Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Nagoya J Med Sci. 2023 Feb;85(1):127-133. doi: 10.18999/nagjms.85.1.127.
Digital subtraction angiography (DSA) is the most useful technique for diagnosing spinal arteriovenous malformations (AVM). In recent years, with the improvement of imaging capabilities, the usefulness of three-dimensional (3D) imaging by fusing various modalities has been recognized. The use of 3D fusion imaging with a workstation connected to an angiography system has been reported in many cases of intracranial disease, but less frequently for spinal AVM. In this article, we describe two illustrative cases of spinal AVM in which 3D fusion imaging was useful for treatment. Although 3D fusion images using the system have the disadvantage that only a maximum of two images can be fused, it provides spinal surgeons with useful information for preoperative evaluation in a small amount of time.
数字减影血管造影(DSA)是诊断脊髓动静脉畸形(AVM)最有用的技术。近年来,随着成像能力的提高,融合各种模式的三维(3D)成像的有用性已得到认可。在许多颅内疾病的情况下,已经报告了使用与血管造影系统连接的工作站进行 3D 融合成像的情况,但在脊髓 AVM 中则较少见。在本文中,我们描述了两个有用的脊髓 AVM 病例,其中 3D 融合成像对治疗有用。尽管该系统使用的 3D 融合图像的缺点是最多只能融合两个图像,但它为脊髓外科医生提供了在短时间内进行术前评估的有用信息。