Bonetti M, Cotticelli B S, Albertini F, Ambrosi C, Fontana A
Servizio di Neuroradiologia, Istituto Policlinico San Donato Milanese, Via Morandi 30-San Donato Milanese, MI.
Pediatr Med Chir. 2003 Jan-Feb;25(1):26-34.
This study evaluates the role of cerebral MR Angiography (MRA), as a part of the flowchart for the assessment of the brain in childhood. This noninvasive technique provides intra- and extra-cranial anatomic and physiologic vascular information, with a level of precision almost equal to that of arterial angiography. Indeed, MRA has reached a level of diagnostic accuracy such that the need for arterial angiography can be avoided, in most cases of cerebrovascular disorder. Therefore arterial angiography could be performed at the subacute (and more neurologically stable) stage, or presurgically, yielding additional morphologic and hemodynamic insights into cerebrovascular disease. MRA is also indicated at follow-up examination, and in treatment planning.
本研究评估了脑磁共振血管造影（MRA）在儿童脑部评估流程中的作用。这种非侵入性技术可提供颅内和颅外的解剖及生理血管信息，其精确程度几乎与动脉血管造影相当。事实上，MRA已达到一定的诊断准确性，在大多数脑血管疾病病例中可避免进行动脉血管造影。因此，动脉血管造影可在亚急性期（且神经状态更稳定）或术前进行，以提供有关脑血管疾病的更多形态学和血流动力学见解。MRA在随访检查和治疗规划中也有应用指征。
