非对比磁共振成像用于术前穿支血管定位。

Noncontrast magnetic resonance imaging for preoperative perforator mapping.

机构信息

Plastic Surgery Department, Hospital de la Santa Creu i Sant Pau (Universidad Autónoma de Barcelona), Sant Antoni Maria Claret 167, Barcelona, Spain.

出版信息

Clin Plast Surg. 2011 Apr;38(2):253-61. doi: 10.1016/j.cps.2011.03.004.

DOI:10.1016/j.cps.2011.03.004

PMID:21620150

Abstract

Identifying the position, course, and caliber of the dominant perforator is extremely valuable in the preoperative study for perforator surgery. Besides reliability, the ideal technique should offer low cost and high availability and reproducibility. It should be fast, easy to interpret, and free of morbidity. Multidetector-row computed tomography (MDTC) and magnetic resonance imaging (MRI) provide images that are easy to interpret, and assess the perforator's caliber and localization and its intramuscular course and anatomic relationships. Noncontrast MRI avoids radiation to the patient and eliminates the need for intravenous contrast medium. This article discusses this method and presents our experience.

摘要

在穿支皮瓣手术的术前研究中，识别优势穿支的位置、走行和口径具有非常重要的价值。除了可靠性外，理想的技术还应具有低成本、高可用性和可重复性。它应该快速、易于解释，并且不会产生发病率。多层螺旋计算机断层扫描（MDTC）和磁共振成像（MRI）提供易于解释的图像，并评估穿支的口径和定位及其肌内走行和解剖关系。非增强磁共振成像避免了患者的辐射，并消除了对静脉造影剂的需求。本文讨论了这种方法，并介绍了我们的经验。