Tsuchiya Kazuhiro, Yoshida Maiko, Imai Masamichi, Nitatori Toshiaki, Kimura Tokunori, Ikedo Masato, Takemoto Shuhei
Department of Radiology, Kyorin University Faculty of Medicine, Tokyo, Japan.
J Comput Assist Tomogr. 2010 Mar-Apr;34(2):242-6. doi: 10.1097/RCT.0b013e3181b8aff4.
We assessed the value of a new magnetic resonance angiography (MRA) technique named hybrid of opposite-contrast (HOP) MRA in the diagnosis of moyamoya disease.
Using a dual-echo sequence, we obtained the first echo for time-of-flight (TOF) MRA followed by the second echo for black blood MRA. We then subtracted the black blood MRA data set from that of the TOF MRA followed by maximum-intensity projection. In 14 patients, we performed HOP MRA and compared the findings with those on 3-dimensional TOF MRA and MR images. The HOP MRA was also compared with a radionuclide perfusion study (7 patients).
The HOP MRA technique improved the demonstration of distal arteries in 13 patients. The findings in HOP MRA correlated with MR images in 9 patients as well as with the perfusion study in 6 patients.
The HOP MRA technique demonstrated the distal arterial branches in moyamoya disease well and facilitated the perfusion assessment with MR imaging.
我们评估了一种名为对侧对比混合(HOP)磁共振血管造影(MRA)的新技术在烟雾病诊断中的价值。
使用双回波序列,我们先获取用于时间飞跃(TOF)MRA的第一个回波,接着获取用于黑血MRA的第二个回波。然后我们从TOF MRA的数据集中减去黑血MRA数据集,随后进行最大强度投影。在14例患者中,我们进行了HOP MRA,并将结果与三维TOF MRA和磁共振图像的结果进行比较。HOP MRA还与放射性核素灌注研究进行了比较(7例患者)。
HOP MRA技术改善了13例患者远端动脉的显示。HOP MRA的结果在9例患者中与磁共振图像相关,在6例患者中与灌注研究相关。
HOP MRA技术能很好地显示烟雾病的远端动脉分支,并有助于通过磁共振成像进行灌注评估。