[1]姚安会,任豪,扶宇,等.影像融合技术在颅内多发动脉瘤破裂出血后责任动脉瘤判[J].中国临床神经外科杂志,2023,28(02):73-76,79.[doi:10.13798/j.issn.1009-153X.2023.02.003]
　YAO An-hui,REN Hao,FU Yu,et al.Application of fusion imaging of CT and CTA using 3D Slicer software to determine the ruptured aneurysm in patients with multiple intracranial aneurysms after acute aneurysmal subarachnoid hemorrhage[J].,2023,28(02):73-76,79.[doi:10.13798/j.issn.1009-153X.2023.02.003]
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影像融合技术在颅内多发动脉瘤破裂出血后责任动脉瘤判()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
28
期数:
2023年02期
页码:
73-76,79
栏目:
论著
出版日期:
2023-02-28

文章信息/Info

Title:
Application of fusion imaging of CT and CTA using 3D Slicer software to determine the ruptured aneurysm in patients with multiple intracranial aneurysms after acute aneurysmal subarachnoid hemorrhage
文章编号:
1009-153X（2023）02-0073-04
作者:
姚安会; 任豪; 扶宇; 许百男; 王本瀚
450042郑州，中国人民解放军联勤保障部队第九八八医院神经外科（姚安会、扶宇、王本瀚）；453000河南新乡，新乡医学院研究生院（任豪）；100853北京，中国人民解放军总医院神经外科医学部（许百男）
Author(s):
YAO An-hui1;  REN Hao2;  FU Yu1;  XU Bai-nan3;  WANG Ben-han1
1. Department of Neurosurgery, The 988th Hospital of Joint Logistic Support Force, PLA, Zhengzhou 450042, China; 2. Graduate School of Xinxiang Medical College, Xinxiang 45300, China; 3. Department of Neurosurgery, Chinese PLA General Hospital, Beijing 100853, China
关键词:
颅内多发动脉瘤; 蛛网膜下腔出血; 责任动脉瘤; 影像融合技术; 3D Slicer软件
Keywords:
Multiple intracranial aneurysms;  Subarachnoid hemorrhage;  Responsible aneurysm;  Fusion images;  3D Slicer
分类号:
R743.9;R651.1+2
DOI:
10.13798/j.issn.1009-153X.2023.02.003
文献标志码:
A
摘要:
目的 探讨影像融合技术在颅内多发动脉瘤破裂出血后责任动脉瘤判断中应用效果。方法 2016年1月至2020年8月前瞻性收治颅内多发动脉瘤破裂出血57例，术前将CT及CTA扫描DICOM格式原始数据导入3D Slicer软件进行影像融合，判断出血责任动脉瘤，并与开颅手术记录进行对比。结果 融合影像可以精确地显示蛛网膜下腔血肿与动脉瘤的关系。57例中，54例（94.7%）融合影像判断责任动脉瘤与手术记录一致，3例不一致（1例出血量小、2例出血量过多，无法根据血肿与动脉瘤的空间关系判定责任动脉瘤）。结论 颅内多发动脉瘤破裂出血病人，应用3D Slicer软件将CT与CTA数据进行影像融合，可以精确显示血肿与动脉瘤的空间关系，有助于判断破裂出血的责任动脉瘤。
Abstract:
Objective To investigate the application value of image fusion techniques in the diagnosis of responsible aneurysms for subarachnoid hemorrhage (SAH) in patients with multiple intracranial aneurysms (MIA). Methods Fifty-seven patients with MIA who suffered from SAH were prospectively recruited from January 2016 to August 2020. The original data of CT and CTA scanning in DICOM format were imputted into a 3D Slicer software for image fusion before surgery to determine the responsible aneurysms for SAH, and the clipping records were used as the diagnostic gold standard of the responsible aneurysms for SAH. Results Fusion images could accurately show the relationship between subarachnoid hematoma and aneurysms. The responsible aneurysms for SAH were found to be consistent with the surgical records by fusion imaging in 54 patients (94.7%), and inconsistent in 3 patients (light SAH in 1 patient and heavy SAH in 2 patients, making it impossible to determine the responsible aneurysm according to the spatial relationship between hematoma and aneurysm). Conclusions For patients with MIA after SAH, fusion images of CT and CTA using a 3D Slicer software can accurately show the spatial relationship between hematoma and aneurysm, and help determine the responsible aneurysm for SAH.

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备注/Memo

备注/Memo:
（2022-11-17收稿，2023-01-14修回）
通讯作者：王本瀚，E-mail：wangbenhan@sina.com
许百男，E-mail：xbn_301@126.com
更新日期/Last Update: 2022-03-31