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16排多层螺旋CT血管造影术对外周动脉的成像:一种可行的工具?

Imaging of peripheral arteries by 16-row multidetector computed tomography angiography: a feasible tool?

作者信息

Mishra Anuj, Bhaktarahalli Jahnavi Narayanaswamy, Ehtuish Ehtuish F

机构信息

Department of Radiology, National Organ Transplant Program, Tripoli, Libyan Arab Jamahiriya, Libya.

出版信息

Eur J Radiol. 2007 Mar;61(3):528-33. doi: 10.1016/j.ejrad.2006.10.009. Epub 2006 Nov 22.

DOI:10.1016/j.ejrad.2006.10.009
PMID:17123762
Abstract

OBJECTIVE

To evaluate the efficacy of multidetector (16-row) computed tomography (MDCT) in imaging the upper and lower limb arterial tree in trauma and peripheral arterial occlusive disease (PAOD).

METHODS

Thirty-three patients underwent MDCT angiography (MDCTA) of the upper or the lower limb on 16-row MDCT scanner between November, 2004 and July, 2005. The findings were compared with the surgical outcome in cases with trauma and suspected arterial injuries or color Doppler correlation was obtained for patients of PAOD.

RESULTS

MDCTA allowed a comprehensive diagnostic work-up in all trauma cases with suspected arterial injuries. In the 23 cases of PAOD, MDCT adequately demonstrated the presence of stenosis or occlusion, its degree and extent, the presence of collaterals and plaques.

CONCLUSION

Our experience of CT angiography (CTA) with 16-row MDCT scanner has clearly demonstrated its efficacy as a promising, new, fast, accurate, safe and non-invasive imaging modality of choice in cases of trauma with suspected arterial injuries and as a useful screening modality in cases of PAOD for diagnosis and for grading.

摘要

目的

评估多排(16排)计算机断层扫描(MDCT)对创伤及周围动脉闭塞性疾病(PAOD)患者上下肢动脉系统成像的效果。

方法

2004年11月至2005年7月期间,33例患者在16排MDCT扫描仪上接受了上肢或下肢的MDCT血管造影(MDCTA)检查。将创伤及疑似动脉损伤病例的检查结果与手术结果进行比较,或对PAOD患者进行彩色多普勒相关性分析。

结果

MDCTA能够对所有疑似动脉损伤的创伤病例进行全面的诊断性检查。在23例PAOD病例中,MDCT充分显示了狭窄或闭塞的存在、程度和范围、侧支循环和斑块的存在情况。

结论

我们使用16排MDCT扫描仪进行CT血管造影(CTA)的经验清楚地表明,它作为一种有前景的、新型的、快速、准确、安全且无创的成像方式,在疑似动脉损伤的创伤病例中是首选,并且在PAOD病例的诊断和分级中作为一种有用的筛查方式。

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