[1]张学贤,谢璇丞,冯超凡,等.不同壁内血肿高分辨率MRI信号对椎-基底动脉夹层动脉瘤患者预后的影响[J].介入放射学杂志,2021,30(12):1205-1209.
 ZHANG Xuexian,XIE Xuancheng,FENG Chaofan,et al.The effect of different signals of intramural hematoma in HR-MRI on the prognosis of patients with vertebrobasilar artery dissecting aneurysmsy[J].journal interventional radiology,2021,30(12):1205-1209.
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不同壁内血肿高分辨率MRI信号对椎-基底动脉夹层动脉瘤患者预后的影响()

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

卷:
30
期数:
2021年12
页码:
1205-1209
栏目:
神经介入
出版日期:
2021-12-25

文章信息/Info

Title:
The effect of different signals of intramural hematoma in HR-MRI on the prognosis of patients with vertebrobasilar artery dissecting aneurysmsy
作者:
张学贤 谢璇丞 冯超凡 杨 凯 赵 卫 李自恒 孟雪柔
Author(s):
ZHANG Xuexian XIE Xuancheng FENG Chaofan YANG Kai ZHAO Wei LI Ziheng MENG Xuerou.
Department of Medical Imaging, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province 650032, China
关键词:
【关键词】 高分辨率磁共振成像 壁内血肿 椎-基底动脉夹层动脉瘤 血管内治疗 预后
文献标志码:
A
摘要:
【摘要】 目的 评价不同的壁内血肿高分辨率MRI(HR-MRI)信号对椎-基底动脉夹层(VBAD)动脉瘤患者血管内治疗预后的影响,分析其预测预后的价值。 方法 回顾性分析2017年9月至2020年6月在昆明医科大学第一附属医院接受血管内治疗的21例VBAD动脉瘤患者临床资料。所有患者术前均接受HR-MRI检查,根据3D-快速自旋回波(FSE)-T1加权成像(WI)上壁内血肿不同信号对患者进行分组。采用改良Rankin量表(mRS)评分标准评价患者预后,计算各组患者好转率、稳定率和加重率,分析壁内血肿不同信号对预后的影响。 结果 21例患者血管内治疗均获成功。随访时间5~33个月,平均15.9个月,无失访。高信号组与等-低信号组好转率、加重率比较,差异均有统计学意义(P<0.05);等-高信号组与等-低信号组加重率比较,差异有统计学意义(P<0.05)。 结论 VBAD动脉瘤壁内血肿高信号组和等-高信号组患者预后较优于等-低信号组患者,术前壁内血肿不同信号可预测血管内治疗术后预后。

参考文献/References:

[1] Yamaura A, Ono J, Hirai S. Clinical picture of intracranial non- traumatic dissecting aneurysm[J]. Neuropathology, 2000, 20: 85- 90.
[2] Tsukahara T, Minematsu K. Overview of spontaneous cervico- cephalic arterial dissection in Japan[J]. Acta Neurochir Suppl, 2010, 107: 35- 40.
[3] Kim BM, Kim SH, Kim DI, et al. Outcomes and prognostic factors of intracranial unruptured vertebrobasilar artery dissection[J]. Neurology, 2011, 76: 1735- 1741.
[4] 朱元博,刘鹏飞. 高分辨率磁共振管壁成像在颅内动脉夹层中的应用[J]. 中国脑血管病杂志, 2019, 16:613- 616.
[5] 李钊硕,李天晓,薛绛宇,等. 介入治疗基底动脉夹层动脉瘤效果分析[J]. 介入放射学杂志, 2016, 25:478- 482.
[6] Yi G, Li C, Yang Z, 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] 谢璇丞,赵 卫,杨 凯,等. 高分辨率MRI在颅内椎动脉夹层动脉瘤中的应用进展[J]. 中国医学影像技术, 2020, 36:1396- 1399.
[8] Yoon W, Seo JJ, Kim TS, et al. Dissection of the V4 segment of the vertebral artery: clinicoradiologic manifestations and endovascular treatment[J]. Eur Radiol, 2007, 17: 983- 993.
[9] Swartz RH, Bhuta SS, Farb RI, et al. Intracranial arterial wall imaging using high- resolution 3- tesla contrast- enhanced MRI[J]. Neurology, 2009, 72: 627- 634.
[10] Habs M, Pfefferkorn T, Cyran CC, et al. Age determination of vessel wall hematoma in spontaneous cervical artery dissection: a multi- sequence 3T cardiovascular magnetic resonance study[J]. J Cardiovasc Magn Reson, 2011, 13: 76.
[11] Park KJ, Jung SC, Kim HS, et al. Multi- contrast high- resolution magnetic resonance findings of spontaneous and unruptured intracranial vertebral artery dissection: qualitative and quanti tative analysis according to stages[J]. Cerebrovasc Dis, 2016, 42: 23- 31.
[12] Hirai T, Korogi Y, Murata Y, et al. Intracranial artery dissections: serial evaluation with MR imaging, MR angiography, and source images of MR angiography[J]. Radiat Med, 2003, 21: 86- 93.
[13] Hosoya T, Adachi M, Yamaguchi K, et al. Clinical and neuroradiological features of intracranial vertebrobasilar artery dissection[J]. Stroke, 1999, 30: 1083- 1090.
[14] Heldner MR, Nedelcheva M, Yan X, et al. Dynamic changes of intramural hematoma in patients with acute spontaneous internal carotid artery dissection[J]. Int J Stroke, 2015, 10: 887- 892.
[15] Jung SC, Kim HS, Choi CG, et al. Quantitative analysis using high- resolution 3T MRI in acute intracranial artery dissection[J]. J Neuroimaging, 2016, 26: 612- 617.
[16] Mizutani T. Natural course of intracranial arterial dissections[J]. J Neurosurg, 2011, 114: 1037- 1044.
[17] Chang FC, Yong CS, Huang HC, et al. Posterior circulation ischemic stroke caused by arterial dissection: characteristics and predictors of poor outcomes[J]. Cerebrovasc Dis, 2015, 40: 144- 150.
[18] Yun SY, Heo YJ, Jeong HW, et al. Spontaneous intracranial vertebral artery dissection with acute ischemic stroke: high- resolution magnetic resonance imaging findings[J]. Neuroradiol J, 2018, 31: 262- 269.
[19] Gomori JM, Grossman RI, Yu- Ip C, et al. NMR relaxation times of blood: dependence on field strength, oxidation state, and cell integrity[J]. J Comput Assist Tomogr, 1987, 11: 684- 690.

备注/Memo

备注/Memo:
(收稿日期:2020- 11- 13)
(本文编辑:边 佶)
更新日期/Last Update: 2021-12-20