磁共振高分辨血管壁成像在颅内动脉疾病中的临床应用价值  

Clinical Application Value of High-Resolution Vascular Wall Magnetic Resonance Imaging in Intracranial Artery Disease

作　　者：周菲[1] 王佳欢[1] 郑家庆[1] 蔡龙波[1] Zhou Fei;Wang Jia-huan;Zheng Jia-qing;Cai Long-bo(Imaging Center,Central Hospital of Jilin City,Jilin 132011,Jilin Province,China)

机构地区：[1]吉林市中心医院影像中心,吉林吉林132011

出　　处：《中国社区医师》2022年第3期91-93,共3页Chinese Community Doctors

摘　　要：目的:探讨高分辨血管壁磁共振成像(HRVW-MRI)在颅内动脉疾病中的诊断价值。方法:2019年11月-2021年12月选取行颅内动脉壁高分辨磁共振检查的患者65例,开展HRVW-MRI诊断,与数字减影血管造影术(DSA)和临床诊断结果进行对照。结果:65例患者中,颅内动脉瘤11例,脑栓塞6例,动脉炎5例,动脉夹层14例,烟雾病8例,颅内动脉粥样硬化伴狭窄21例。HRVW-MRI检查与DSA及临床诊断一致34例(52.31%),与临床诊断基本一致26例(40.00%),与临床诊断不一致5例(7.69%)。结论:对颅内动脉疾病患者配合HRVW-MRI检查,能够有效提高脑血管病鉴别诊断准确率,确保患者在后期能够得到早期有效治疗干预,改善预后。Objective:To explore the diagnostic value of high-resolution vascular wall magnetic resonance imaging(HRVW-MRI)in intracranial artery disease.Methods:Sixty-five patients who underwent high-resolution magnetic resonance examination of the intracranial artery wall in Imaging Center,Central Hospital of Jilin City from November 2019 to December 2021 were selected for HRVW-MRI diagnosis,which was compared with digital subtraction angiography(DSA)and clinical diagnosis results.Results:Among the 65 patients,there were 11 cases of intracranial aneurysm,6 cases of cerebral embolism,5 cases of arteritis,14 cases of arterial dissection,8 cases of moyamoya disease,and 21 cases of intracranial atherosclerosis with stenosis.HRVW-MRI examination was consistent with DSA and clinical diagnosis in 34 cases(52.31%),basically consistent with clinical diagnosis in 26 cases(40.00%),and inconsistent with clinical diagnosis in 5 cases(7.69%).Conclusion:The combination of HRVW-MRI examination for patients with intracranial artery disease can effectively improve the accuracy of differential diagnosis of cerebrovascular disease,ensure that patients can receive early and effective treatment intervention in the later stage,and improve the prognosis.

关 键 词：磁共振成像 高分辨 血管壁 颅内动脉疾病 

分 类 号：R445.2[医药卫生—影像医学与核医学] R743[医药卫生—诊断学]