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CE-MRA在颈动脉狭窄中诊断价值的研究
引用本文:尹榕,叶建军,石向群,张志强,侯雪湄,张晓燕,杨金升.CE-MRA在颈动脉狭窄中诊断价值的研究[J].临床放射学杂志,2011,30(10).
作者姓名:尹榕  叶建军  石向群  张志强  侯雪湄  张晓燕  杨金升
作者单位:1. 730050,兰州军区兰州总医院神经内科
2. 730050,兰州军区兰州总医院MRI室
摘    要:目的探讨对比增强磁共振血管造影(CE-MRA)对颈动脉狭窄及狭窄程度的诊断价值。资料与方法对54例有临床缺血症状的患者行CE-MRA检查后1周内行DSA检查,将其颈动脉影像学结果进行比较。结果 CE-MRA对颈动脉狭窄的敏感性、特异性、假阴性、假阳性和诊断符合率分别为94.12%、91.89%、5.88%、8.11%和92.59%;对狭窄程度进行分级后再次进行准确性的比较,发现CE-MRA对颈动脉狭窄的敏感性、特异性、假阴性、假阳性和诊断符合率分别为91.67%、80.95%、8.33%、19.15%和83.33%;将正常血管剔除后进行狭窄程度准确性比较,其诊断符合率为55%。结论 CE-MRA可作为颈动脉狭窄的一种筛查手段,但仍无法准确评价颈动脉狭窄的程度。

关 键 词:磁共振血管造影术  颈动脉狭窄  诊断  

The Value of CE-MRA in the Diagnosis of Carotid Stenosis
YIN Rong,YE Jianjun,SHI Xiangqun,et al..The Value of CE-MRA in the Diagnosis of Carotid Stenosis[J].Journal of Clinical Radiology,2011,30(10).
Authors:YIN Rong  YE Jianjun  SHI Xiangqun  
Institution:YIN Rong,YE Jianjun,SHI Xiangqun,et al. Department of Neurology,Lanzhou General Hospital of Lanzhou Military Area,Lanzhou,Gansu Province 730050,P.R.China
Abstract:Objective To evaluate the diagnostic value of CE-MRA in the diagnosis of the carotid stenosis.Materials and Methods Fifty-four patients with clinical ischemic symptoms were examined by CE-MRA,then digital subtraction angiography(DSA) within one week later.The results of CE-MRA and DSA were compared.Results The sensitivity,specificity,false negative rate,false positive rate and diagnostic accuracy of CE-MRA in diagnosis of carotid stenosis were 94.12%,91.89%,5.88%,8.11% and 92.69% respectively;After classify...
Keywords:Magnetic resonance angiography Carotid stenosis Diagnosis  
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