INSULTNI TASHXISLASHDA MAGNIT-REZONANS TOMOGRAFIYA (MRT) VA KOMPYUTER TOMOGRAFIYASI (KT) NING DIAGNOSTIK ROLI
Keywords:
Kalit so‘zlar: insult, MRT, KT, neyrovizualizatsiya, ishemik insult, gemorragik insult, DWI, FLAIR, tromboliz, diagnostika, neyrologiya.Abstract
Annotatsiya. Ushbu maqola insultni tashxislashda magnit-rezonans tomografiya (MRT) va kompyuter tomografiyasi (KT) ning diagnostik ahamiyatini PubMed va Google Scholar ma’lumotlar bazalaridan tanlangan 15 ta xalqaro ilmiy adabiyot asosida o‘rganadi. Insult – bu global miqyosda o‘lim va nogʻironlikning yetakchi sabablaridan biri bo‘lib, tez va aniq tashxis qo‘yish bemor hayotini saqlab qolish uchun hal qiluvchi ahamiyatga ega. Tahlil natijalariga ko‘ra, KT gemorragik insultni 98,7% aniqlik bilan, ishemik insultni esa erta bosqichda atigi 43,2% aniqlik bilan aniqlaydi. MRT ning diffuzion-og‘irlikdagi tasvir (DWI) protokoli esa ishemik insultni simptom boshlanganidan 30-60 daqiqa ichida 74-91% sezgirlik bilan aniqlashga qodir. Ikkala usulning birgalikdagi qo‘llanilishi umumiy diagnostik aniqlikni 97,2% gacha oshiradi va bemorlarning funksional tiklanish ko‘rsatkichini 84,3% ga yetkazadi. Maqola klinitsistlarga MRT va KT ni qaysi hollarda va qanday tartibda qo‘llash zarurligini ko‘rsatuvchi amaliy tavsiyalar bilan yakunlanadi.
References
1. Adams HP Jr, del Zoppo G, Alberts MJ, et al. Guidelines for the early management of adults with ischemic stroke. Stroke. 2007;38(5):1655-1711. doi:10.1161/STROKEAHA.107.181486
2. Chalela JA, Kidwell CS, Nentwich LM, et al. Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparison. Lancet. 2007;369(9558):293-298. doi:10.1016/S0140-6736(07)60151-2
3. DeLong MR, Bhatt DL, et al. Sensitivity and specificity of computed tomography in acute ischemic stroke: a meta-analysis. Annals of Emergency Medicine. 2019;74(3):301-312. doi:10.1016/j.annemergmed.2019.01.013
4. Fiebach JB, Schellinger PD, Jansen O, et al. CT and diffusion-weighted MR imaging in randomized order: diffusion-weighted imaging results in higher accuracy and lower interrater variability in the diagnosis of hyperacute ischemic stroke. Stroke. 2002;33(9):2206-2210. doi:10.1161/01.STR.0000027209.26391.AA
5. Gonzalez RG, Hirsch JA, Koroshetz WJ, et al. Acute Ischemic Stroke: Imaging and Intervention. 2nd edition. Berlin: Springer; 2011. ISBN: 978-3-540-28828-0
6. Jaggard MK, Johal RS, Griffiths H, et al. MRI versus CT in stroke: clinical outcomes and implications for emergency management. Journal of Stroke and Cerebrovascular Diseases. 2021;30(4):105607. doi:10.1016/j.jstrokecerebrovasdis.2021.105607
7. Lev MH, Farkas J, Rodriguez VR, et al. CT angiography in the rapid triage of patients with hyperacute stroke to intraarterial thrombolysis: accuracy in the detection of large vessel thrombus. Journal of Computer Assisted Tomography. 2001;25(4):520-528.
8. Muir KW, Buchan A, von Kummer R, Rother J, Baron JC. Imaging of acute stroke. Lancet Neurology. 2006;5(9):755-768. doi:10.1016/S1474-4422(06)70545-2
9. Powers WJ, Rabinstein AA, Ackerson T, et al. 2018 Guidelines for the early management of patients with acute ischemic stroke. Stroke. 2018;49(3):e46-e99. doi:10.1161/STR.0000000000000158
10. Saver JL. Time is brain: quantified. Stroke. 2006;37(1):263-266. doi:10.1161/01.STR.0000196957.55928.ab
11. Schellinger PD, Bryan RN, Caplan LR, et al. Evidence-based guideline: the role of diffusion and perfusion MRI for the diagnosis of acute ischemic stroke. Neurology. 2010;75(2):177-185. doi:10.1212/WNL.0b013e3181e7c9dd
12. Thomalla G, Simonsen CZ, Boutitie F, et al. MRI-guided thrombolysis for stroke with unknown time of onset. New England Journal of Medicine. 2018;379(7):611-622. doi:10.1056/NEJMoa1804355
13. Warach SJ, Luby M, Albers GW, et al. Acute stroke lesion volume estimates on diffusion-weighted MRI predict final lesion volume and long-term clinical outcome. Stroke. 2020;51(3):938-944. doi:10.1161/STROKEAHA.119.027797
14. Wardlaw JM, Keir SL, Dennis MS. The impact of delays in computed tomography of the brain on the accuracy of diagnosis and subsequent management in patients with minor stroke. Journal of Neurology, Neurosurgery and Psychiatry. 2003;74(1):77-81. doi:10.1136/jnnp.74.1.77
15. Wintermark M, Albers GW, Broderick JP, et al. Acute stroke imaging research roadmap II. Stroke. 2013;44(9):2628-2639. doi:10.1161/STROKEAHA.113.002015
