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颅内血管壁成像在临床实践中的当前应用:一种近期可用的高分辨率磁共振技术。

Current uses of intracranial vessel wall imaging for clinical practice: a high-resolution MR technique recently available.

作者信息

Pacheco Felipe Torres, Cruz Junior Luiz Celso Hygino da, Padilha Igor Gomes, Nunes Renato Hoffmann, Maia Junior Antônio Carlos Martins, Campos Christiane Monteiro Siqueira, Amaral Lázaro Luís Faria do, Massaro Ayrton Roberto, Rocha Antônio José da

机构信息

Irmandade da Santa Casa de Misericórdia de São Paulo, Departamento de Radiologia, São Paulo SP, Brazil.

Diagnósticos da América S.A., Departamento de Imagens Médicas, Divisão de Neurorradiologia, São Paulo SP, Brazil.

出版信息

Arq Neuropsiquiatr. 2020 Oct;78(10):642-650. doi: 10.1590/0004-282X20200044.

Abstract

Intracranial vessel wall imaging plays an increasing role in diagnosing intracranial vascular diseases. With the growing demand and subsequent increased use of this technique in clinical practice, radiologists and neurologists should be aware of the choices in imaging parameters and how they affect image quality, clinical indications, methods of assessment, and limitations in the interpretation of these images. Due to the improvement of the MRI techniques, the possibility of accurate and direct evaluation of the abnormalities in the arterial vascular wall (vessel wall imaging) has evolved, adding substantial data to diagnosis when compared to the indirect evaluation based on conventional flow analyses. Herein, the authors proposed a comprehensive approach of this technique reinforcing appropriated clinical settings to better use intracranial vessel wall imaging.

摘要

颅内血管壁成像在颅内血管疾病的诊断中发挥着越来越重要的作用。随着临床实践中对该技术需求的不断增加以及使用频率的提高,放射科医生和神经科医生应了解成像参数的选择以及这些参数如何影响图像质量、临床适应症、评估方法和这些图像解读的局限性。由于磁共振成像(MRI)技术的进步,对动脉血管壁异常进行准确直接评估(血管壁成像)的可能性得到了发展,与基于传统血流分析的间接评估相比,为诊断增加了大量数据。在此,作者提出了一种该技术的综合方法,加强适当的临床应用场景,以更好地利用颅内血管壁成像。

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