Madani H, Farrant J, Chhaya N, Anwar I, Marmery H, Platts A, Holloway B
Department of Radiology, Royal Free Hospital, London, UK.
Br J Radiol. 2015 Mar;88(1047):20140406. doi: 10.1259/bjr.20140406. Epub 2014 Dec 19.
Peripheral vascular malformations encompass a wide spectrum of lesions that can present as an incidental finding or produce potentially life- or limb-threatening complications. They can have intra-articular and intraosseous extensions that will result in more diverse symptomology and present greater therapeutic challenges. Developments in classification, imaging and interventional techniques have helped to improve outcome. The onus is now placed on appropriate detailed preliminary imaging, diagnosis and classification to direct management and exclude other more common mimics. Radiologists are thus playing an increasingly important role in the multidisciplinary teams charged with the care of these patients. By fully understanding the imaging characteristics and image-guided procedures available, radiologists will be armed with the tools to meet these responsibilities. This review highlights the recent advances made in imaging and the options available in interventional therapy.
周围血管畸形包括多种病变,这些病变可能是偶然发现的,也可能引发潜在的危及生命或肢体的并发症。它们可有关节内和骨内扩展,这会导致更多样化的症状,并带来更大的治疗挑战。分类、成像和介入技术的发展有助于改善治疗结果。现在的重点是进行适当详细的初步成像、诊断和分类,以指导治疗并排除其他更常见的类似病症。因此,放射科医生在负责这些患者护理的多学科团队中发挥着越来越重要的作用。通过充分了解可用的成像特征和图像引导程序,放射科医生将具备履行这些职责的工具。本综述重点介绍了成像方面的最新进展以及介入治疗的可用选项。