| 赵东升,胡世颉,李 兵,姬西团,王彦刚,刘卫平,闫志强,胡学安,李 亮,费 舟.磁共振三维稳态进动快速成像序列诊断脑积水的临床价值[J].,2017,17(17):3263-3266 |
| 磁共振三维稳态进动快速成像序列诊断脑积水的临床价值 |
| Clinical Value of Magnetic Resonance Three-dimensional Steady-state Precession Fast Imaging Sequences in the Diagnosis of Hydrocephalus |
| 投稿时间：2016-12-08 修订日期：2016-12-29 |
| DOI：10.13241/j.cnki.pmb.2017.17.015 |
| 中文关键词: 脑积水 诊断 磁共振三维稳态进动快速成像序列 |
| 英文关键词: Hydrocephalus Diagnosis Magnetic resonance three-dimensional steady-state precession fast imaging |
| 基金项目:陕西省自然科学基金项目（SQ2013SF12E01437） |
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| 中文摘要: |
| 摘要 目的：分析磁共振三维稳态进动快速成像(3D-FIESTA)序列诊断脑积水的临床价值。方法：选择我院2015年3月~2016年3月收治的手术病理确诊的120例脑积水患者，术前均行磁共振常规序列及3D-FIESYA序列扫描，比较其检查结果。结果：磁共振常规序列提示有23例交通性脑积水，有73例梗阻性脑积水，其中有24例中脑导水管完全梗阻，有20例中脑导水管狭窄，有16例四脑室流出道梗阻，有13例桥前池囊肿阻塞双侧室间孔，有24例未检出。3D-FIESTA序列提示有34例交通性脑积水，有83例梗阻性脑积水，其中有34例中脑导水管完全梗阻，有19例中脑导水管狭窄，有18例四脑室流出道梗阻，有12例桥前池囊肿阻塞双侧室间孔，有3例未检出。3D-FIESTA序列对脑积水的检出率高于磁共振常规序列，差异有统计学意义(P<0.05)。结论：3D-FIESTA序列能够客观反映脑脊液循环通路的状态，利于脑积水类型的鉴别，为临床治疗提供更全面、确切的影像学参考。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the clinical value of magnetic resonance three-dimensional steady-state precession fast imaging(3D-FIESTA) sequences in the diagnosis of hydrocephalus. Methods: 120 cases of patients with hydrocephalus who admitted from March 2015 to March 2016 in our hospital and confirmed by surgical pathology were selected and underwent routine magnetic resonance imag- ing and 3D-FIESYA sequence scanning, the diagnostic results of hydrocephalus between two groups were compared. Results: MRI rou- tine sequences suggested that there were 23 cases of communicating hydrocephalus, 73 cases of obstructive hydrocephalus, including 24 cases of complete midbrain aqueduct obstruction, there were 20 cases of the midbrain aqueduct stenosis, 16 cases of fourth ventricular outflow tract obstruction, 13 cases of cyst block the hole between double muscle bridge before the pool, there were 24 cases who were not checked out. 3D-FIESTA sequence prompted 34 cases of communicating hydrocephalus, 83 cases of obstructive hydrocephalus, there were 34 cases of midbrain aqueduct obstruction, 19 cases of the midbrain aqueduct stenosis, 18 cases of the fourth ventricle outflow ob- struction, there were 12 cases of cyst block the hole between double muscle bridge before the pool, there are 3 cases who were not checked out. The detection rate of hydrocephalus in 3D-FIESTA sequence was higher than that of the conventional sequence(P<0.05). Conclusion: 3D-FIESTA sequence could objectively reflect the state of cerebrospinal fluid circulation path, which will help to identify the type of hydrocephalus and provide a more comprehensive and definite imaging reference for the clinical treatment. |
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