扩散张量成像在高血压脑出血患者中运动功能的研究进展
Advances in Diffusion Tensor Imaging on Motor Function in Patients with Hypertensive Intracerebral Hemorrhage
DOI: 10.12677/ACM.2022.123277, PDF,   
作者: 王许强:西安医学院,陕西 西安;缪星宇:陕西省人民医院,陕西 西安
关键词: 高血压脑出血扩散张量成像运动功能Hypertensive Intracerebral Hemorrhage DTI Motor Function
摘要: 高血压脑出血严重危害社会及家庭,随着医疗技术的不断进步,人们的要求越来越高,对HICH的预后提出了进一步的要求。扩散张量成像是目前唯一的一种可用于活体神经纤维束成像的核磁技术,并可以显示脑组织微观结构的变化,进一步在计算机上可以计算出脑白质纤维束的参数并在模拟空间中显示出来,因此,利用扩散张量成像的后处理软件可对高血压脑出血患者进行神经纤维束成像从而观测纤维束,并能为患者提供最优的治疗方案并且可以设计出最适合患者的康复计划。本文首先讨论了扩散张量成像在高血压脑出血患者中的手术方式选择的应用,重点从运动功能方面去讨论;最后讨论了扩散张量成像在高血压脑出血患者中运动功能方面的研究。
Abstract: HICH (Hypertensive intracerebral hemorrhage) brings serious harm to society and family, with the continuous advancement of medical technology, people’s requirements are getting higher and higher, and further requirements are put forward for the prognosis of HICH. DTI (diffusion tensor imaging) is currently the only nuclear magnetic technique that can be used for imaging the nerve fiber bundles of living organisms, and can show the changes in the microstructure of brain tissue, and further calculate the parameters of the white matter fiber bundles on the computer and display them in the simulation space, so the use of DTI’s post-processing software can be used to image the nerve fiber bundles of HICH patients to observe the fiber bundles, and can provide patients with the best treatment plan and can design the most suitable rehabilitation plan for patients. This paper first discusses the application of DTI in the choice of surgical methods in HICH patients, focusing on motor function, and finally discusses the study of DTI in HICH patients.
文章引用:王许强, 缪星宇. 扩散张量成像在高血压脑出血患者中运动功能的研究进展[J]. 临床医学进展, 2022, 12(3): 1925-1928. https://doi.org/10.12677/ACM.2022.123277

参考文献

[1] Sessa, M. (2008) Intracerebral Hemorrhage and Hypertension. Neurological Sciences, 29, S258-S259.
[Google Scholar] [CrossRef] [PubMed]
[2] Liu, M., Wu, B., Wang, W.Z., et al. (2007) Stroke in China: Epidemiology, Prevention and Management Strategies. The Lancet, 6, 456-464.
[Google Scholar] [CrossRef
[3] Basser, P.J., Mattiello, J. and Lebihan, D. (1994) MR Diffusion Tensor Spectroscopy and Imaging. Biophysical Journal, 66, 259-267.
[Google Scholar] [CrossRef
[4] 顾应江, 侯小林, 杨东东, 李定君, 李成勋, 曾林. 经外侧裂岛叶与颞叶皮质入路治疗高血压壳核出血的锥体束磁共振扩散张量成像及预后对比研究[J]. 中国脑血管病杂志, 2018, 15(3): 129-133+139.
[5] 张荣军, 王晓峰, 唐宗椿, 等. 6374例高血压脑出血患者临床特点的分析及治疗方法的选择[J]. 中华神经医学杂志, 2013, 12(1): 57-61.
[6] Luengo-Fernandez, R., Gray, A.M. and Rothwell, P.M. (2009) Costs of Stroke Using Patient-Level Data: A Critical Review of the Literature. Stroke, 40, e18-e23.
[Google Scholar] [CrossRef
[7] 陈惠, 冷桂香, 刘少强, 陈姝燕. 脑出血患者不同时间点磁共振DTI参数与肢体肌力恢复的相关性分析[J]. 临床放射学杂, 2017, 36(9): 1225-1228.
[8] 李捷, 王大明, 孔江明. 基底节区急性脑出血后大脑脚锥体束在不同时点的磁共振DTI参量与长期预后的关系[J]. 实用放射学杂志, 2013, 29(2): 185-189.
[9] Koyama, T., Tsuji, M., Nishimura, H., et al. (2013) Diffusion Tensor Imaging for Intracerebral Hemorrhage Outcome Prediction Comparison Using Data from the Corona Radiata/Internal Capsule and the Cerebral Peduncle. Journal of Stroke and Cerebrovascular Diseases, 22, 72-79.
[Google Scholar] [CrossRef] [PubMed]
[10] Yeo, S.S., Choi, B.Y., Chang, C.H., et al. (2010) Transpontine Connection Fibers between Corticospinal Tracts in Hemiparetic Patients with Intracerebral Hemorrhage. European Neurology, 63, 154-158.
[Google Scholar] [CrossRef] [PubMed]
[11] Chang, M.C., Jung, Y.J. and Jang, S.H. (2014) Motor Recovery via Transcallosal and Transpontine Fibers in a Patient with Intracerebral Hemorrhage. American Journal of Physical Medicine & Rehabilitation, 93, 708-713.
[Google Scholar] [CrossRef