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颅内动脉瘤的医学成像研究进展:诊断、治疗及临床整合方面的技术进步

Research progress in medical imaging for intracranial aneurysms: technological advances in diagnosis, management, and clinical integration.

作者信息

Zhou Yuwei, Weng Wei

机构信息

Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.

Department of Radiology, Wenzhou People's Hospital, Wenzhou, Zhejiang, China.

出版信息

Front Neurol. 2025 Aug 28;16:1657536. doi: 10.3389/fneur.2025.1657536. eCollection 2025.

Abstract

Intracranial aneurysms (IAs) represent a significant cerebrovascular disorder that has attracted considerable scrutiny due to the elevated rates of mortality and morbidity associated with their rupture. The ongoing evolution of medical imaging techniques has led to the emergence of non-invasive imaging options, including Computed Tomography Angiography (CTA), Magnetic Resonance Angiography (MRA), and Digital Subtraction Angiography (DSA). These modalities are essential for the early detection, risk evaluation, and therapeutic strategy formulation for IAs. Recently, the integration of artificial intelligence (AI) and three-dimensional (3D) reconstruction technologies has further improved the precision and efficiency of imaging diagnostics. This review provides a systematic assessment of advancements in imaging diagnostic methods for IAs, covering both established and novel imaging techniques, AI-enhanced diagnostics, hemodynamic evaluations, the role of imaging in treatment, and prospective development directions. The objective is to furnish thorough references for clinical diagnosis and investigation in this vital field of medicine.

摘要

颅内动脉瘤(IAs)是一种严重的脑血管疾病,由于其破裂相关的死亡率和发病率较高,已引起了广泛关注。医学成像技术的不断发展催生了非侵入性成像选择,包括计算机断层血管造影(CTA)、磁共振血管造影(MRA)和数字减影血管造影(DSA)。这些方法对于颅内动脉瘤的早期检测、风险评估和治疗策略制定至关重要。最近,人工智能(AI)与三维(3D)重建技术的结合进一步提高了成像诊断的准确性和效率。本综述对颅内动脉瘤成像诊断方法的进展进行了系统评估,涵盖了既定的和新颖的成像技术、人工智能增强诊断、血流动力学评估、成像在治疗中的作用以及未来的发展方向。目的是为这一重要医学领域的临床诊断和研究提供全面的参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac07/12422900/a97034964bcc/fneur-16-1657536-g001.jpg

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