Head and Neck Imaging

The Value of 3D-CTA and 3D-DSA in the Diagnosis of Acute Ruptured Intracranial Aneurysms*

Author:LIU Jun-ping, LONG Zhi-hua, JIAO Hui-juan

affiliation: Department of Neurology, Zhumadian Central Hospital, Zhumadian 463000, Henan Province, China

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Abstract

Objective To analyze the value of three-dimensional computed tomography angiography (3D-CTA) and three-dimensional digital subtraction angiography (3DDSA) in the diagnosis of acute ruptured intracranial aneurysms. Methods A total of 90 patients with suspected acute ruptured intracranial aneurysms were enrolled into the study. All of them were examined by 3D-CTA and 3D-DSA. With surgical pathology as the golden standard, the accuracy was compared between 3D-CTA and 3D-DSA. Results The sensitivity, specificity and accuracy of 3D-CTA in the diagnosis of acute ruptured intracranial aneurysms were 91.46% (75/82), 87.50% (7/8) and 91.11% (82/90), respectively, while those of 3D-DSA were 98.78% (81/82), 100.00% (8/8) and 98.89% (89/90), respectively. The Kappa values were larger than 0.4. The sensitivity and accuracy of 3D-DSA were obviously higher than those of 3D-CTA (P<0.05). Conclusion Compared with 3D-CTA, 3D-DSA is of high accuracy in the diagnosis of acute ruptured intracranial aneurysms, and it can provide a reliable reference for clinical diagnosis and treatment.

【Keyword】 Three-dimensional CT Angiography; Three-dimensional Digital Subtraction Angiography; Acute Ruptured Intracranial Aneurysm; Diagnosis

【Chart number】R739.41

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2019.02.034