[1]谢珊珊),程敬亮)#,张勇),等.高分辨率MRI对大脑中动脉狭窄的诊断价值[J].郑州大学学报(医学版),2014,(02):261.
 XIE Shanshan),CHENG Jingliang),ZHANG Yong),et al.Value of highresolution MR imaging in diagnosing middle cerebral artery stenosis[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2014,(02):261.
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高分辨率MRI对大脑中动脉狭窄的诊断价值
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2014年02期
页码:
261
栏目:
应用研究
出版日期:
2014-03-20

文章信息/Info

Title:
Value of highresolution MR imaging in diagnosing middle cerebral artery stenosis
作者:
谢珊珊1)程敬亮1)#张勇1)徐浩文2)管生2)
1)郑州大学第一附属医院磁共振科 郑州450052 2)郑州大学第一附属医院介入科 郑州450052
Author(s):
XIE Shanshan1) CHENG Jingliang1) ZHANG Yong1) XU Haowen2) GUAN Sheng2)
1)Department of MRI, the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052 2)Department of Intervention, the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052
关键词:
大脑中动脉高分辨率磁共振成像数字减影血管造影动脉狭窄
Keywords:
middle cerebral artery highresolution MRI digital subtraction angiography artery stenosis
分类号:
A
文献标志码:
R445.2
摘要:
目的:探讨高分辨率磁共振成像(HRMRI)在大脑中动脉(MCA)狭窄或闭塞中的诊断价值。方法:47例缺血性脑血管病患者先后行HRMRI及DSA检查,以DSA为金标准,分析HRMRI对MCA狭窄的诊断价值。结果:47例患者有45支MCA图像质量符合要求。HRMRI对狭窄程度的判定结果与DSA结果的符合率为82.22%(37/45),一致性较高(Kappa=0.709,P<0.001)。HRMRI测得的狭窄率为0.72(0.60~0.86),DSA测得的狭窄率为0.68(0.57~0.82),二者差异无统计学意义(Z=1.430,P=0.150)。结论:HRMRI在评估MCA狭窄方面与DSA具有良好一致性。
Abstract:
Aim: To explore the diagnostic value of highresolution MRI (HRMRI) in evaluating middle cerebral artery(MCA) stenosis or occlusion. Methods: Fortyseven patients with ischemic cerebrovascular disease underwent both HRMRI and DSA examinations. Based on the results of DSA, the gold standard, the diagnostic value of HRMRI for detecting MCA stenosis or occlusion were analyzed. Results: Fortyfive segments diagnosed by HRMRI were consistently with DSA. The rate of coincidence was 82.22%(37/45). Two imaging modalities conformed well in evaluation of the degree of stenosis(Kappa=0.709,P<0.001). The MCA stenosis rates were 0.72(0.60-0.86) by HRMRI and 0.68(0.57-0.82) by DSA. There was no statistical difference in evaluating the stenosis rate by HRMRI or DSA(Z=1.430, P=0.150).Conclusion: In evaluating MCA stenosis or occlusion, HRMRI is well consistent with DSA.

参考文献/References:

[1]周明利,冯骏,屈天荣.磁共振血管造影与数字减影血管造影在颅内动脉瘤术后检查中的价值比较[J].西安交通大学学报:医学版,2013,34(1):101 [2]刘俊艳,高山,黄家星.经颅多普勒超声评估大脑中动脉狭窄程度的最佳速度值[J].中华神经科杂志,2003,36(6):458 [3]宋焱,陈敏,周诚,等.MRI与DSA对颈动脉狭窄和粥样硬化斑块评估能力的比较[J].中华放射学杂志,2011,45(11):1004 [4]Underhill HR,Yarnykh VL,Hatsukami TS,et al.Carotid plaque morphology and composition:initial comparison between 1.5 and 3.0 T magnetic field strengths[J].Radiology,2008,248(2):550 [5]Samuels OB,Joseph GJ,Lynn MJ,et al.A standardized method for measuring intracranial arterial stenosis[J].AJNR Am J Neuroradiol,2000,21(4):643 [6]石强,徐克,高思佳,等.64层螺旋CT分析症状性大脑中动脉狭窄分级与脑血流灌注的相关性[J].中国医学影像技术,2007,23(1):41 [7]Gorelick PB,Wong KS,Bae HJ,et al.Large artery intracranial occlusive disease: a large worldwide burden but a relatively neglected frontier[J].Stroke,2008,39(8):2396 [8]Carvalho M,Oliveira A,Azevedo E,et al.Intracranial arterial stenosis[J].J Stroke Cerebrovasc Dis,2013,Jul 11[Epub ahead of print] [9]Molloy ES,Langford CA.Vasculitis mimics[J].Curr Opin Rheumatol,2008,20(1):29 [10]娄昕,姜卫剑,马林,等.重度颅内动脉狭窄活体高分辨磁共振成像初探[J].中华内科杂志,2008,47(6):478 [11]李树合,周定标,娄昕,等.高分辨MRI对颈动脉粥样硬化斑块成分显示的病理对照研究[J].中华神经外科杂志,2007,23(7):514 [12]Zhang SX,Hatsukami TS,Polissar NL,et al.Comparison of carotid vessel wall area measurements using three different contrastweighted black blood MR imaging techniques[J].Magn Reson Imaging,2001,19(6):795 [13]Ryu CW,Jahng GH,Kim EJ,et al.High resolution wall and lumen MRI of the middle cerebral arteries at 3 tesla[J].Cerebrovasc Dis,2009,27(5):433

备注/Memo

备注/Memo:
#通讯作者,男,1964年8月生,博士,教授,主任医师,研究方向:中枢神经系统影像学,Email:chengjl2008@163.com
更新日期/Last Update: 2014-04-23