Analysis of the diagnostic value of multi sequence MRI in hypertensive intracerebral hemorrhage

XU Shida; CHEN Zhongjie; HAN Qianqian; LEI Xinjun

Abstract：Objective To explore the diagnostic value of multi sequence MRI in hypertensive intracerebral hemorrhage.Method 134 suspected hypertensive intracerebral hemorrhage patients admitted to the hospital were selected as the study sub-jects.All patients underwent multi sequence magnetic resonance imaging(MRI)and head computed tomography(CT)examina-tion after admission.Based on the results of CT examination,the diagnostic efficacy of multi sequence MRI for hypertensive intra-cerebral hemorrhage and the consistency between the diagnosis of intracerebral hemorrhage and the results of head CT examina-tion were analyzed.Results The results of head CT examination showed that 114 cases of hypertensive intracerebral hemor-rhage were diagnosed in 134 patients with suspected hypertensive intracerebral hemorrhage,including 50 cases of basal ganglia hemorrhage,13 cases of thalamic hemorrhage,35 cases of lobar hemorrhage,10 cases of cerebellar hemorrhage,and 6 cases of ventricular hemorrhage.Based on the results of head CT examination,the accuracy of multi sequence MRI in diagnosing hyper-tensive intracerebral hemorrhage was 92.54%(124/134),sensitivity was 96.49%(110/114),and specificity was 70.00%(14/20).The consistency between the multi sequence MRI diagnosis of the location of cerebral hemorrhage and the CT diagnosis of the head was high(Kappa=0.787,P<0.001).Conclusion Multi sequence MRI has good accuracy in diagnosing hypertensive intracerebral hemorrhage,and its diagnosis of the location of intracerebral hemorrhage is highly consistent with the results of skull CT diagnosis.