三维动态增强mr 血管造影诊断肾动脉狭窄 与dsa 对比研究.pdfVIP

维普资讯 ·1918 · 中国医学影像技术 2005年第 21卷第 12期 ChinJMedImagingTechnol，2005，Vol21，No12 Three-dimensionalcontrastenhancedM R angiographyin diagnosis ofrenalarterystenosis：comparisonwithDSA XUY 一-，ng，W_ANGXiao—ying ，Z0UQiang，SUNXiao—wei，Z0UYing—hua，JJANGXue-xiang (DepartmentofRadiology，PekingUniversityFirstHospital，Beijing100034，China) -[Abstract~ 0bjective Toassessthevalueofthree-dimensionaldynamiccontrast-enhancedMRangiography(CEMRA)in thediagnosisofrenalarterystenosis．M ethods Twenty—eightconsecutivepatientssuspectedofrenalarterystenosisunder— D wentbothDSA andCEMRA．TworadiologistsevaluatedthemainrenalarteriesonCEMRA andDSA imagesinconsensus． Therenalarterieswererecordedasfivegrades：Grade1：normal；Grade2：stenosis~ 50 ；Grade3：stenosis50 一75 ； D Grade4：stenosis~ 75 ；Grade5：occlusion．ThedatawereanalyzedbySPSS 11．5software．Thesensitivity，specificity， positivepredictivevalueandnegativepredictivevaluesofCEMRA werecalculated．Receiveroperatingcharacteristic (ROC) C analysiswasperformedfordepictionofhemodynamicallysignificantstenosis( 50 )．CohenKappaanalysiswasusedto assessagreementbetweenthetwoimagingmodalitiesingradingofstenosisanddepictionofsignificantstenosls．Accessory renalarterieswerealsoevaluated．Results Thesensitivity，specificity，positivepredictivevalueandnegativepredictiveval— ueofCEMRA fordepictionofrenalarterystenoslswas95．0 ，94．4 ，90．4 ，and97．1 ，respectively．Theareaunder D theROC curvewas0．955．Kappawas0．924fordetectionofsignificantstenosisand0．899forgradingofsteno