临床上常见病，溶栓，取栓等血管内治疗也很成熟，但是仍然有很多未知问题有待认知！, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Sun Jul 14 15:15:00 CST 2019, time=2019-07-14, status=1, ipAttribution=)]
    2019-07-14 健健

    卒中虽然是临床上常见病，溶栓，取栓等血管内治疗也很成熟，但是仍然有很多未知问题有待认知！

    0