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[计算机断层扫描的当前作用及磁共振成像在腹主动脉瘤诊断及其并发症评估中的应用前景]

[Current role of computerized tomography and prospectives of the use of magnetic resonance in the diagnosis of aortic abdominal aneurysms and evaluation of their complications].

作者信息

Gualdi G F, Volpe A, Polettini E, Trasimeni G, Di Biasi C, Melone A

机构信息

Servizio di TC e RM, Università degli Studi di Roma, La Sapienza.

出版信息

Clin Ter. 1993 Dec;143(6):541-7.

PMID:8306578
Abstract

In this work we discussed the role of conventional radiology, ultrasonography (US), angiographic study, CT scan and MR imaging in the diagnosis of abdominal aortic aneurysms and their complications. US is the most suitable technique for screening and follow-up study of aortic aneurysms. Unfortunately it is not so reliable in the study of visceral arteries and in fat patients. Aortic angiography is the most useful method for the study of visceral arterial branches, but it does not show the phlogistic changes as well as the peripheral thrombotic alterations within the lesion. TC scan is also a useful technique in the study of aortic aneurysm, although it is not so accurate in detecting the visceral arterial branches. Finally, we think that MR imaging is the most reliable method for the diagnosis of aortic aneurysm. Movement artifact and lack of information due to the poor visualization of calcifications are still the principal limits of this technique.

摘要

在这项工作中,我们讨论了传统放射学、超声检查(US)、血管造影研究、CT扫描和磁共振成像在腹主动脉瘤及其并发症诊断中的作用。超声检查是主动脉瘤筛查和随访研究最合适的技术。不幸的是,在研究内脏动脉和肥胖患者时,它不太可靠。主动脉血管造影是研究内脏动脉分支最有用的方法,但它不能显示病变内的炎症变化以及周围血栓形成的改变。CT扫描在主动脉瘤研究中也是一种有用的技术,尽管在检测内脏动脉分支方面不够准确。最后,我们认为磁共振成像(MR成像)是诊断主动脉瘤最可靠的方法。运动伪影以及由于钙化显示不佳导致的信息缺乏仍然是这项技术的主要局限性。

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