28·中国CT和MRI杂志2023年02月第21卷第02期总第160期【第一作者】褚长虹，女，主治医师，主要研究方向：神经系统影像诊断。E-mail：zch199012@126.com【通讯作者】褚长虹论著PredictiveValueandClinicalSignificanceofMRIPlaqueParametersCombinedwithSerumD-DonthePrognosisofIschemicStrokeCHUChang-hong1,*,YINZhao-liang2,YUWen-xiu3.1.QingdaoEighthPeople'sHospital(DepartmentofRadiology),Qingdao266041,ShandongProvince,China2.QingdaoMunicipalHospital(DepartmentofRadiology),Qingdao266041,ShandongProvince,China3.DepartmentofAbdominalultrasound,QingdaoCentralHospital,Qingdao266041,,ShandongProvince,ChinaABSTRACTObjectiveToToexploretheprognosticvalueandclinicalsignificanceofmagneticresonanceimaging(MRI)plaqueparameterscombinedwithserumD-dimer(D-D)forischemicstroke(IS).Methods102patientsApril2018toDecember2020ISourhospitalfollow-up90d,dividedaccordingtotheprognosisfavorableprognosisgroup[84cases,improvedRANKINScale(mRS)≤2sub]groupwithpoorprognosis(18Forexample,mRSscore>2points).ComparethetwogroupsofMRIplaqueparameters(fibrouscapthickness,fatnucleusarea,plaquearea,fatnucleus/plaquearea),serumDDlevel,NIHSSscore,andanalyzethecorrelationbetweenMRIplaqueparameters,serumDDandNIHSSandGCSscores,AnddiscusstheprognosticfactorsofIS,andevaluatetheprognosticvalueofMRIplaqueparametersandserumDD.ResultsThethicknessofthefibercapinthepoorprognosisgroupwaslowerthanthatinthegoodprognosisgroup,andthefatcorearea,plaquearea,fatcore/plaquearea,serumDD,andNIHSSscoreswerehigherthanthoseinthegoodprognosisgroup(P<0.05);Pearsaoncorrelationanalysis,fiberCapthicknesswasnegativelycorrelatedwithNIHSSandGCSscores.Lipidnucleusarea,plaquearea,lipidnucleus/plaquearea,serumDDandNIHSSscorewerepositivelycorrelated(P<0.05);age,timefromonsettohospitaladmission,fibrouscapthickness,Lipidnucleusarea,plaquearea,lipidnucleus/plaquearea,andserumDDareimportantfactorsinfluencingtheprognosisofIS(P<0.05);ROCcurveshowsthatthethicknessoffibrouscap,lipidnucleusarea,plaquearea,lipidnucleus/plaqueTheprognosticAUCofthecombinationofblockareaands...
