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头颈部3D-CTA与3D-DSA诊断颅外颈动脉狭窄的对比研究
引用本文:成晓江,卡合尔曼·卡德尔,买买提力·艾沙,麦麦提力·米吉提,周庆九,栾新平. 头颈部3D-CTA与3D-DSA诊断颅外颈动脉狭窄的对比研究[J]. 现代诊断与治疗, 2013, 24(5): 961-962
作者姓名:成晓江  卡合尔曼·卡德尔  买买提力·艾沙  麦麦提力·米吉提  周庆九  栾新平
作者单位:1. 新疆医科大学第一附属医院神经外科,新疆乌鲁木齐,830054
2. 新疆医科大学第二附属医院神经外科,新疆乌鲁木齐,830063
摘    要:目的通过颈动脉狭窄诊断金标准的数字减影血管成像(DSA)与CT血管造影(CTA)的比较研究,探讨CTA在颈动脉狭窄诊断中的可行性及技术优势。方法回顾分析94例做过CTA且在2w内做过DSA的患者的影像学资料分析,比较两种诊断方法的一致性。结果 CTA的灵敏度为97.1%,特异度为97.0%,正确指数(Youden's index)为94.1%;且两种诊断方法的一致性Kappa值为0.922。结论 3D-CTA具有检查时间短、费用低,同时较高的空间分辨率,可以得到更广泛的应用。

关 键 词:3D-CTA  3D-DSA  颅外颈动脉狭窄  比较

Comparative Study between 3D-CTA and 3D-DSA for Diagnosing Extracranial Carotid Artery Stenosis
CHENG Xiao-jiang , KAHEERMAN Kadeer , MAIMAITILI Ai-sha , MAIMAITILI Mi-jiti , ZHOU Qing-jiu , LUAN Xin-ping. Comparative Study between 3D-CTA and 3D-DSA for Diagnosing Extracranial Carotid Artery Stenosis[J]. Modern Diagnosis & Treatment, 2013, 24(5): 961-962
Authors:CHENG Xiao-jiang    KAHEERMAN Kadeer    MAIMAITILI Ai-sha    MAIMAITILI Mi-jiti    ZHOU Qing-jiu    LUAN Xin-ping
Affiliation:1.Department of Neurosurgery,First Affiliated Hospital of XinJiang Medical University,Urumqi,China;2.Department of Neurosurgery,Second Affiliated Hospital of XinJiang Medical University,Urumqi 830063,China)
Abstract:Objective To explore the feasibility and technical advantages of CTA in the diagnosis of carotid artery stenosis according comparativing study between digital subtraction angiography and CT angiography,and the DSA is considered the gold standard for diagnosing.Method Imaging data from 94 patients had done CTA and DSA within 2 weeks were retrospective analyzed.We compared the consistency for two methods.Result The sensitivity of CTA is 97.1%,and the specificity is 97.0%,and the Youden's index is 94.1%,the consistency(Kappa) is 0.922.Conclusion 3D-CTA is provided with checking in short time,low case and better resolution ratio in space.The method should be more widely used.
Keywords:3D-CTA  3D-DSA  Stenosis  Compare
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