下肢深静脉血栓形成MRA和CTA的临床价值——与DSA比较详解.PDF

维普资讯 ·370 · 中国医学影像技术 2008年第 24卷第 3期 ChinJMedImagingTeehnol，2008，Vol24，No3 ·．．心血管影像学 Evaluation oftheclinicalvalues0fM RA andM SCTA in detection ofdeep vein thrombosisin thelow legs-- comparisonofDSA WANG Shu—zhi，GUJJan—ping ，FENGMin，W 己，Gang。 L己，Ling-quan。yIN Xin—dao。WU Qiang-zhi DepartmentofRadiology，A{{tliatedNanjingNo．1Hospital，NanjingMedicalUniversity， Nanjing210006，China) [Abstt~act] Objective Toassesstheclinicalvaluesofmagneticresonanceangiograph(MRA)andmulti—sliceCTangiogra— phy (MSCTA)indetectionofdeepveinthrombosisinthelow legs．Methods Fortypatientsofdeepveinthrombosisinthe low legswereconfirmedbyclinic．Twenty-fourpatientswereperformedwithtwo-dimensionaltimeofflightmagneticreso— nanceangiograph (2D TOF MRA)．Magneticresonancedirectthrombusimaging (MRDTI)wasexaminedwithspineecho sequenceT1一weightimage (SE TIWI)，fastspineechosequenceT2一weighyed image (FSE T2WI)and Fourieracquired steadystatesequence(FAST)．Sixteenpatientswereperformedwith16一sliceheicalCT angiography (MSCTA)．Thefind— ingsofMRA andMSCTA werecomparedwiththatofdigitalsubtractionangiography (DSA)．Results TheMRA findings ofdetectionofdeepveinthrombosisinthelow legsincludedvenousfillingdefect(14cases)，occlusionsandinterruptionsof veins(7cases)，venousrecandizations(3cases)，collateralveins(24cases)．WhentheresultsofDSA wereregardasgolden standard，theaccuracyofMRA was95．65 ．Acutethrombi(18cases)wereintermediateorhighsignalintensitywithhet— erogeneousinterna1structureinT1WI。T2WIandFAFT andchronicthrombi(6cases)were1ow orintermediatesignaljn— tensityinTIW I，T2W IandFAST．TheMSCTA findingsofdetectionofdeepveinthro