中国全科医学Issue(15)：1804-1806,3.DOI:10.3969/j.issn.1007-9572.2014.15.032
多层螺旋 CT 血管成像在颅内多发动脉瘤诊断中的应用价值
Applications of MSCTA in Diagnosis of Multiple Cerebral Aneurysms
李丽艳 1周顺科 2管艳敏 3王冰卉 1贾钧理 1李海波1
作者信息
- 1. 132001 吉林省吉林市人民医院放射科
- 2. 中南大学湘雅二医院放射科
- 3. 132001 吉林省吉林市人民医院神经内科
- 折叠
摘要
Abstract
Objective To investigate the diagnostic value of multidetector - row spiral computed tomographic angiogra-phy(MSCTA)on multiple cerebral aneurysms. Methods A total of 10 patients who were diagnosed with multiple cerebral aneu-rysms by digital subtraction angiography(DSA)or surgery and treated in our hospital from January 2010 to June 2013,were se-lected as study subjects. All patients were examined by MSCTA and 3D cerebral artery images were reconstructed by volume ren-ding(VR),maximum intensity projection(MIP),multiple planar reformation(MPR)and curved planar reformation(CPR) methods. The number and size of cerebral aneurysm,width of aneurysm neck,the relationship between parental artery,aneu-rysm and surrounding structure were analyzed. Results There were 23 intracranial aneurysms in 10 patients. All the multiple cer-ebral aneurysms verified by DSA and surgery. In these patients,22(95. 7% )aneurysms were detected by MSCTA,but 1 aneu-rysm with small aneurysm neck and intracavity thrombus was missed. After reconstructing,MSCTA revealed the position,shape, size,the axis direction of the aneurysm apex and the width of aneurysm neck,the relationship between parental artery and the surrounding structures. The diagnosis of MSCTA was in accordance with results of DSA and surgery. Conclusion MSCTA is the effective,non - invasive imageology methods for diagnosing multiple cerebral aneurysms,selecting therapeutic schedule and fol-low - up after surgery.关键词
颅内动脉瘤/体层摄影术,螺旋计算机/血管造影术/诊断Key words
Intracranial aneurysm/Tomography,spiral computed/Angiography/Diagnosis分类
医药卫生引用本文复制引用
李丽艳,周顺科,管艳敏,王冰卉,贾钧理,李海波..多层螺旋 CT 血管成像在颅内多发动脉瘤诊断中的应用价值[J].中国全科医学,2014,(15):1804-1806,3.
