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MSCT联合图像融合 技术对颅内血管畸 形的诊断价值

作者:任雅芳 张道培 张洪涛 禹 萌 付胜奇 张淑玲

所属单位:郑州人民医院神经内科 (河南 郑州 450003)

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摘要

目的 探讨多层螺旋CT(MSCT)联 合图像融合技术在颅内静脉畸形(IVM)中 的诊断价值。方法 选取2015年2月至2018 年1月在我院治疗的IVM患者52例,所用 患者行MSCT扫描和脑血管成像扫描,利 用图像融合技术进行诊断。结果 52例 IVM患者中,发现单发病灶47例,多发 5例;MSCT联合图像融合技术诊断准确 率为100.00%,明显高于MSCT平扫和增 强(P<0.05);MSCT增强诊断准确率为 63.46%,明显高于MSCT平扫(P<0.05); 52例患者重建图像呈典型的“水母头” 征,其中40例患者不仅显示IVM典型表 现,还显示IVM引流静脉的全程及毗邻血 管。结论 MSCT联合图像融合技术在IVM中 有较高的诊断价值,具有简单、无创伤性 等优点。

Objective To evaluate the diagnostic value of multi-slice spiral CT (MSCT) combined with image fusion in intracranial venous malformation (IVM). Methods 52 patients with IVM in our hospital from February 2015 to January 2018 were selected, MSCT scan and cerebrovascular imaging scan were used in the all patients, and image fusion technology was used for diagnosis. Results 52 cases of IVM, there were 47 cases of single lesion and 5 cases in multiple cases. The diagnostic accuracy of MSCT combined with image fusion technology was 100%, which was significantly higher than that of MSCT plain scan and enhancement (P<0.05). The diagnostic accuracy rate of MSCT enhanced was 63.46%, which was significantly higher than that of MSCT plain scan (P<0.05). The reconstructed images of 52 patients showed a typical "jellyfish head" sign, 40 patients not only showed typical IVM performance, and showed whole course of the IVM drainage vein and its adjacent vessels. Conclusion MSCT combined with image fusion technology has a high diagnostic value in IVM, which has the advantages of simple, non traumatic and so on.

【关键词】多层螺旋CT;图像融合技术; 颅内静脉畸形;诊断价值

【中图分类号】R651.1

【文献标识码】A

【DOI】 10.3969/j.issn.1672- 5131.2018.06.017

前言

颅内血管畸形与动脉和静脉的病变相关,可能有静脉瘤或动脉瘤 的存在[1]。颅内血管畸形是颅内血管性病变的常见病,具有较高的致 死率和致残率,临床依靠DSA、CT及MRI对其进行诊断[2]。常规的脑数 字减影血管造影技术是颅内血管畸形诊断的金标准。由于脑血管造 影可能诱发再出血和创伤,限制了其在急性脑血管出血诊断时的应 用[3]。多层螺旋CT的减影血管成像、CTA双期扫描和后处理,用于脑血 管疾病的诊断效果较好,但与图像融合技术联合用于颅内血管畸形诊 断较少[4]。本研究对于来我院治疗的颅内静脉畸形患者应用多层螺旋 CT联合图像融合技术进行诊断,研究其诊断的准确性,结果如下。