Lancet：PET扫描大脑可帮助判断植物人苏醒几率

2014-04-21 佚名米内

英国医学期刊《柳叶刀》网站16日刊登的一项研究显示，通过正电子放射断层成像技术(Positron emission tomography)来扫描大脑，可以帮助判断重度脑损伤患者恢复意识的几率，有望用来预测“植物人”苏醒的可能性。据介绍，针对重度脑损伤造成的“植物人”状态，目前并没有十分可靠的临床手段来预判患者恢复意识的可能，现有技术存在的误诊率约为40％。在为期4年的研究中，比利时、加拿大

英国医学期刊《柳叶刀》网站16日刊登的一项研究显示，通过正电子放射断层成像技术(Positron emission tomography)来扫描大脑，可以帮助判断重度脑损伤患者恢复意识的几率，有望用来预测“植物人”苏醒的可能性。

据介绍，针对重度脑损伤造成的“植物人”状态，目前并没有十分可靠的临床手段来预判患者恢复意识的可能，现有技术存在的误诊率约为40％。在为期4年的研究中，比利时、加拿大和丹麦等国的研究人员尝试用两种技术来判断这种可能，分别是“正电子放射断层成像”和“功能性核磁共振成像”。

研究人员定期用这两种技术来扫描126名重度脑损伤患者的大脑，其中有41名患者处于“持续性植物状态”、81人处于“微意识状态”，另有4人属于“闭锁综合征”，即意识清醒但不具备语言和行动能力。

结果显示，从12个月内患者恢复意识或有明显康复迹象的预判准确率来看，根据正电子放射断层成像所作判断的准确率可达74％，功能性核磁共振成像则为56％。

领导这项研究的比利时列日大学教授史蒂文·洛雷说，正电子放射断层成像可以为判断病情提供更为清晰、可靠的扫描图像，未来应该推动这种技术广泛应用于脑损伤患者诊疗。

正电子放射断层成像是核医学领域较先进的临床检查技术，主要以葡萄糖等代谢必需的物质为载体，将放射性核素注入人体，然后通过扫描成像来反映人体不同组织的代谢状态等，从而了解病情。目前这一技术主要用于癌症和心脏疾病的诊断。

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2014-12-08 ms1065684921169360

#苏醒#

30 0
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2014-06-06 xjy02

#植物人#

41 0
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2015-02-20 xlysu

#PET扫描#

33 0
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2015-01-31 howi

#Lancet#

24 0
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2015-04-03 医者仁心

#植物#

23 0
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2014-10-11 feather89

#PE#

21 0
[GetPortalCommentsPageByObjectIdResponse(id=1707703, encodeId=1c5b1e07703f8, content=<a href='/topic/show?id=9c968e01017' target=_blank style='color:#2F92EE;'>#苏醒#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87010, encryptionId=9c968e01017, topicName=苏醒)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5ea931488603, createdName=ms1065684921169360, createdTime=Mon Dec 08 03:02:00 CST 2014, time=2014-12-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2008949, encodeId=696c20089499e, content=<a href='/topic/show?id=4875626990e' target=_blank style='color:#2F92EE;'>#植物人#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62699, encryptionId=4875626990e, topicName=植物人)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d59291, createdName=xjy02, createdTime=Fri Jun 06 07:02:00 CST 2014, time=2014-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1787095, encodeId=524c1e87095e6, content=<a href='/topic/show?id=32fa1409387' target=_blank style='color:#2F92EE;'>#PET扫描#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14093, encryptionId=32fa1409387, topicName=PET扫描)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f54230, createdName=xlysu, createdTime=Fri Feb 20 01:02:00 CST 2015, time=2015-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1827777, encodeId=4a3f182e77725, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sat Jan 31 06:02:00 CST 2015, time=2015-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1745165, encodeId=973a1e451656b, content=<a href='/topic/show?id=bdc262694bb' target=_blank style='color:#2F92EE;'>#植物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62694, encryptionId=bdc262694bb, topicName=植物)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Fri Apr 03 12:02:00 CST 2015, time=2015-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1725592, encodeId=ea091e2559247, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Sat Oct 11 05:02:00 CST 2014, time=2014-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=9200, encodeId=bfcb92008a, content=先进的PET-CT, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=38ef101509, createdName=tsqhs, createdTime=Tue Apr 29 11:07:00 CST 2014, time=2014-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1331024, encodeId=c5341331024a5, content=<a href='/topic/show?id=15e2140e438' target=_blank style='color:#2F92EE;'>#PET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14074, encryptionId=15e2140e438, topicName=PET)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTI5PdY90y5Jib8FnPhCXTR2d9v3K17epNSwB2eb0vmXUldNJl2e72S4unZTAHLAojicdVSialTDFHAxA/132, createdBy=78d82500042, createdName=ms7514935887898259, createdTime=Wed Apr 23 05:02:00 CST 2014, time=2014-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=9095, encodeId=d3cc9095ca, content=烫手的山芋啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b4977922, createdName=faustine, createdTime=Tue Apr 22 15:43:00 CST 2014, time=2014-04-22, status=1, ipAttribution=)]
2014-04-29 tsqhs

先进的PET-CT

125 0
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2014-04-23 ms7514935887898259

#PET#

24 0
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2014-04-22 faustine

烫手的山芋啊

126 0

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Lancet：PET扫描大脑可帮助判断植物人苏醒几率

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