The value of MRI and CT imaging in the diagnosis of multiple cerebral infarction in the elderly
MRI与CT影像检查在老年多发性脑梗死诊断中的价值体会

摘要

目的 磁共振成像（MRI）与断层扫描（CT）影像检查在老年多发性脑梗死诊断中的价值体会。方法 采用回顾性分析法，抽取本院2023年2月-2025年12月收治的接受CT检查联合金标准诊断患者42例、接受MRI检查联合金标准诊断患者42例，共计84例老年疑似多发性脑梗死患者为研究对象，以综合判断金标准为依据，对比检出结果。结果 观察组（MRI）检查诊断灵敏度、特异度均显著高于对照组（CT），P＜0.05，有统计学意义。对照组（CT）检查时间显著低于观察组（MRI），P＜0.05，有统计学意义。结论 MRI检出老年多发性脑梗死的灵敏度、特异度高于CT，适合作为老年患者早期精准诊断的重要影像学手段，运用价值显著。

Abstract

Objective To evaluate the value of Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) imaging in the diagnosis of multiple cerebral infarction in the elderly.
Methods A retrospective analysis was conducted to select 84 elderly patients suspected of having multiple cerebral infarction who received CT examination combined with gold standard diagnosis and MRI examination combined with gold standard diagnosis from February 2023 to December 2025 in our hospital. The detection results were compared based on the comprehensive judgment of the gold standard.
Results The diagnostic sensitivity and specificity of the observation group (MRI) were significantly higher than those of the control group (CT), with P<0.05 and statistical significance. The CT examination time in the control group was significantly lower than that in the observation group (MRI), with P<0.05, indicating statistical significance.
Conclusion   MRI has higher sensitivity and specificity in detecting multiple cerebral infarction in elderly patients than CT, and is suitable as an important imaging tool for early and accurate diagnosis of elderly patients, with significant application value.