Awakening Effect of Transcranial Magnetic Stimulation with Multimodal Magnetic Resonance Imaging under Three-Dimensional Reconstruction Algorithm Combined with Wake-Up Nursing on Patients with Massive Cerebral Infarction

IF 0.4 4区化学 Q4 CHEMISTRY, PHYSICAL

Concepts in Magnetic Resonance Part A Pub Date : 2022-07-06 DOI:10.1155/2022/3495098

Bocan Chen, Li Li, Xiaoxia Ji

{"title":"Awakening Effect of Transcranial Magnetic Stimulation with Multimodal Magnetic Resonance Imaging under Three-Dimensional Reconstruction Algorithm Combined with Wake-Up Nursing on Patients with Massive Cerebral Infarction","authors":"Bocan Chen, Li Li, Xiaoxia Ji","doi":"10.1155/2022/3495098","DOIUrl":null,"url":null,"abstract":"<div>\n <p>This study was aimed to provide arousal treatment for disturbance of consciousness in patients with massive cerebral infarction, using multimodal magnetic resonance imaging (MRI)-assisted transcranial magnetic stimulation (TMS) under three-dimensional reconstruction algorithm combined with wake-up nursing. The application effect was also evaluated. 80 patients with massive cerebral infarction were selected as the research objects. These patients were divided into the control group (routine nursing and TMS) and the experimental group (routine nursing, multisensory stimulation wake-up nursing, and TMS) according to the even- and odd-numbered admission orders. There were 40 cases in each group, and the treatment effects of the two groups were compared and analyzed. The peak signal-to-noise ratio (PSNR) (800 dB) of the bilateral filtering algorithm was higher than that of the wavelet threshold denoising (321 dB) and the nonlocal mean filtering algorithm (455 dB). The segmentation accuracy of the improved region growing method/fuzzy spatial clustering algorithm (96.21% and 97.22%) was higher than that of the unimproved ones (82.11% and 79.99%). The Glasgow Coma Scale (GCS), Coma Recovery Scale-Revised (CRS-R), and Dysfunction Scale (DFS) scores of the experimental group were significantly higher than those of the control group 1 week and 2 weeks after treatment (<i>P</i> < 0.05). The awakening rate of patients in the experimental group (95%) was also significantly higher than that in the control group (72.5%), and the time needed for waking up was (2.28 ± 2.92) hours, lower than that in the control group (4.34 ± 3.49) hours (<i>P</i> < 0.05). The three-dimensional reconstruction algorithm could effectively improve the display effect of MRI images and assist in the examination of diseases. Multisensory stimulation wake-up nursing combined with TMS could promote patients to wake up more quickly and help the recovery of brain function of patients in the treatment of massive cerebral infarction and disturbance of consciousness.</p>\n </div>","PeriodicalId":55216,"journal":{"name":"Concepts in Magnetic Resonance Part A","volume":"2022 1","pages":""},"PeriodicalIF":0.4000,"publicationDate":"2022-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2022/3495098","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Concepts in Magnetic Resonance Part A","FirstCategoryId":"92","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/2022/3495098","RegionNum":4,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CHEMISTRY, PHYSICAL","Score":null,"Total":0}

引用次数: 0

Abstract

This study was aimed to provide arousal treatment for disturbance of consciousness in patients with massive cerebral infarction, using multimodal magnetic resonance imaging (MRI)-assisted transcranial magnetic stimulation (TMS) under three-dimensional reconstruction algorithm combined with wake-up nursing. The application effect was also evaluated. 80 patients with massive cerebral infarction were selected as the research objects. These patients were divided into the control group (routine nursing and TMS) and the experimental group (routine nursing, multisensory stimulation wake-up nursing, and TMS) according to the even- and odd-numbered admission orders. There were 40 cases in each group, and the treatment effects of the two groups were compared and analyzed. The peak signal-to-noise ratio (PSNR) (800 dB) of the bilateral filtering algorithm was higher than that of the wavelet threshold denoising (321 dB) and the nonlocal mean filtering algorithm (455 dB). The segmentation accuracy of the improved region growing method/fuzzy spatial clustering algorithm (96.21% and 97.22%) was higher than that of the unimproved ones (82.11% and 79.99%). The Glasgow Coma Scale (GCS), Coma Recovery Scale-Revised (CRS-R), and Dysfunction Scale (DFS) scores of the experimental group were significantly higher than those of the control group 1 week and 2 weeks after treatment (P < 0.05). The awakening rate of patients in the experimental group (95%) was also significantly higher than that in the control group (72.5%), and the time needed for waking up was (2.28 ± 2.92) hours, lower than that in the control group (4.34 ± 3.49) hours (P < 0.05). The three-dimensional reconstruction algorithm could effectively improve the display effect of MRI images and assist in the examination of diseases. Multisensory stimulation wake-up nursing combined with TMS could promote patients to wake up more quickly and help the recovery of brain function of patients in the treatment of massive cerebral infarction and disturbance of consciousness.

Abstract Image

查看原文本刊更多论文

三维重建算法下多模态磁共振经颅磁刺激结合唤醒护理对大面积脑梗死患者的唤醒效果

本研究旨在采用多模态磁共振成像(MRI)辅助经颅磁刺激(TMS)在三维重建算法下结合唤醒护理，对大面积脑梗死患者的意识障碍进行唤醒治疗。并对其应用效果进行了评价。选取80例大面积脑梗死患者作为研究对象。按双、奇数号入院顺序分为对照组(常规护理+经颅磁刺激)和实验组(常规护理+多感官刺激唤醒护理+经颅磁刺激)。两组各40例，比较分析两组治疗效果。双边滤波算法的峰值信噪比(PSNR)为800 dB，高于小波阈值去噪算法的峰值信噪比(321 dB)和非局部均值滤波算法的峰值信噪比(455 dB)。改进区域生长法和模糊空间聚类算法的分割准确率分别为96.21%和97.22%，高于未改进区域生长法和模糊空间聚类算法的分割准确率分别为82.11%和79.99%。治疗后1周和2周，实验组的格拉斯哥昏迷量表(GCS)、昏迷恢复量表-修订版(CRS-R)和功能障碍量表(DFS)评分均显著高于对照组()。实验组患者苏醒率(95%)也显著高于对照组(72.5%)，苏醒所需时间(2.28±2.92)小时，低于对照组(4.34±3.49)小时()。三维重建算法可以有效提高MRI图像的显示效果，辅助疾病的检查。多感觉刺激唤醒护理联合经颅磁刺激可促进大面积脑梗死及意识障碍患者更快苏醒，有助于患者脑功能恢复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Concepts in Magnetic Resonance Part A 物理-光谱学

CiteScore

0.90

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Concepts in Magnetic Resonance Part A brings together clinicians, chemists, and physicists involved in the application of magnetic resonance techniques. The journal welcomes contributions predominantly from the fields of magnetic resonance imaging (MRI), nuclear magnetic resonance (NMR), and electron paramagnetic resonance (EPR), but also encourages submissions relating to less common magnetic resonance imaging and analytical methods. Contributors come from academic, governmental, and clinical communities, to disseminate the latest important experimental results from medical, non-medical, and analytical magnetic resonance methods, as well as related computational and theoretical advances. Subject areas include (but are by no means limited to): -Fundamental advances in the understanding of magnetic resonance -Experimental results from magnetic resonance imaging (including MRI and its specialized applications) -Experimental results from magnetic resonance spectroscopy (including NMR, EPR, and their specialized applications) -Computational and theoretical support and prediction for experimental results -Focused reviews providing commentary and discussion on recent results and developments in topical areas of investigation -Reviews of magnetic resonance approaches with a tutorial or educational approach