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立体定向放射外科治疗脑动静脉畸形的随访中应用磁敏感加权血管成像。

Susceptibility-Weighted Angiography for the Follow-Up of Brain Arteriovenous Malformations Treated with Stereotactic Radiosurgery.

机构信息

AHEPA Hospital (S.F.), Aristotle University of Thessaloniki, Thessaloniki, Greece.

From the Department of Neuroradiology (R.A., B.G., S.P., L.L., S.B.), Centre Hospitalier Universitaire de Nancy, Nancy, France.

出版信息

AJNR Am J Neuroradiol. 2019 May;40(5):792-797. doi: 10.3174/ajnr.A6053. Epub 2019 Apr 25.

DOI:10.3174/ajnr.A6053
PMID:31023658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7053887/
Abstract

The criterion standard for assessing brain AVM obliteration postradiosurgery is DSA. To explore the value of susceptibility-weighted angiography, we followed 26 patients with brain AVMs treated by radiosurgery using susceptibility-weighted angiography and DSA. Studies were evaluated by 2 independent readers for residual nidi. Susceptibility-weighted angiography demonstrated good intermodality (κ = 0.71) and interobserver (κ = 0.64) agreement, and good sensitivity (85.7%) and specificity (85.7%). Susceptibility-weighted angiography is a useful radiation- and contrast material-free technique to follow-up brain AVM obliteration postradiosurgery.

摘要

评估脑动静脉畸形(AVM)放射手术后闭塞的标准是数字减影血管造影(DSA)。为了探讨磁敏感加权血管成像的价值,我们对 26 例接受放射外科治疗的脑 AVM 患者进行了磁敏感加权血管成像和 DSA 随访。由 2 名独立的读者评估残留病灶。磁敏感加权血管成像显示出良好的模态间(κ=0.71)和观察者间(κ=0.64)一致性,具有良好的敏感性(85.7%)和特异性(85.7%)。磁敏感加权血管成像作为一种无辐射和对比剂的技术,可用于随访放射手术后脑 AVM 的闭塞。

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