MMIMONTHLYVol32No.6Jun.2023论著MMI-1019一ESWAN及DTI序列在高血压患者脑微出血中的定量评估张新仑"，张凤翔（通讯作者），杨金花²，卢东霞²1.内蒙古科技大学包头医学院（内蒙古包头014000）2.鄂尔多斯市中心医院影像科（内蒙古鄂尔多斯017000）【摘要】目的：探讨ESWAN及DTI序列在原发性高血压患者脑微出血（CMBs）中的定量评估价值。方法：收集43例患有CMBs的原发性高血压患者（EH)作为研究组，并将43例对侧正常大脑作为对照组，分别记录、测量位于基底节/丘脑、幕下、皮层－皮层下CMBs的数目及相应PV值、FA值、ADC值。对比分析各区域CMBs的PV值、FA值、ADC值之间的相关性。结果：在43例患有CMBs的高血压患者中发现病灶共计161个，以基底节/丘脑患病率最高，其次为幕下、皮层－皮层下；基底节/丘脑的PV值低于幕下及皮层－皮层下；各区域CMBs的PV值及FA值均低于对照组，而ADC值高于对照组；总体CMBs及基底节/丘脑区域CMBs的PV值与FA值呈正相关。结论：ESWAN及DTI序列可以对高血压患者CMBs的诊断和脑白质微观结构的损伤程度进行定量评估。关键词：脑微出血；磁共振成像；DTI；ESWANQuantitativeEvaluationofESWANandDTISequencesinCerebralMicrobleedsinHypertensivePatientsZhangXinlun',ZhangFengxiang(correspondingauthor),YangJinhua',LuDongxia?1.BaotouMedicalCollege,InnerMongoliaUniversityofScienceandTechnology(Baotou,InnerMongolia014000)2.ImagingDepartment,OrdosCentralHospital(Ordos,InnerMongolia017000)[Abstract】Objective:ToinvestigatethequantitativeevaluationvalueofESWANandDTIsequencesincerebralmicrobleeds(CMBs)inpatientswithessentialhypertension.Methods:Forty-threepatientswithessentialhypertension(EH)withCMBswereenrolledasthestudygroup,andforty-threecontralateralnormalbrainsasthecontrolgroup.ThenumberofCMBslocatedinbasalganglia/thalamus,subtentorial,andcorticaltosubcorticalCMBsaswellastheirPV,FAandADCvalueswererecordedandmeasuredrespectively.ThecorrelationbetweenPVvalue,FAvalueandADCvalueofCMBsineachregionwasanalyzed.Results:Atotalof161lesionswerefoundin43hypertensivepatientswithCMBs.Thebasalganglia/thalamushadthehighestprevalence,followedbysubatentorialandsubcorticallesions.ThePVvalueofbasalganglia/thalamuswaslowerthanthatofsubatentorialandsubco...
