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脑静脉畸形64层CT血管成像的表现
引用本文:王菁,刘斌,王万勤,吴兴旺,周勇.脑静脉畸形64层CT血管成像的表现[J].临床放射学杂志,2010,29(2).
作者姓名:王菁  刘斌  王万勤  吴兴旺  周勇
作者单位:安徽医科大学第一附属医院放射科,合肥,230022
摘    要:目的探讨64层CT血管成像在脑静脉畸形(cerebral venous malformation,CVM)诊断中的价值。资料与方法对30例经64层CT诊断的CVM患者的CT血管成像(CTA)资料及其中1例CVM患者的CT脑血管灌注(CTP)资料进行回顾性分析,总结其影像学特点。结果动脉期在最大密度投影(MIP)图像上38处CVM病灶可以显示,但30处显影较浅淡;静脉期MIP上38处CVM均清晰显示,可见细小扩张的髓静脉呈典型的水母头状汇入粗大的引流静脉。1例脑出血吸收期患者行CTP,发现在血肿区脑实质血流灌注明显减低,血肿旁脑实质血流灌注稍减低,而CVM引流区域血流灌注显著增高。结论64层CT具有各向同性的优势,脑血管成像可清晰显示CVM具有特征性的影像学表现,同时还可以清晰显示颅内外伴发的其他病变。

关 键 词:脑静脉畸形  脑血管造影术  灌注  体层摄影术  X线计算机  

Value of CTA with 64-slice CT in the Diagnosis of Cerebral Venous Malformation
WANG Jing,LIU Bin,WANG Wanqin,et al..Value of CTA with 64-slice CT in the Diagnosis of Cerebral Venous Malformation[J].Journal of Clinical Radiology,2010,29(2).
Authors:WANG Jing  LIU Bin  WANG Wanqin  
Institution:WANG Jing,LIU Bin,WANG Wanqin,et al.Department of Radiology,1st Affiliated Hospital of Anhui Medical University,Hefei,Anhui Province 230022,P.R.China
Abstract:Objective To assess the diagnostic value of CTA with 64 slice CT for cerebral venous malformation (CVM). Materials and Methods 30 results of CTA and one result of CTP of 30 CVM patients who were diagnosed by 64-slice CT were analyzed retrospectively,and the characteristics of the images were summed up. Results While on artery phase,in the maximum intensity projection (MIP) images,38 lesions can be seen,but the density of 30 lesions were low. While on venous phase,38 lesions can be seen clearly,numerous radi...
Keywords:Cerebral venous malformation Cerebral angiography Perfusion Tomography  X-ray computed  
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