Diagnostic value of MSCT and multimodal MRI in acute phase cerebral hemorrhage
WANG Xiude1 YUAN Xiangxiang2▲ GU Feng1 LU Jianmei1
1.Department of Imaging, Nantong Second People’s Hospital, Jiangsu Province, Nantong 226002, China;
2.Department of Radiology, Nantong Second People’s Hospital, Jiangsu Province, Nantong 226002, China
Abstract：Objective To explore the diagnostic value of multi-slice spiral CT (MSCT) and multimodal MRI in acute phase cerebral hemorrhage. Methods A total of 132 patients with suspected acute phase cerebral hemorrhage admitted to Nantong Second People’s Hospital, Jiangsu Province from June 2019 to December 2020 were selected. All patients underwent MSCT and multimodal MRI. With surgical results as the gold standard, the diagnostic value and consistency of MSCT and multimodal MRI in acute phase cerebral hemorrhage were analyzed. Results The distribution of lesions diagnosed by MSCT was mainly in the basal ganglia, and the shape of the lesions was mainly round; the diffusion weighted imaging (DWI) signal features of multimodal MRI diagnosis lesions were mainly mixed signals, and the DWI hyperintensity edema zone around the lesions. The sensitivity, specificity, positive predictive value, and negative predictive value of MSCT in the diagnosis of acute cerebral hemorrhage were 88.62%, 77.78%, 98.20%, and 33.33%; and the Kappa value of MSCT and surgical results was 0.410 (P＜0.05), with general consistency. The sensitivity, specificity, positive predictive value, and negative predictive value of multimodal MRI in the diagnosis of acute cerebral hemorrhage were 95.12%, 88.89%, 99.15%, and 57.14%; the Kappa value of multimodal MRI and surgical results was 0.668 (P＜0.05), with general consistency. The sensitivity, specificity, positive predictive value, and negative predictive value of MSCT combined with multi-modal MRI in the diagnosis of acute cerebral hemorrhage were 97.56%, 88.89%, 99.17%, and 72.73%, respectively; the Kappa value of MSCT combined with multi-modal MRI diagnosis and surgical results was 0.866 (P＜0.05), showing a good consistency.
Conclusion Both MSCT and multimodal MRI can be used for the diagnosis of acute intracerebral hemorrhage, which can provide reference for clinical diagnosis.
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