Department of Neurosurgery, Wuhan General Hospital, Guangzhou Military Command, PLA, Wu Luo Lu 627#, 430070, Wuhan, China.
Neurosurg Rev. 2010 Apr;34(2):243-8. doi: 10.1007/s10143-010-0298-x. Epub 2010 Dec 4.
This study aims to explore the utility of angiographic computed tomography (CT) in the diagnosis and treatment of neurovascular pathologies in the vicinity of cranial base. Two cases of cranial base dural arteriovenous fistula, one internal carotid pseudoaneurysm and one PICA aneurysm were demonstrated utilizing the angiographic CT for obtaining significant image details on the relative location of the diseases against the neighboring bony structure. An angiography suite outfitted with conventional DSA and rotational volume cone-beam was used, angiographic CT images being concomitantly produced together with the routine angiographic modalities. By virtue of the angiographic CT images integrating the selective angiography and reconstructed cranial base tomography, we succeeded in getting significant information on the relative location of various vascular diseases to the skull base, greatly facilitating the diagnosis and treatment procedures.
本研究旨在探讨血管造影 CT 在颅底附近神经血管病变的诊断和治疗中的应用价值。本文通过血管造影 CT 获得了与邻近骨结构相对位置的疾病的显著图像细节，展示了两例颅底硬脑膜动静脉瘘、一例颈内动脉假性动脉瘤和一例 PICA 动脉瘤。该研究使用配备常规 DSA 和旋转容积锥形束的血管造影套件，同时生成血管造影 CT 图像和常规血管造影方式。通过血管造影 CT 图像整合选择性血管造影和重建颅底断层扫描，我们成功获得了各种血管疾病相对于颅底的相对位置的重要信息，极大地促进了诊断和治疗过程。
