Quick Search:       Advanced Search
The predictive value of FLAIR-DWI mismatch for progressive cerebral infarction
Received:July 27, 2019  Revised:August 21, 2019  Click here to download the full text
Citation of this paper:MA Song-hua,MA Dan,LU Jian-mei,WANG Xiao-le,JIANG Qi-qun,ZHANG Ling-ling.The predictive value of FLAIR-DWI mismatch for progressive cerebral infarction[J].Chinese Journal of Clinical Medicine,2020,27(1):95-97
Hits: 1701
Download times: 1060
Author NameAffiliationE-mail
MA Song-hua Department of Neurology, The Second People Hospital of Nantong, Nantong 226002, Jiangsu, China  
MA Dan Department of Neurology, The Second People Hospital of Nantong, Nantong 226002, Jiangsu, China 15963850@qq.com 
LU Jian-mei Department of Imaging, The Second People Hospital of Nantong, Nantong 226002, Jiangsu, China  
WANG Xiao-le Department of Imaging, The Second People Hospital of Nantong, Nantong 226002, Jiangsu, China  
JIANG Qi-qun Department of Neurology, The Second People Hospital of Nantong, Nantong 226002, Jiangsu, China  
ZHANG Ling-ling Department of Neurology, The Second People Hospital of Nantong, Nantong 226002, Jiangsu, China  
Abstract:Objective: To investigate the predictive value of the fluid-attenuated inversion recovery (FLAIR)-diffusion-weighted imaging (DWI) mismatch (FDM) in MRI for progressive cerebral infarction (PCI). Methods: A total of 40 patients with PCI were selected from January 2017 to November 2018. According to the condition of the neurological deficit, 40 patients were divided into the PCI group (n=9) and the non-progression group (n=31). The clinical and laboratory data of all patients were collected. All patients completed brain FLAIR, DWI, and magnetic resonance angiography (MRA). FDM was compared in progressive and non-progressive cerebral infarction. The relation between the FDM and the PCI was analyzed. Results: Low-density lipoprotein cholesterol (LDL-C) in the PCI group (mmol/L) was higher than that in the non-progression group (mmol/L), there was a statistical difference between the two groups (P=0.005 8). FDM was observed in 10 patients, with 7 in the PCI group (77.7%, 7/9) and 3 in the non-progression group (9.68%, 3/31), there was a statistically significant difference between the two groups (P<0.01). Logistic regression analysis showed that FDM was independently associated with the occurrence of PCI (P=0.004 3). Conclusions: The FDM could effectively predict the occurrence of PCI.
keywords:FLAIR-DWI mismatch  low-density lipoprotein cholesterol  progressive cerebral infarction
HTML  View Full Text  View/Add Comment  Download reader