| 陈绵荣 周美娟 林晓汕 纪昌焕 陈志远 吴辉 丁振华.157 例颅内动脉瘤患者CT 血管成像与DSA临床分析[J].,2014,14(30):5888-5892 |
| 157 例颅内动脉瘤患者CT 血管成像与DSA临床分析 |
| Comparison of CT Angiography and DSA for IntracranialAneurysms in 157 Patients |
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| DOI： |
| 中文关键词: 颅内动脉瘤 螺旋CT 血管造影 三维数字减影 |
| 英文关键词: Intracranial aneurysm Spiral CT Angiography Digital subtraction |
| 基金项目:广州市重大科技专项计划项目(2010U1-E00591-1) |
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| 中文摘要: |
| 目的：探讨CT 血管成像（CTA）在临床诊断颅内动脉瘤的价值。方法：回顾性分析本院157 例经影像学检查或手术后确诊为
颅内动脉瘤的患者，所有病例均依次行头颅CTA及DSA 检查，由A、B 两组医生（各三名），对CTA及DSA 检查的结果进行独立
的双盲判读确定，评估CTA和DSA 对颅内动脉瘤诊断的敏感性，特异性；在CTA 及DSA 图像上分别测得瘤体最长径，比较两种
检查在瘤体最长径测量上的结果差异；对颅内微动脉瘤(瘤体直径D<3 mm)检出的敏感性比较。结果：① 头颅CTA 检出148 例
（94 %），假阴性9 例，DSA检出151 例（96 %），假阴性6 例，两者特异性比较，无显著差异(P>0.05)。②在CTA 图像上测得瘤体最
长径均数D=5.495 mm，在DSA 图像上测得瘤体最长径均数D=5.503 mm，两种测量的测量值之间比较，无显著差异（P>0.05）。③
在微动脉瘤敏感性上，157 例患者共有37 个微动脉瘤，CTA检出35 个, DSA 检出33 个，两种检查方法比较，无显著差异(P>0.05)。
结论：头颅CTA和DSA 在颅内动脉瘤的诊断上具有相同的敏感性和特异性，可作为颅内动脉瘤的首选筛查。 |
| 英文摘要: |
| Objective:To explore the diagnostic value of CT angiography (CTA) on intracranial aneurysms.Methods:157 cases
who were diagnosed with intracranial aneurysms by imaging examination or operation were retrospectively reviewed. All cases were
examed by head CTA and DSA. CTA and DSA double blind diagnosis were performed by two groups of radiological vice professor
（n=3）. In this study，the diagnostic sensitivity and specificity of intracranial aneurysms between CTA and DSA were evaluated; The
differences of tumor longest diameter and detection rate of microaneurysm(tumor diameter D< 3 mm) were compared according to CTA
and DSA images.Results:①148 of 157 cases were positive (94%) examined by skull CTA and 9 cases were false negative, 151 of 157
cases were positive (96%) examined by DSA and 6 cases were false negative, the difference in their specificity was not significant (P>
0.05). ②The longest mean diameter of the tumor measured on CTA image was 5.495 mm and that of on the DSA images was 5.503 mm,
the difference between two methods was not significant (P>0.05). ③ 37 of 157 cases were diagnosed as microaneurysm, 35 cases were
positive examined by CTA and 33 cases were positive examined by DSA, the difference between both detection rates of microaneurysm
was not significant (P>0.05).Conclusion:CTA should be the preferred method in intracranial aneurysms diagnosis since CTA as well as
DSA have the same specificity and sensitivity. |
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