[1]陈军法,袁建华,宋琼,等.320排动态容积CT成像评估单侧大脑中动脉闭塞患者侧支循环的应用价值[J].介入放射学杂志,2016,(06):469-472.
 CHEN Jun-fa,YUAN Jian-hua,SONG Qiong,et al.Application of 320-row-detector dynamic volume CT imaging in evaluating the collateral circulation in patients with unilateral middle cerebral artery occlusion [J].journal interventional radiology,2016,(06):469-472.
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320排动态容积CT成像评估单侧大脑中动脉闭塞患者侧支循环的应用价值 ()

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

卷:
期数:
2016年06期
页码:
469-472
栏目:
神经介入
出版日期:
2016-06-25

文章信息/Info

Title:
Application of 320-row-detector dynamic volume CT imaging in evaluating the collateral circulation in patients with unilateral middle cerebral artery occlusion

作者:
陈军法袁建华宋琼徐健王振林毅
Author(s):
CHEN Jun-fa YUAN Jian-hua SONG Qiong XU Jian WANG Zhen LIN Yi
 Department of Radiology, Zhejiang Provincial People’s Hospital, Hangzhou, Zhejiang Province 310014, China
关键词:
【关键词】大脑中动脉 侧支循环 体层摄影术X线计算机 血管造影术 预后
文献标志码:
A
摘要:
【摘要】目的探讨320排动态容积CT全脑成像在评估单侧大脑中动脉(MCA)闭塞患者侧支循环中的应用价值及其对预后的评价作用。 方法纳入2011年3月至2015年9月在浙江省人民医院住院治疗的37例单侧症状性MCA闭塞患者。采用320排CT进行多参数全脑灌注扫描,获取常规CTA和4D-CTA图像,分析常规CTA、4D-CTA所示侧支循环状况和金标准DSA图像并作一致性检验,同时计算4D-CTA侧支循环评分与预后的相关性。 结果4D-CTA、常规CTA所示侧支循环良好患者分别为22例(59.4%)、14例(37.8%)。以DSA为金标准,常规CTA、4D-CTA侧支循环评分Kappa值分别为0.58、0.78。4D-CTA所示侧支循环不良患者和侧支循环良好患者间治疗时间窗差异有统计学意义(t=2.27,P=0.029),两者侧支循环评分与随访90 d 改良Rankin量表评分呈负相关(r=-0.68, P<0.001)。 结论320排动态容积CT成像是评价单侧症状性MCA闭塞患者侧支循环建立情况的有效方法。4D-CTA比常规CTA能更好地评估侧支血流和预测预后,有助于血管内介入治疗决策。


参考文献/References:

 

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备注/Memo

备注/Memo:
(收稿日期:2015-12-23)
(本文编辑:边佶)
更新日期/Last Update: 2016-06-21