磁共振三维导航血管成像技术在诊断脑动脉瘤中的应用-放射学实践.PDF

2 8 放射学实践 1999, 14( 4)B218-221 戴敏红 丘清亮 = : 本文利用最新的磁共振三维导航血管成像技术( MR 3D Navigator Vascular Imaging) 诊断和观察 动脉 瘤, 重点在于显示动脉瘤的颈部和开口, 为动脉瘤的治疗提供依据: 经手术及血管造影证实 动脉瘤35 例共40 个, 所有病例都进行 组织磁共振成像和磁共振血管成像, 将血管成像扫描包括3D TOF 或3D TOF 伴有ZIP 技术的原始 图像在工作站进行三维导航的成像处理, 包括外视镜式血管表面重建(Exoscopic surface rendering) 和仿真内窥镜式血管表 面重建(Virtual intravascular endoscopy, VIE) , 并与其它血管后处理技术进行比较: MR 3D Navigator 对动脉瘤颈的显 示率为90% , 对 小动脉瘤的检出率为94% , 显示动脉瘤的形态,确切部位以及与临近血管的关系明显好于常规技术和 原始图像, VIE 可显示血管和动脉瘤的腔内结构如血栓和动脉瘤的开口等, 并且图像逼真, 直观和能进行飞航观察 :MR 3D Navigator 在诊断和观察动脉瘤的颈部和开口, 形态大小和确切部位及与邻近血管的关系明显优于常规后处理 技术, 并对动脉瘤手术或介入治疗方案的制订提供了依据, 并可作为动脉瘤治疗后随访的有用工具 = 磁共振血管成像 磁共振三维导航血管成像 外视镜式血管表面重建 仿真内窥镜式血管表面重建 动脉瘤 Usefulness of MR 3D navigator vascular imaging in the diagnosis of intracranial aneurysms Dai Minhong, Lee C. Chiu.MRI Divi- sion of Providence Saint Joseph Medical Center, 501 South Buena Vista Street, Burban , CA 91505-4866 U. S.A. = Abstract Objective:To assess MR 3D Navigator Vascular Imaging for the detection and characterization of the intracranial a- neurysms with focus on its nec and opening for planing the treatment of aneurysms.Methods:A total of 35 patients with 40 aneurysms surgically or DSA proven were studied. MR 3D Navigator Vascular Imaging were performed using source images from 3DTOF or 3DTOF with ZIP (Zerofill Interpolation Processing) . MR 3D Navigator included exoscopic surface rendering and Virtual intravascular endoscopy ( VIE) . Results:MR 3D Navigator provided better visualization of the nec of the aneurysm (90%) , its location, morphology and adjunct vessels, and better detection of small aneurysms (94%) than original source images and other postprocessing techniques. VIE clearly showed the inner surface of the vessels and aneurysms including the orifice and thrombo