[1]赵张平,陈世沛,滕 红. ３Ｄ-ＤＡ与３Ｄ-ＭＳＣＴＡ对颅内动脉瘤诊断价值探讨[J].介入放射学杂志,2011,(11):844-847.
　ZHAO Zhang-ping,CHEN Shi-pei,TENG Hong..Evaluation of three-dimensional multi-slice spiral CT angiography and three-dimensional digital angio-graphy in diagnosing intracranial aneurysms[J].journal interventional radiology,2011,(11):844-847.
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 ３Ｄ-ＤＡ与３Ｄ-ＭＳＣＴＡ对颅内动脉瘤诊断价值探讨 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年11期
页码:
844-847
栏目:
神经介入
出版日期:
2011-11-25

文章信息/Info

Title:
Evaluation of three-dimensional multi-slice spiral CT angiography and three-dimensional digital angio-graphy in diagnosing intracranial aneurysms
作者:
 赵张平;  陈世沛;  滕 红
 作者单位：617067 四川省攀枝花市中心医院医学影像中心
Author(s):

ZHAO Zhang-ping;  CHEN Shi-pei;  TENG Hong.

Medical Imaging Center, Panzhihua Municipal Central Hospital, Panzhihua City, Sichuan Province 617067, China

关键词:
颅内动脉瘤;  三维多层螺旋ＣＴ血管造影;  三维数字血管造影
文献标志码:
A
摘要:
 【摘要】 目的 探讨三维数字血管造影（３ＤＤＡ）与三维多层螺旋ＣＴ血管造影（３ＤＭＳＣＴＡ）在颅内动脉瘤诊断中的作用和意义。方法 回顾性分析２００８年１２月－ ２０１０年１２月４１例疑似颅内动脉瘤患者的常规ＤＳＡ、３ＤＤＡ及３ＤＭＳＣＴＡ影像资料，分别由２名放射科医师采用双盲法进行分析并咨询神经外科医师。评估两种方法检测动脉瘤的灵敏度、特异度、阳性预测值和阴性预测值，并以常规ＤＳＡ影像和手术所见作为参考。结果 ４１例患者经过外科手术或ＤＳＡ证实颅内动脉瘤患者３５例，共发现４４个动脉瘤，其中单发动脉瘤２８例， ２个动脉瘤５例， ３个动脉瘤２例。３ＤＭＳＣＴＡ检查发现４１个动脉瘤，３ＤＤＡ发现４４个动脉瘤，两种方法对检测颅内动脉瘤的灵敏度、特异度、阳性预期值、阴性预期值分别为９３．２％、８５．７％、９７．６％、６６．７％和１００％、８５．７％、９７．８％、１００％。３ＤＭＳＣＴＡ与３ＤＤＡ都能清晰显示动脉瘤的瘤体大小、瘤颈、瘤体指向、载瘤动脉及动脉瘤与邻近血管和骨性组织间的解剖关系。３ＤＤＡ在多发的复杂、微小动脉瘤细节显示上更具优势。结论 ３ＤＭＳＣＴＡ具有安全、快捷、无创、准确等特点，能清楚显示颅内动脉瘤的形态特征和邻近解剖关系，可作为颅内动脉瘤的首选检查方法。３ＤＤＡ能够为颅内动脉瘤的治疗提供更为全面、精准的图像信息。

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