ObjectiveTo compare and analyze the clinical application value of computed tomography (CT) and magnetic resonance imaging (MRI) in diagnosis of early lacunar infarction. MethodsDiffusion-weighted sequence (DWI) examination of brain MRI is used as the gold standard for diagnosing lacunar infarction, and 80 patients were examined and diagnosed by routine CT scan and MRI scan. The detection rates of early lacunar infarction in different stages and different size lesions were compared and analyzed. ResultsThe detection rates of lacunar infarction by CT and MRI were 33.75% and 97.50%, respectively, and the difference was statistically significant (P＜0.05). On the patients with course of disease ＜6h and 6h-24h, the detection rates of lacunar infarction on MRI were 96.88% and 95.45%, respectively, which were significantly higher than CT examination, and the difference was statistically significant (P＜0.05). There was no statistically significant difference in the detection rate of lacunar infarction between CT and MRI on patients with course of disease 24h-72h (P＞0.05). In the 80 patients with lacunar infarction, the number of lesions detected by CT and MRI was 96 and 235, respectively. The difference in the detection rate of the lesions (39.34% and 96.31%, respectively) was statistically significant (P＜0.05). The difference in the detection rate of CT and MRI on patients with course of disease ＜6 h and 6h-24h was statistically significant (P＜0.05), and was not statistically significant on patients with course of disease 24h-72h (P＞0.05). ConclusionThe detection rates of early lacunar infarction and small lesions by MRI were significantly higher than those by CT, and MRI has higher clinical value for early lacunar infarction diagnosis.

无