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[胸主动脉病理性扩张:一项磁共振成像研究]

[Pathologic dilatation of the thoracic aorta: a study using magnetic resonance].

作者信息

Di Cesare E, Di Renzi P, Pavone P, Simonetti C, Paparoni S, Splendiani A, Passariello R

机构信息

Cattedra di Radiologia, Università degli Studi, L'Aquila.

出版信息

Cardiologia. 1990 Jan;35(1):73-8.

PMID:2376056
Abstract

Magnetic resonance (MR) imaging provides detailed evaluation of cardiovascular structures, due to high intrinsic contrast between flowing blood and vessel's lumen. Early application have shown the clinical validity of the technique, with non-invasive, multiplanar imaging of large and medium sized vessels. In this study we evaluate the capabilities of MR in screening out patients with thoracic aorta enlargement. Examination has been performed in 16 patients, employing a 0.5 T superconductive unit, and acquiring images on axial, sagittal and coronal planes with 7 mm slice thickness. In 15 cases it was possible to detect the pathology and to characterize it according to type, location and extension. In 1 case it was no possible to make an accurate diagnosis for the presence of movement artefacts, due to poor patient's cooperation. In dissecting aneurysms the true and false lumen may be differentiated, with a good visualization of the intimal flap. The relation between the origin of the aortic branches and the aneurysm may also be ascertained.

摘要

磁共振(MR)成像能够对心血管结构进行详细评估,这是因为流动血液与血管腔之间具有较高的固有对比度。早期应用已证明该技术的临床有效性,可对大中型血管进行无创、多平面成像。在本研究中,我们评估了MR筛查胸主动脉扩张患者的能力。使用0.5T超导设备对16例患者进行了检查,并在轴向、矢状面和冠状面上采集了层厚7mm的图像。15例能够检测到病变,并根据类型、位置和范围对其进行特征描述。1例由于患者配合不佳,出现运动伪影,无法做出准确诊断。在夹层动脉瘤中,可区分真假腔,内膜瓣显示良好。还可确定主动脉分支起源与动脉瘤之间的关系。

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