[1]王宽,孟凯龙,田志勇. 高分辨核磁检查在颅内动脉血管疾病的应用及临床意义[J].中国医学物理学杂志,2019,36(10):1207-1210.[doi:DOI:10.3969/j.issn.1005-202X.2019.10.018]
　WANG Kuan,MENG Kailong,TIAN Zhiyong. Application and clinical significance of high-resolution magnetic resonance imaging in diagnosis of intracranial arterial diseases[J].Chinese Journal of Medical Physics,2019,36(10):1207-1210.[doi:DOI:10.3969/j.issn.1005-202X.2019.10.018]
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 高分辨核磁检查在颅内动脉血管疾病的应用及临床意义()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
36卷
期数:
2019年第10期
页码:
1207-1210
栏目:
医学影像物理
出版日期:
2019-10-29

文章信息/Info

Title:
 Application and clinical significance of high-resolution magnetic resonance imaging in diagnosis of intracranial arterial diseases
文章编号:
1005-202X（2019）10-1207-04
作者:
 王宽; 孟凯龙; 田志勇
 邯郸市第一医院CT核磁科， 河北 邯郸 056001
Author(s):
 WANG Kuan;  MENG Kailong;  TIAN Zhiyong
 Department of CT-MRI, Handan First Hospital, Handan 056001, China
关键词:
 ; 颅内动脉血管疾病; 狭窄程度; 高分辨核磁检查; 数字减影血管造影; 管壁; 管腔
Keywords:
 ; intracranial arterial disease;  degree of stenosis;  high-resolution magnetic resonance imaging;  digital subtraction angiography;  vessel wall;  vessel lumen
分类号:
R816.1
DOI:
DOI:10.3969/j.issn.1005-202X.2019.10.018
文献标志码:
A
摘要:
 目的：探讨高分辨核磁检查（HRMRI）在颅内动脉血管疾病诊断中的应用价值。方法：选择邯郸市第一医院2017年1月~2018年12月收治的62例颅内动脉血管疾病患者，所有患者均行HRMRI和数字减影血管造影（DSA）检查。以DSA为金标准计算HRMRI诊断颅内动脉血管疾病类型的符合率，并采用Kappa检验二者的一致性；以DSA为金标准计算HRMRI诊断颅内动脉狭窄程度的符合率，并采用Kappa检验二者的一致性。结果：62例患者中DSA诊断出44例动脉粥样硬化、11例血管炎、7例动脉夹层；HRMRI诊断出43例动脉粥样硬化、13例血管炎、6例脉夹层，符合率90.32%（56/62），一致性较高（Kappa值=0.864）。DSA检查结果显示轻度狭窄9例、中度狭窄26例、重度狭窄27例；HRMRI显示轻度狭窄7例、中度狭窄24例、重度狭窄31例，符合率83.87%%（52/62），一致性较高（Kappa值=0.812）。结论：HRMRI可清晰显示管壁与管腔，对颅内动脉血管疾病类型的鉴别与狭窄程度的评估均与DSA具有较高的一致性，可在颅内动脉血管疾病的临床诊断中推广。
Abstract:
 Objective To explore the application value of high-resolution magnetic resonance imaging (HRMRI) in the diagnosis of intracranial arterial diseases. Methods A total of 62 patients with intracranial arterial diseases who were admitted to Handan First Hospital between January 2017 and December 2018 were enrolled. All patients were examined with HRMRI and digital subtraction angiography (DSA). DSA was taken as the gold standard when calculating the coincidence rate of HRMRI diagnosis on the types of intracranial arterial diseases, and the consistency between the diagnostic results of HRMRI and DSA was tested by Kappa. With DSA as the gold standard, the coincidence rate of HRMRI diagnosis on intracranial artery stenosis was also calculated, and the consistency between the diagnostic results of HRMRI and DSA was tested by Kappa. Results In 62 cases, 44 cases of atherosclerosis, 11 cases of vasculitis and 7 cases of arterial dissection were diagnosed by DSA; while 43 cases of atherosclerosis, 13 cases of vasculitis and 6 cases of arterial dissection were diagnosed by HRMRI, and the coincidence rate between the diagnostic results of two methods was 90.32% (56/62), with a Kappa value of 0.864. Moreover, DSA examination showed that there were 9 cases of mild stenosis, 26 cases of moderate stenosis and 27 cases of severe stenosis, while HRMRI examination showed that there were 7 cases of mild stenosis, 24 cases of moderate stenosis and 31 cases of severe stenosis. The two methods had a high coincidence rate (Kappa value=0.812) which was 83.87% (52/62). Conclusion HRMRI can clearly show the wall and lumen of vessels, and there is high consistency between HRMRI and DSA in the identification and classification of intracranial arterial disease types and degree of stenosis. Therefore, HRMRI can be promoted in the clinical diagnosis of intracranial arterial diseases.

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备注/Memo

备注/Memo:
 【收稿日期】2019-03-24
【作者简介】王宽，主治医师，E-mail: 278884585@qq.com
【通信作者】孟凯龙，主任医师，E-mail: hdsdyyymkl@sina.com
更新日期/Last Update: 2019-10-30