[1]刘 嘉 陆建平 黄文才.CTA与CE-MRA评价头颈部动脉狭窄的应用价值[J].中国临床神经外科杂志,2017,(01):14-16.[doi:10.13798/j.issn.1009-153X.2017.01.005]
 LIU Jia,LU Jian-pin,HUANG Wen-cai..Values of CTA and CE-MRA to diagnosis of the intra- and extracranial arteries stenoses[J].,2017,(01):14-16.[doi:10.13798/j.issn.1009-153X.2017.01.005]
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CTA与CE-MRA评价头颈部动脉狭窄的应用价值()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年01期
页码:
14-16
栏目:
论著
出版日期:
2017-01-18

文章信息/Info

Title:
Values of CTA and CE-MRA to diagnosis of the intra- and extracranial arteries stenoses
文章编号:
1009-153X(2017)01-0014-03
作者:
刘 嘉 陆建平 黄文才
332000 江西九江,解放军第171医院放射科(刘 嘉);200433 上海,第二军医大学长海医院放射科(陆建平);430070 武汉,中国人民解放军武汉总医院放射科(黄文才)
Author(s):
LIU Jia1 LU Jian-pin2 HUANG Wen-cai3.
1. Department of Radiology, The 171st Hospital, PLA, Jiujiang 332000, China; 2. Department of Radiology, Changhai Hospital, The Second Military Medical University, Shanghai 200433, China; 3. Department of Radiology, Wuhan General Hospital, PLA, Wuhan 430070, China
关键词:
头颈部动脉狭窄CT血管造影增强磁共振血管造影数字减影血管造影诊断
Keywords:
Stenosis Intra- and extracranial arteries Diagnosis CT angiography Magnetic resonance angiography
分类号:
R 743; R 445
DOI:
10.13798/j.issn.1009-153X.2017.01.005
文献标志码:
A
摘要:
目的 评价CT血管造影(CTA)和增强磁共振血管造影(CE-MRA)对头颈部动脉狭窄的诊断价值。方法 167例临床怀疑有缺血性脑病的患者行头颈部CTA(85例)或CE-MRA(82例)检查,同期均行DSA检查,比较不同影像方法对血管狭窄的显示情况。结果 CTA及CE-MRA在评价头颈部动脉狭窄程度上与DSA的一致性较好,Kappa值分别为0.870、0.827。结论 CTA、CE-MRA均是可靠的无创血管成像方法,可以较好地显示头颈部动脉狭窄性病变。
Abstract:
Objective To explore the values of CT angiography (CTA) and contrast-enhanced magnetic resonance angiography (CE-MRA) to the diagnosis of intra- and extracranial arteries stenoses (IECAS). Methods CTA and DSA examinations were performed in 85 patients with cerebral ischemia disease, and CE-MRA and DSA examinations were performed in 82 patients. Their outcomes were compared among each other. Results The sensitivities of CTA and CE-MRA to IECAS were 93.5% and 94.9%, respectively. The concordance rate (Kappa value) of CTA and CE-MRA detection of IECAS is 0.870 and 0.827, respectively. The specificities of CTA and CE-MRA for IECAS were 99.5% and 98.8%, respectively. Conclusion CTA and CE-MRA by which IECAS may be shown very well is very helpful to the diagnosis of IECAS.

参考文献/References:

[1] Adlat, Adlova R. Multimodality imaging of carotid stenosis [J]. Internat J Angiol, 2015, 24(3): 179-84.
[2] Hollingworth W, Nathens AB, Kanne JP, et al. The diagnos- tic accuracy of computed tomography angiography for trau- matic or atherosclerotic lesions of the carotid and vertebral arteries: a systematic review [J]. Eur J Radiol, 2003, 48(1): 88-102.
[3] Herzig R, Burval S, Krupka B, et al. Comparison of ultraso- nography, CT angiography, and digital subtraction angio- graphy in severe carotid stenoses [J]. Eur J Neurol, 2004, 11 (11): 774-781.
[4] Sugino T, Mikami T, Ohtaki S, et al. Assessment of moya- moya disease using multidetector row computed tomography [J]. J Stroke Cerebrovasc Dis, 2013, 22(5): 644-649.
[5] Korn A, Bender B, Brodoefel H, et al. Grading of carotid artery stenosis in the presence of extensive calcifications: dualenergy CT angiography in comparison with contrasten- hanced MR angiography [J]. Clin Neuroradiol, 2015, 25(1): 33-40.
[6] Muhlenbruch G, Das M, Mommertz G, et al. Comparison of dual-source CT angiography and MR angiography in pre- operative evaluation of intra- and extracranial vessels: a pilot study [J]. Eur Radiol, 2010, 20(2): 469-476.
[7] Vertinsky AT, Schwartz NE, Fischbein NJ, et al. Compari- son of multidetector CT angiography and MR imaging of cervical artery dissection [J]. Am J Neuroradiol, 2008, 29 (9): 1753-1760.
[8] Chen Q, Qi R, Cheng X, et al. Assessment of extracranial- intracranial bypass in Moyamoya disease using 3T time-of- flight MR angiography: comparison with CT angiography [J]. Vasa, 2014, 43(4): 278-283.
[9] Debrey SM, Yu H, Lynch JK, et al. Diagnostic accuracy of magnetic resonance angiography for internal carotid artery disease: a systematic review and meta-analysis [J]. Stroke, 2008, 39(8): 2237-2248.

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更新日期/Last Update: 2016-10-28