[1]杨 凯,张学贤,李自恒,等.C臂CT在颅内动脉瘤诊疗中研究进展[J].介入放射学杂志,2022,31(01):109-112.
　YANG Kai,ZHANG Xuexian,LI Zhiheng,et al.Research progress of C-arm computed tomography in diagnosing and treating intracranial aneurysms[J].journal interventional radiology,2022,31(01):109-112.
点击复制

C臂CT在颅内动脉瘤诊疗中研究进展()

PDF下载中关闭

分享到：

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

卷:
31
期数:
2022年01
页码:
109-112
栏目:
综述
出版日期:
2022-01-25

文章信息/Info

Title:
Research progress of C-arm computed tomography in diagnosing and treating intracranial aneurysms
作者:
杨 凯;  张学贤;  李自恒;  熊 峰;  冯超凡;  赵 卫
Author(s):
YANG Kai;  ZHANG Xuexian;  LI Zhiheng;  XIONG Feng;  FENG Chaofan;  ZHAO Wei.
Department of Medical Imaging， First Affiliated Hospital of Kunming Medical University， Kunming， Yunnan Province 650032， China
关键词:
【关键词】 血流导向装置;  C臂CT;  颅内动脉瘤
文献标志码:
A
摘要:
【摘要】 C臂CT在血管内介入治疗中的应用越来越广泛，其较高的空间分辨率和术中影像即时采集，为临床提供了更多选择。颅内动脉瘤诊断金标准仍为DSA，C臂CT可提供更多信息辅助动脉瘤诊断。术中即刻获取影像可为支架置放提供参考，较为清晰地显示支架、动脉瘤、弹簧圈等相对位置，这在术后随访中也有相当大的价值。现就C臂CT在颅内动脉瘤诊断、治疗和随访复查中的应用研究进展作一综述。

参考文献/References:

［1］ Kühn AL， Wakhloo AK， Gounis MJ， et al. Use of self-expanding stents for better intracranial flow diverter wall apposition［J］. Interv Neuroradiol， 2017， 23： 129-136.
［2］ Chesnutt JK， Han HC. Computational simulation of platelet interactions in the initiation of stent thrombosis due to stent malapposition［J］. Phys Biol， 2016， 13： 016001.
［3］ Kyriakou Y，Struffert T，Dorfler A，et al. Basic principles of flat detector computed tomography（FD- CT）［J］. Radiologe， 2009， 49：811-819.
［4］ Tognolini A， Louie J， Hwang G， et al. C- arm computed tomography for hepatic interventions： a practical guide［J］. J Vasc Interv Radiol， 2010， 21： 1817-1823.
［5］ Scarfe WC， Farman AG. What is cone- beam CT and how does it work?［J］. Dent Clin North Am， 2008， 52：707-730，
［6］ Gu Y， Chen L，Zhang Y， et al. Reconstructive treatment of symptomatic vertebral artery dissecting aneurysms with Willis covered stent： initial experience［J］. J Intervent Med， 2020， 3： 184-191.
［7］ Fukuda K， Higashi T， Okawa M， et al. Utility of cone-beam computed tomography angiography for the assessment of vertebral artery dissection［J］. J Clin Neurosci， 2018， 48： 76-80.
［8］ Shimada K， Tanaka M， Kadooka K， et al. Efficacy of high-resolution cone- beam CT in the evaluation of perforators in vertebral artery dissection［J］. Interv Neuroradiol， 2017， 23： 350-356.
［9］ Shintai K， Matsubara N， Izumi T. High-resolution cone beam CT for evaluation of vascular Channel in intracranial partial thrombosed aneurysm［J］. Nagoya J Med Sci， 2018， 80： 279-284.
［10］ Lauric A， Heller RS， Schimansky S， et al. Benefit of cone-beam CT angiography in visualizing aneurysm shape and identification of exact rupture site［J］. J Neuroimaging， 2015， 25： 56- 61.
［11］ 陈衍江，权 涛，徐浩文，等． 多支架辅助弹簧圈栓塞和密网支架治疗颅内宽颈大动脉瘤效果比较［J］． 介入放射学杂志， 2020， 29：871-875．
［12］ Zwarzany L， Poncyljusz W， Burke TH. Flat detector CT and its applications in the endovascular treatment of wide- necked intracranial aneurysms. A literature review［J］. Eur J Radiol， 2017， 88： 26-31.
［13］ Yuki I， Ishibashi T， Dahmani C， et al. Combination of high-resolution cone beam computed tomography and metal artefact reduction software： a new image fusion technique for evaluating intracranial stent apposition after aneurysm treatment［J］. BMJ Case Rep， 2019， 12： e230687.
［14］ 李腾飞，马 骥，袁慧锋，等． 高分辨C型臂CT联合去金属伪影技术在颅内动脉瘤LVIS支架辅助栓塞术中的应用［J］． 中华神经外科杂志， 2019， 35：541-546．
［15］ 朱 涛，李 晓，吕丽红，等． 高分辨率C形臂CT联合金属条纹伪影消除技术在颅内动脉瘤支架辅助栓塞中的应用［J］． 介入放射学杂志， 2019， 28：826-831．
［16］ Kato N， Yuki I， Ishibashi T， et al. Visualization of stent apposition after stent- assisted coiling of intracranial aneurysms using high resolution 3D fusion images acquired by C- arm CT［J］. J Neurointerv Surg， 2020， 12： 192-196.
［17］ Shinohara Y， Sakamoto M， Takeuchi H， et al. Subarachnoid hyper-attenuation on flat panel detector- based conebeam CT immediately after uneventful coil embolization of unruptured intracranial aneurysms［J］. AJNR Am J Neuroradiol， 2013， 34： 577-582.
［18］ 中国医师协会神经介入专业委员会出血性脑血管病神经介入专业委员会（学组），中国医师协会神经外科医师分会神经介入专业委员会， 中国医师协会介入医师分会神经介入专业委员会. 血流导向装置治疗颅内动脉瘤的中国专家共识［J］. 中华神经外科杂志， 2020， 36：433-445.
［19］ Cherian J， Dabagh M， Srinivasan VM， et al. Balloon- mounted stents for treatment of refractory flow diverting device wall malapposition［J］. Oper Neurosurg（Hagerstown）， 2020， 19： 37-42.
［20］ Naganuma T. Acute stent malapposition： harmful or harmless?［J］. Int J Cardiol， 2020， 299：106-107.
［21］ Reyes D， Becerra V， Alcala I， et al. Usefulness of cone beam intra-arterial CTA for evaluation of flow diverters： a practical approach for daily use［J］. Interv Neurol， 2018， 7： 457-463.
［22］ Ding D， Starke RM， Durst CR， et al. DynaCT imaging for intraprocedural evaluation of flow- diverting stent apposition during endovascular treatment of intracranial aneurysms［J］. J Clin Neurosci， 2014， 21： 1981-1983.
［23］ Kocer N， Kandemirli SG， Ruijters D， et al. A technical note on intra- arterial cone- beam computed tomography for the evaluation of flow- diverter stents： image quality differences between diluted and non- diluted contrast medium［J］. Interv Neuroradiol， 2020， 26： 164-169.
［24］ Hassan AE， Wise J， Burke EM， et al. Visualization of flow diverter stent wall apposition during intracranial aneurysm treatment using a virtually diluted cone beam CT technique （Vessel ASSIST）［J］. Neuroradiology， 2021， 63： 125-131.
［25］ 付培基，李腾飞，马 骥，等． 高分辨C臂CT联合3D-DSA双容积重建融合技术在颅内动脉瘤血流导向装置（Tubridge）置入术贴壁评估中的初步应用［J］． 中国实用神经疾病杂志， 2020， 23：833-838．
［26］ Psychogios MN， Wachter D， Mohr A， et al. Feasibility of flat panel angiographic CT after intravenous contrast agent application in the postoperative evaluation of patients with clipped aneurysms［J］. AJNR Am J Neuroradiol， 2011， 32： 1956-1962.
［27］ Saake M， Struffert T， Goelitz P， et al. Angiographic CT with intravenous contrast agent application for monitoring of intracranial flow diverting stents［J］. Neuroradiology， 2012， 54： 727-735.
［28］ Flood TF， van der Bom IM， Strittmatter L， et al. Quantitative analysis of high- resolution， contrast- enhanced， cone- beam CT for the detection of intracranial in- stent hyperplasia［J］. J Neurointerv Surg， 2015， 7： 118-125.

相似文献/References:

[1]姚全军,胡鸿涛,黎海亮,等.Ｃ臂ＣＴ成像在乏血供原发性肝癌诊疗中的临床应用[J].介入放射学杂志,2012,(04):305.
　,,et al.Ｔｈｅ ｃｌｉｎｉｃａｌ ａｐｐｌｉｃａｔｉｏｎ ｏｆ Ｃ ａｒｍ ＣＴ ｉｍａｇｉｎｇ ｉｎ ｄｉａｇｎｏｓｉｎｇ ａｎｄ ｔｒｅａｔｉｎｇ ｈｙｐｏｖａｓｃｕｌａｒ ｐｒｉｍａｒｙ ｈｅｐａｔｉｃ ｃａｒｃｉｎｏｍａｓ [J].journal interventional radiology,2012,(01):305.
[2]杨金炜,李冠海,张明德,等. C臂CT在肝癌化疗性栓塞治疗中的应用价值[J].介入放射学杂志,2012,(07):559.
　YANG Jin-wei,LI Guan- hai,ZHANG Ming- de,et al. The application of C- arm CT scanning in interventional chemoembolization for liver cancers[J].journal interventional radiology,2012,(01):559.
[3]黄大钡,李晓群,文自祥,等. C臂CT在肺小结节经皮肺穿刺活检中的临床应用[J].介入放射学杂志,2012,(09):770.
　HUANG Da- bei,LI Xiao- qun,WEN Zi- xiang,et al. The clinical application of C?蛳 arm computed tomography in performing percutaneous needle biopsy of pulmonary nodules[J].journal interventional radiology,2012,(01):770.
[4]李晓群,张 勇,黄大钡,等. C臂CT在15例肺部小病灶射频消融术中的应用[J].介入放射学杂志,2013,(01):67.
　LI Xiao? qun,ZHANG Yong,HUANG Da? bei,et al. The application of C?蛳 arm CT scanning in performing radiofrequency ablation for small lung lesions： preliminary experience in 15 cases[J].journal interventional radiology,2013,(01):67.
[5]施振静,虞希祥,郝伟远,等.C臂CT在肝癌TACE术中评估碘油沉积的应用价值[J].介入放射学杂志,2013,(04):301.
　SHI Zhen? jing,YU Xi? xiang,HAO Wei? yuan,et al.Clinical value of DynaCT scanning in assessing iodized oil deposition degree within the tumor during transcatheter arterial chemoembolization for hepatocellular carcinoma[J].journal interventional radiology,2013,(01):301.
[6]张高尚,李晓群,张 健,等.C臂CT在肺孤立性结节胸腔镜切除术术前定位中的应用[J].介入放射学杂志,2012,(10):829.
　ZHANG Gao- shang,LI Xiao- qun,ZHANG Jian,et al. The clinical application of C- arm CT scanning in localizing solitary pulmonary nodule before video-assisted thoracoscopic resection[J].journal interventional radiology,2012,(01):829.
[7]程大文,高 玲,沈广澍,等.C臂CT在经皮椎体成形术治疗骨质疏松性椎体压缩骨折中的临床应用[J].介入放射学杂志,2014,(11):1005.
　CHENG Da wen,GAO Ling,SHEN Guang shu,et al.Clinical application of C arm CT scanning in performing percutaneous vertebroplasty for osteoporotic vertebral compression fractures[J].journal interventional radiology,2014,(01):1005.
[8]徐培元,林师帅,焦德超,等.C臂CT在经皮肾镜取石术中的应用[J].介入放射学杂志,2015,(01):76.
　XU Pei yuan,LIN Shi shuai,JIAO De chao,et al.Clinical application of C arm CT in performing percutaneous nephrolithotomy[J].journal interventional radiology,2015,(01):76.
[9]郑 琳,郭晨阳,黎海亮,等.C臂CT在经皮经肝胆道引流术治疗梗阻性黄疸中的应用[J].介入放射学杂志,2013,(12):1007.
　ZHENG Lin,GUO Chen? yang,LI Hai? liang,et al. The application of C?蛳 arm CT in performing PTCD for obstructive jaundice[J].journal interventional radiology,2013,(01):1007.
[10]张 涛,陈 伟,徐 军,等.C臂CT三维重建技术在三叉神经球囊压迫术中的临床应用 [J].介入放射学杂志,2020,29(09):913.
　ZHANG Tao,CHEN Wei,XU Jun,et al.Clinical application of C- arm CT three- dimensional reconstruction technology in percutaneous balloon compression of trigeminal nerve[J].journal interventional radiology,2020,29(01):913.

备注/Memo

备注/Memo:
（收稿日期：2020-12-14）
（本文编辑：边 佶）
更新日期/Last Update: 2022-01-12