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磁共振血管造影和脑室造影在急性缺血性卒中中的融合揭示了血栓前的血管解剖结构:超越障碍的技术说明。

Fusion of magnetic resonance angiography and cisternography in acute ischemic stroke reveals the vessel anatomy ahead of the clot: a technical note to see beyond obstacles.

机构信息

Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, A.O.U. Policlinico Universitario G. Martino, Via Consolare Valeria 1, 98100, Messina, Italy.

出版信息

Neuroradiology. 2022 Jul;64(7):1457-1460. doi: 10.1007/s00234-022-02963-4. Epub 2022 Apr 23.

DOI:10.1007/s00234-022-02963-4
PMID:35459956
Abstract

We describe how the fusion process between magnetic resonance angiography (MRA) and cisternography (MRC) promptly reveals vessel anatomy ahead of the clot, in patients affected by acute anterior circulation large vessel occlusion. This technique showed in 100% of subjects (n = 22) a clear tracing of vessel anatomy before and beyond the clot. The duration of the whole process is short and could be considered safe since no outcome differences have been found when compared with a control group (n = 23). This technique could play a relevant role in guiding endovascular therapy, especially in unexpected unfavorable anatomical arteries configurations.

摘要

我们描述了磁共振血管造影(MRA)和脑池造影(MRC)融合过程如何迅速揭示血栓前方的血管解剖结构,适用于急性前循环大血管闭塞的患者。该技术在 100%的患者(n=22)中均能在血栓前后清晰地追踪血管解剖结构。整个过程耗时短,且安全性较高,与对照组(n=23)相比,并未发现结局存在差异。该技术可能在指导血管内治疗方面发挥重要作用,尤其是在预期不理想的动脉解剖结构中。

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本文引用的文献

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A proposed method for outlining occluded intracranial artery using 3D T2-weighted sampling perfection with application optimized contrasts using different flip angle evolution (SPACE).一种使用三维T2加权采样完美与不同翻转角演化的应用优化对比(SPACE)来勾勒闭塞性颅内动脉的提议方法。
Acta Radiol Open. 2021 Mar 23;10(3):20584601211003233. doi: 10.1177/20584601211003233. eCollection 2021 Mar.
急性缺血性卒中的磁共振血管造影和脑池造影融合图像可能会在血管内介入手术过程中节省时间,从而清晰显示血管解剖结构。
Heliyon. 2022 Aug 17;8(8):e10288. doi: 10.1016/j.heliyon.2022.e10288. eCollection 2022 Aug.