脑动脉瘤 DSA 影像质量控制的研究进展
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柳州市人民医院放射科

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柳州市科技计划项目(2020NBAC0801)


Research Progress in DSA Image Quality Control of Cerebral Aneurysms
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Department of Radiology, Liuzhou People’s Hospital, Liuzhou

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    摘要:

    数字减影血管造影(DSA)是当前脑血管疾病诊断及疗效评估的“金标准”,对出血性脑卒中和缺血性脑卒中具有诊断上的高敏感度、高特异度和高准确度的优点。特别是对颅内动脉瘤进行 DSA 造影,可以明确载瘤血管,并可以多角度观察动脉瘤体的起源、形态、位置、大小、瘤颈等情况,对颅内动脉瘤后期治疗方法的选择及术后评估起着非常重要的作用。介入影像是影像学诊断和治疗的依据,高质量的脑动脉瘤介入影像则是介入手术者在术中的重要指引,介入手术者需要依靠清晰的、实时的介入影像来诊断血管疾病,以确定下一步的检查与治疗方法。因此,介入影像质量的高低与介入手术成功与否息息相关。影响脑动脉瘤介入影像质量的因素较多,而对这些因素进行深入研究的相关文献并不多,需进一步研究。该文将重点分析脑动脉瘤介入影像质量的影响因素,总结提高脑动脉瘤介入影像质量的方法,目的是在合理的 X 射线辐射范围内提升介入影像的质量,提高介入手术的成功率。

    Abstract:

    Digital Subtraction angiography (DSA) is the gold standard for diagnosis and evaluation of cerebrovascular disease. It has the advantages of high sensitivity, specificity and accuracy in diagnosis of hemorrhagic stroke and ischemic stroke. In particular, DSA of the cerebral aneurysm can identify the vessel carrying the aneurysm and observe the origin, shape, position, size and neck of the aneurysm from multiple angles, cerebral aneurysm plays an important role in the selection of treatment methods and postoperative evaluation. Interventional imaging is the basis of imaging diagnosis and treatment, and high-quality interventional imaging of cerebral aneurysm is an important guide for interventional surgery, which depends on clear and real-time interventional imaging to diagnose vascular diseases, to determine the next step of examination and treatment. Therefore, the quality of interventional imaging is closely related to the success of interventional surgery. There are many factors that affect the quality of interventional imaging of cerebral aneurysm, but there are not many factors that need further study. This article will focus on the analysis of the factors affecting the quality of interventional imaging of cerebral aneurysms, and summarize the methods to improve the quality of interventional imaging of cerebral aneurysms, to improve the success rate of interventional surgery.

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黄超.脑动脉瘤 DSA 影像质量控制的研究进展[J].生物医学工程学进展,2023,(3):267-271

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  • 收稿日期:2022-11-22
  • 最后修改日期:2022-11-22
  • 录用日期:2022-11-23
  • 在线发布日期: 2023-10-07
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