Abstract:Objective To investigate the clinical value of three-dimensional arterial spin labeling (3D-ASL) combined with magnetic
resonance angiography (MRA) in the diagnosis of transient ischemic attack (TIA). Methods Thirty-six patients with TIA who were
admitted to our hospital were enrolled. All patients underwent routine MR examination, DWI, MRA and 3D-ASL examination. Two
doctors reconstructed images and quantitatively analyzed cerebral blood flow (CBF). Results The 3D-ASL of TIA patients showed
that the patients with hypoperfusion on the affected side were significantly more than those on the healthy side, and the difference was
statistically significant (P<0.05). The mean CBF of the affected side of TIA patients [(25.0±9.6) mL/(100g·min)] was statistically
lower (P<0.05) than that of the healthy side [(44.0±13.5) mL/(100g·min)]. 3D-ASL showed that 27 patients (75.0%) with reduced
perfusion of the affected side. MRA showed that there were 16 patients (44.0%) with vascular stenosis. The combined application of
3D-ASL and MRA showed that there were 29 cases (80.0%) with abnormality. The diagnostic accuracy of the joint examination was
higher than the 3D-ASL examination or the MRA examination. Conclusion 3D-ASL technology can detect early blood perfusion
abnormalities that cannot be found in routine MR examination in TIA patients. Combined with MRA, it can improve the diagnostic
accuracy of TIA.
于秀英,何勇,赵小燕,韩广,刘松国. 3D-ASL联合MRA在短暂性脑缺血发作中的应用价值研究[J]. 中国医疗设备, 2020, 35(3): 77-79.
YU Xiuying, HE Yong, ZHAO Xiaoyan, HAN Guang, LIU Songguo. Application Value of Three-Dimensional Arterial Spin Labeling Technique Combined with
Magnetic Resonance Angiography in Transient Ischemic Attack. China Medical Devices, 2020, 35(3): 77-79.