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 |
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Author Name | Affiliation | E-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 | |
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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 |
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