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多层螺旋CT对动静脉脑血管系统的评估。单剂量团注单相扫描方案。

Assessment of the arteriovenous cerebrovascular system by multi-slice CT. A single-bolus, monophasic protocol.

作者信息

Klingebiel R, Zimmer C, Rogalla P, Kivelitz D, Bohner G, Götze R, Lehmann R

机构信息

Neuroradiology Section, Department of Radiology, Department of Radiology, Charité CM, Humboldt University, Berlin, Germany.

出版信息

Acta Radiol. 2001 Nov;42(6):560-2. doi: 10.1080/028418501127347377.

DOI:10.1080/028418501127347377
PMID:11736701
Abstract

PURPOSE

We present a protocol for the non-invasive angiographic assessment of the arterial and venous cerebrovascular (CV) system by multi-slice CT.

MATERIAL AND METHODS

Data acquisition was performed in a multi-slice CT scanner with a scan range from the carotid bifurcation to the vertex and manual scan start following i.v. administration of 120 ml iodinated contrast medium with a flow rate of 4 ml/s. This protocol was applied in 12 patients with symptoms of acute CV insuffiency.

RESULTS

In all patients, comprehensive imaging of the arteriovenous CV system was achieved including the common carotid bifurcation, the third segment of the major cerebral arteries, the dural sinus and the internal cerebral veins. Various CV pathologies, such as a territorial artery occlusion, a thrombotic obstruction of the internal carotid artery, an intracranial arteriovenous malformation and a sinus vein thrombosis, were successfully evaluated.

CONCLUSION

Comprehensive assessment of the arteriovenous CV system is possible by the use of a single-bolus, monophasic multi-slice scan technique.

摘要

目的

我们提出一种通过多层CT对动静脉脑血管(CV)系统进行无创血管造影评估的方案。

材料与方法

在多层CT扫描仪中进行数据采集,扫描范围从颈动脉分叉至头顶,在静脉注射120 ml碘造影剂且流速为4 ml/s后手动开始扫描。该方案应用于12例有急性CV功能不全症状的患者。

结果

在所有患者中,实现了动静脉CV系统的全面成像,包括颈总动脉分叉、大脑主要动脉的第三段、硬脑膜窦和大脑内静脉。成功评估了各种CV病变,如局部动脉闭塞、颈内动脉血栓性阻塞、颅内动静脉畸形和窦静脉血栓形成。

结论

使用单剂量、单相多层扫描技术可以对动静脉CV系统进行全面评估。

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