Poster électronique

Comparaison de séquences de diffusion en IRM 3T dans le diagnostic des lésions ischémiques aiguës
I. Ract, JC. Ferré, B. Carsin-Nicol, T. Gauthier, JY. Gauvrit - Rennes - France
Congrès 2010
Poster primé par le jury
Résumé
Objectifs
Comparer des séquences de diffusion b1000 3 directions, b1000 et b2000 6 directions pour la détection des lésions ischémiques récentes sur IRM 3T.
Matériels et méthodes
Vingt-deux patients suspects d'accident ischémique aigu (9 AIT < 48h et 13 AIC < 4h30) ont été explorés sur une IRM 3T par 3 séquences de diffusion : b1000,3 directions, durée 60 s ; b1000,6 directions, durée 108 s et b2000,6 directions, durée 123s. Une analyse qualitative a été réalisée en triple lecture évaluant le nombre, la localisation, la visibilité des lésions ischémiques, l'apport de la cartographie en ADC, la présence d'artéfacts et la confiance d'interprétation de chaque séquence. La concordance inter-observateur a été calculéà l'aide du kappa.
Résultats
Sur les séquences b1000 3 directions, 20 lésions ischémiques aiguës ont été visualisées, 22 en b1000 6 directions et 24 en b2000 6 directions. Les 4 lésions supplémentaires mises en évidence en b2000 étaient situées dans le tronc cérébral. La séquence b2000 6 directions présentait des artéfacts d'anisotropie et de fosse postérieure plus marqués, mais une meilleure concordance inter-observateur.
Conclusion
Cette étude préliminaire montre que la séquence de diffusion b2000 6 directions à 3T détecte plus de lésions ischémiques aiguës, en particulier au niveau du tronc cérébral.
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2017-04-11 17.11 :
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