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320排全脑动态容积CT血管造影及灌注成像在烟雾病中的应用
引用本文:潘宇宁,黄求理,叶贤旺,张杰,廉艳东,傅芬芬. 320排全脑动态容积CT血管造影及灌注成像在烟雾病中的应用[J]. 中国临床医学影像杂志, 2011, 22(12): 840-843
作者姓名:潘宇宁  黄求理  叶贤旺  张杰  廉艳东  傅芬芬
作者单位:宁波市第一医院放射科,浙江宁波,315010
摘    要:目的:探讨320排全脑动态容积CT血管造影及灌注成像在烟雾病中的应用价值。方法:18例烟雾病患者均行320排全脑动态容积CT扫描,并利用容积再现(VR)技术进行图像重组且采用电影模式观看,同时完成全脑灌注成像检查。结果:所有病例均获得良好的平扫容积图像、动态DSA图像及全脑灌注图像,均清晰显示发生狭窄、闭塞的颈内动脉及颅底异常血管网,其中双侧颈内动脉闭塞9例,单侧颈内动脉闭塞2例,单侧大脑中动脉闭塞7例,侧支血管表现为相应血管及其分支的粗大、增多及迂曲延长。全脑灌注图像中,显示平均通过时间(MTT)延长,为0.5~13.0s;局部脑血流量(rCBF)下降10例,降低幅度为26.0%~54.5%;局部脑血容量(rCBV)显示有8例在正常范围内,4例出现不同程度的降低(30.0%~68.5%)。结论:320排全脑动态容积CT成像可以动态观察颅内血管的形态及动态血流信息,全脑灌注图像可以量化评价烟雾病患者全脑灌注情况,真正实现了全脑一站式容积扫描,对于烟雾病的诊断和评价脑组织血供具有极高的临床应用价值。

关 键 词:脑底异常血管网病;体层摄影术  螺旋计算机;血管造影术
收稿时间:2011-04-13

Experience of 320-slice whole brain dynamic volume CT and perfusion imaging in patients with moyamoya disease
PAN Yu-ning,HUANG Qiu-li,YE Xian-wang,ZHANG Jie,LIAN Yan-dong,FU Fen-fen. Experience of 320-slice whole brain dynamic volume CT and perfusion imaging in patients with moyamoya disease[J]. Journal of China Clinic Medical Imaging, 2011, 22(12): 840-843
Authors:PAN Yu-ning  HUANG Qiu-li  YE Xian-wang  ZHANG Jie  LIAN Yan-dong  FU Fen-fen
Affiliation:PAN Yu-ning,HUANG Qiu-li,YE Xian-wang,ZHANG Jie,LIAN Yan-dong,FU Fen-fen(Department of Radiology,Ningbo First Hospital,Ningbo Zhengjiang 315010,China)
Abstract:Objective: To evaluate the value of 320-slice whole brain dynamic volume CT angiography and CT perfusion imaging in moyamoya disease.Methods: Eighteen cases with moyamoya disease were examined with 320-slice whole brain dynamic volume CT.Imaging data were generated with volume rendering reconstruction and display in cine mode,and complete CT perfusion imaging were performed simultaneously.Results: We succeeded in obtaining plain images of whole-brain,dynamic CTA and whole-brain perfusion images in 18 patien...
Keywords:Moyamoya disease  Tomography  spiral computed  Angiography  
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