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三维DSA在颅内动脉瘤中的应用
引用本文:李伟,龙晚生,罗学毛,陈曼琼,兰勇,何义改.三维DSA在颅内动脉瘤中的应用[J].上海生物医学工程,2011(2):88-92.
作者姓名:李伟  龙晚生  罗学毛  陈曼琼  兰勇  何义改
作者单位:广东省江门市中心医院放射科;
摘    要:目的探讨三维数字减影血管造影(3D DSA)在颅内动脉瘤中的应用价值。方法使用GE Innova 3100平板血管造影机对40例疑似颅内动脉瘤患者行双侧颈内、外动脉和双侧椎动脉正、侧位2D DSA,进一步对感兴趣血管行3D DSA,通过容积再现(VR)进行颅内血管重建。结果 3D DSA检出39例动脉瘤患者,47枚动脉瘤,2D DSA检出31例动脉瘤患者,35枚动脉瘤,二者检出动脉瘤的长、短径无统计学差异(P>0.05),图像质量有统计学差异(P<0.05)。2D DSA出现假阳性动脉瘤3枚,假阴性动脉瘤15枚,评估颅内动脉瘤的灵敏度为78.9%,特异性为85.2%;3D DSA没有出现假阳性、假阴性动脉瘤,评估颅内动脉瘤的灵敏度为100%,特异性为100%。在动脉瘤形态、瘤颈尺寸及与相邻血管间的关系的显示上,3D DSA明显优于2D DSA。结论 3D DSA作为脑动脉造影中2D DSA的进一步补充,对颅内动脉瘤的诊断与治疗具有重要价值。

关 键 词:颅内动脉瘤  数字减影血管造影  容积再现  

Application of 3D DSA in Intracranial Aneurysms
Li Wei,Long Wansheng,Luo Xuemao,Chen Manqiong,Lan Yong,He Yigai.Application of 3D DSA in Intracranial Aneurysms[J].Shanghai Journal of Biomedical Engineering,2011(2):88-92.
Authors:Li Wei  Long Wansheng  Luo Xuemao  Chen Manqiong  Lan Yong  He Yigai
Institution:Li Wei,Long Wansheng,Luo Xuemao,Chen Manqiong,Lan Yong,He Yigai Department of Radiology,Jiangmen Central Hospital(Jiangmen,Guangdong,529030)
Abstract:Objective To study the clinical value of three dimensional digital subtraction angiography(3D DSA) in intracranial aneurysms.Methods Using GE Innova 3100 flat panel angiography sanner,40 patients with suspected intracranial aneurysms,orthotopic and lateral 2D DSA were underwent on them in bilateral carotid artery and bilateral vertebral artery,further to the interest blood vessel,3D DSA were underwent on them,acquiring intracranial vessels through volume rendering(VR) reconstruction.Results 39 patients with...
Keywords:intracranial aneurysms  digital subtraction angiography  volume rendering  
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