Ducreux D, Trystram D, Oppenheim C, Godon-Hardy S, Missir O, Meder J F
Département d'Imagerie Morphologique et Fonctionnelle, Centre Hospitalier Sainte-Anne, 1, rue Cabanis, 75674 Paris Cedex 14, France.
Neurochirurgie. 2001 May;47(2-3 Pt 2):190-200.
The goals of the imaging work-up of cerebral arteriovenous malformations are not only the diagnosis of malformations but also their radioanatomic characterization in order to define an appropriate treatment plan for a given lesion, to evaluate and to compare results of treatment modalities, to look for parameters correlated with a high risk of bleeding and to identify indications of radiosurgery. In this review, the diagnostic value of imaging techniques is discussed: CT scan, MR imaging, vascular explorations. Radioanatomic parameters most useful for therapeutic discussion are defined: feeding arteries, associated aneurysms, size and topography of nidus, draining veins.
脑动静脉畸形影像学检查的目的不仅是诊断畸形,还包括对其进行放射解剖学特征描述,以便为特定病变确定合适的治疗方案、评估和比较治疗方式的效果、寻找与高出血风险相关的参数以及确定放射外科治疗的指征。在本综述中,将讨论成像技术的诊断价值:CT扫描、磁共振成像、血管探查。定义了对治疗讨论最有用的放射解剖学参数:供血动脉、相关动脉瘤、畸形灶的大小和位置、引流静脉。