[1]陆 靖,李永东,李明华,等. 时间飞越法磁共振血管造影对蛛网膜下腔出血诊断和治疗的临床价值[J].介入放射学杂志,2012,(09):711-717.
　LU Jing,LI Yong- dong,LI Ming- hua,et al. The clinical value of time- of-flight MRA in diagnosing and treating subarachnoid haemorrhage[J].journal interventional radiology,2012,(09):711-717.
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 时间飞越法磁共振血管造影对蛛网膜下腔出血诊断和治疗的临床价值 ()

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

卷:
期数:
2012年09期
页码:
711-717
栏目:
神经介入
出版日期:
2012-09-30

文章信息/Info

Title:
 The clinical value of time- of-flight MRA in diagnosing and treating subarachnoid haemorrhage
作者:
 陆 靖;  李永东;  李明华;  孙贞魁;  谭华桥;  王 武;  顾斌贤;  陈元畅
Author(s):
 LU Jing;  LI Yong- dong;  LI Ming- hua;  SUN Zhen- kui;  TAN Hua- qiao;  WANG Wu;  GU Bin- xian;  CHEN Yuan- chang.
 Department of Diagnostic and Interventional Radiology， the Affiliated Sixth People’s Hospital， School of Medicine， Shanghai Jiaotong University， Shanghai 200233， China
关键词:
 ; 【关键词】 颅内动脉瘤;  磁共振血管造影术;  数字减影血管造影术;  旋转数字减影血管造影术
文献标志码:
A
摘要:
 【摘要】 目的 评估无对比剂3.0T磁共振血管造影术（MRA）对蛛网膜下腔出血患者诊断和治疗的临床价值。方法 对165例蛛网膜下腔出血患者在数字减影血管造影术（DSA）前行三维时间飞越法磁共振血管造影术（3D?蛳 TOF?蛳 MRA）检查。对每枚动脉瘤，用3D?蛳 TOF?蛳 MRA决定患者适合的治疗方法，包括经或不经球囊/支架辅助的弹簧圈栓塞治疗、外科夹闭、保守治疗。3D?蛳 TOF?蛳 MRA术前治疗计划与DSA最终决策的动脉瘤实际治疗方式相比较判定其临床治疗价值。结果 以动脉瘤为基础评估对颅内动脉瘤检测的准确性为96.9%，敏感度为97.6%，特异度为93.1%，阳性预测值（PPV）为98.8%，阴性预测值（NPV）为87.1%。依椐3D?蛳 TOF?蛳 MRA工作位上动脉瘤的解剖特点可以准确地制定术前治疗计划，其准确性、敏感度、特异度、阳性预测值、阴性预测值分别为94.9%、94.0%、100%、100%、74.4%。结论 无对比剂3D?蛳 TOF?蛳 MRA在检测颅内破裂动脉瘤方面具有较高的诊断准确性，并且可以有效、准确地制定适合的动脉瘤术前治疗计划。 

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（收稿日期：2012-05-20）

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