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超高场 TOF-MRA:一种可视化小脑血管的方法。不同 MRI 扫描仪上的 7T TOF-MRA 序列参数——文献综述。

Ultra high field TOF-MRA: A method to visualize small cerebral vessels. 7T TOF-MRA sequence parameters on different MRI scanners - Literature review.

机构信息

Neurosurgery and Pediatric Neurosurgery Department in Lublin, Medical University of Lublin, Poland.

Department of Anatomy in Lublin ul. Jaczewskiego 4 (Collegium Anatomicum), Lublin 20-090, Poland.

出版信息

Neurol Neurochir Pol. 2017 Sep-Oct;51(5):411-418. doi: 10.1016/j.pjnns.2017.06.011. Epub 2017 Jul 8.

Abstract

INTRODUCTION

Time-of-flight (TOF) angiography is a technique allowing to visualize the blood flow in vessels. 7T ToF-MRA is able to visualize the whole Circle of Willis including small perforating branches without any known side effects as opposed to usually used DSA and CTA with high exposition to the radiation and high doses of contrast as far as CTA is concerned.

AIM

The aim of this review is to describe ultra-high field ToF-MRA and present different protocol data depending on the scanner used in the study.

MATERIALS AND METHODS

PubMed, Embase, Ovid, Google Scholar databases were searched. Selection of studies for this systematic review included 7T magnetic resonance angiography studies. We searched for type of head coil used in various studies, flip angle, echo time, repetition time, field-of-view (FOV), number of slices per slab, matrix, voxel size and acquisition time.

DISCUSSION

Visualization for the small perforating vessels of the Circle of Willis, that are not fully visualized using low-field-strength MRA is improving with increasing magnetic field strength, which has been proved by several studies.

CONCLUSION

Ultra-high filed ToF-MRA has found to be a superior method in depicting cerebral microvasculature. 7T ToF-MRA seems to be a reliable method for visualization of arteries up to the second order cerebral arteries and has a potential to replace DSA.

摘要

简介

时间飞跃(TOF)血管造影术是一种可用于可视化血管内血流的技术。7T TOF-MRA 能够可视化整个 Willis 环,包括小穿支,没有任何已知的副作用,而通常使用的 DSA 和 CTA 则存在高辐射暴露和高剂量造影剂的风险,尤其是 CTA。

目的

本综述旨在描述超高场 TOF-MRA,并根据研究中使用的扫描仪介绍不同的协议数据。

材料和方法

检索了 PubMed、Embase、Ovid、Google Scholar 数据库。本系统综述纳入了 7T 磁共振血管造影研究。我们搜索了各种研究中使用的头部线圈类型、翻转角、回波时间、重复时间、视野(FOV)、每块切片数、矩阵、体素大小和采集时间。

讨论

使用低场强 MRA 无法完全可视化 Willis 环的小穿支血管,随着磁场强度的增加,其可视化程度得到改善,这已被多项研究证实。

结论

超高场 TOF-MRA 已被证明是描绘脑微循环的优越方法。7T TOF-MRA 似乎是一种可靠的方法,可用于可视化至二级脑动脉的动脉,并有潜力替代 DSA。

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