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优化颅内破裂动脉瘤的临床决策:计算机断层血管造影的当前应用及未来方向

Optimizing clinical decision-making for ruptured intracranial aneurysms: Current applications and future directions of computed tomography angiography.

作者信息

Le Xing-Yan, Zhang Jin-Rui, Feng Jun-Bang, Li Chuan-Ming

机构信息

Department of Medical Imaging, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400014, China.

出版信息

World J Radiol. 2024 Nov 28;16(11):700-702. doi: 10.4329/wjr.v16.i11.700.

DOI:10.4329/wjr.v16.i11.700
PMID:39635308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11612803/
Abstract

Ruptured intracranial aneurysms (RIAs) are a leading cause of subarachnoid haemorrhage (SAH) and are associated with a poor prognosis and high mortality rate. Computed tomography angiography (CTA) is the preferred imaging modality for the diagnosis of RIAs, as it is considered to be a fast, economical, and less invasive method. In this letter, regarding an original study presented by Elmokadem , we present our insights and discuss how CTA can better assist in clinical decision-making for patients with RIAs complicated by SAH.

摘要

颅内动脉瘤破裂(RIAs)是蛛网膜下腔出血(SAH)的主要原因,且预后较差,死亡率高。计算机断层扫描血管造影(CTA)是诊断RIAs的首选影像学检查方法,因为它被认为是一种快速、经济且侵入性较小的方法。在这封信中,针对Elmokadem发表的一项原创研究,我们阐述了我们的见解,并讨论了CTA如何更好地辅助患有SAH合并RIAs的患者进行临床决策。

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本文引用的文献

1
Knowledge-Augmented Deep Learning for Segmenting and Detecting Cerebral Aneurysms With CT Angiography: A Multicenter Study.知识增强的深度学习在 CT 血管造影中分割和检测脑动脉瘤:一项多中心研究。
Radiology. 2024 Aug;312(2):e233197. doi: 10.1148/radiol.233197.
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Diagnosis of Unruptured Intracranial Aneurysms Using Proton-Density Magnetic Resonance Angiography: A Comparison With High-Resolution Time-of-Flight Magnetic Resonance Angiography.质子密度磁共振血管造影诊断未破裂颅内动脉瘤:与高分辨率时间飞跃磁共振血管造影的比较。
Korean J Radiol. 2024 Jun;25(6):575-588. doi: 10.3348/kjr.2023.1241.
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Interobserver reliability of computed tomography angiography in the assessment of ruptured intracranial aneurysm and impact on patient management.计算机断层血管造影术在评估破裂颅内动脉瘤中的观察者间可靠性及其对患者管理的影响。
World J Radiol. 2023 Jun 28;15(6):201-215. doi: 10.4329/wjr.v15.i6.201.
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Spontaneous subarachnoid haemorrhage.自发性蛛网膜下腔出血。
Lancet. 2022 Sep 10;400(10355):846-862. doi: 10.1016/S0140-6736(22)00938-2. Epub 2022 Aug 16.
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Radiology. 2021 Jan;298(1):155-163. doi: 10.1148/radiol.2020192154. Epub 2020 Nov 3.
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Radiology. 2017 Dec;285(3):941-952. doi: 10.1148/radiol.2017162290. Epub 2017 Jun 26.
7
Comparison Between CTA and Digital Subtraction Angiography in the Diagnosis of Ruptured Aneurysms.CTA与数字减影血管造影在破裂动脉瘤诊断中的比较
Neurosurgery. 2017 May 1;80(5):769-777. doi: 10.1093/neuros/nyw113.
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Cost-effectiveness of computed tomographic angiography in screening for aneurysm in spontaneous subarachnoid hemorrhage.计算机断层血管造影术在自发性蛛网膜下腔出血动脉瘤筛查中的成本效益
Neurosurgery. 2014 Aug;61 Suppl 1:137-44. doi: 10.1227/NEU.0000000000000373.