高分辨率磁共振血管壁成像检查在基底动脉狭窄诊断中的效能

Efficiency of high-resolution magnetic resonance vascular wall imaging in diagnosis of basilar artery stenosis

尚松涛¹

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作者信息

1. 许昌北海医院放射科,河南许昌 461000
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摘要

目的:分析高分辨率磁共振血管壁成像(HRMR-VWI)检查在基底动脉狭窄诊断中的效能.方法:选取 2018 年 7 月至2020 年 12 月该院收治的 96 例疑似基底动脉狭窄患者进行前瞻性研究,均进行CT血管造影(CTA)、HRMR-VWI、数字减影血管造影(DSA)检查,以DSA检查结果为金标准,比较HRMR-VWI与CTA检查在基底动脉狭窄诊断中的效能.结果:96 例疑似基底动脉狭窄患者中,DSA检查诊断阳性 72 例,阴性 24 例;CTA检查诊断阳性 66 例,阴性 30 例;HRMR-VWI检查诊断阳性 76 例,阴性 20 例;HRMR-VWI检查在基底动脉狭窄诊断中的灵敏度、阴性预测值均高于CTA检查,差异有统计学意义(P<0.05).结论:HRMR-VWI检查在基底动脉狭窄诊断中的效能高于CTA检查.

Abstract

Objective:To analyze efficiency of high-resolution magnetic resonance vessel wall imaging(HRMR-VWI)in diagnosis of basilar artery stenosis.Methods:A prospective study was conducted on 96 patients with suspected basilar artery stenosis admitted to the hospital from July 2018 to December 2020.All patients underwent CT angiography(CTA),HRMR-VWI and digital subtraction angiography(DSA)examination.Using the DSA results as the gold standard,the efficiencies of HRMR-VWI and CTA in the diagnosis of basilar artery stenosis were compared.Results:Among the 96 patients with suspected basilar artery stenosis,72 cases were diagnosed as positive and 24 cases were negative by DSA.66 cases were diagnosed as positive and 30 cases were negative by CTA.76 cases were diagnosed as positive and 20 cases were negative by HRMR-VWI.The sensitivity and the negative predictive value of HRMR-VWI in the diagnosis of basilar artery stenosis were higher than those of CTA,and the differences were statistically significant(P<0.05).Conclusions:The efficiency of HRMR-VWI in the diagnosis of basilar artery stenosis is higher than that of CTA.

关键词

基底动脉狭窄/高分辨率磁共振血管壁成像/CT血管造影/诊断/效能

Key words

Basilar artery stenosis/High-resolution magnetic resonance vascular wall imaging/CT angiography/Diagnosis/Efficiency

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出版年

2024

中国民康医学

中国社会工作协会

中国民康医学

影响因子：0.649

ISSN：1672-0369

参考文献量11

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