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三维增强MRA与多普勒超声诊断颈部血管病变的对照分析
引用本文:范亦辉,吕传国,顾卫,郁冬梅,顾庆春,卞美娟.三维增强MRA与多普勒超声诊断颈部血管病变的对照分析[J].实用医学影像杂志,2007,8(5):316-318.
作者姓名:范亦辉  吕传国  顾卫  郁冬梅  顾庆春  卞美娟
作者单位:江苏省启东市人民医院影像科,江苏,启东,226200
摘    要:目的探讨三维增强MRA及彩色多普勒超声对颈部血管病变的诊断价值。方法32例有眩晕、恶心、颈部不适等症状的患者均经三维增强MRA及多普勒超声检查。结果32例的36处病变节段中,超声检出19处,3DCEMRA检出33处。结论三维增强MRA对颈部血管病变的诊断能力优于多普勒超声,而高质量的颈动脉MRA图像依赖注药后扫描时机的准确性,注药流速与总量的合理性,合适的扫描序列,以及操作者的技巧和熟练程度。

关 键 词:颈血管病变  三维增强MRA  多普勒超声
文章编号:1009-6817(2007)05-0316-03
修稿时间:2006-10-09

Comparative analysis between 3D CE MRA and CDUS in the evaluation of neck angiopathy
Fan Yihui,Lü Chuanguo,Gu Wei,Yu Dongmei,Gu Qingchun,Bian Meijuan.Comparative analysis between 3D CE MRA and CDUS in the evaluation of neck angiopathy[J].Journal of Practical Medical Imaging,2007,8(5):316-318.
Authors:Fan Yihui  Lü Chuanguo  Gu Wei  Yu Dongmei  Gu Qingchun  Bian Meijuan
Abstract:Objective To compare the diagnostic capability between three dimensional dynamic contrast-enhanced magnetic resonance angiography(3 D CE-MRA)and color Doppler ultrasonography(CDUS)for the neck angiopathy.Methods Thirty-two patients with a series of clinical symptoms such as dizziness,nausea and neck malaise underwent 3 D CE-MRA and CDUS.Results Among 36 affected segments in all patients,3 D CE-MRA and CDUS showed 33 and 19 segments,respectively.Conclusion The capability of 3 D CE-MRA for diagnosing the neck angiopathy was significantly superior to CDUS,while high quality images of 3 D CE-MRA mainly depend on determining the best delay time,adopting the reasonable injection volume and rate of contrast medium,selecting the proper sequence parameter,and skilled level of operators.
Keywords:Neck angiopathy  3 D CE-MRA  Color Doppler ultrasonography
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