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Preliminary clinical application using 3D time-resolved imaging of contrast-enhanced MR angiography of contrast kinetics (3D-TRICKS)i
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作者 YANG Chun-shan 刘士远 +4 位作者 肖湘生 冯云 李惠民 肖珊 龚万庆 《Journal of Medical Colleges of PLA(China)》 CAS 2007年第1期43-48,共6页
Objective:To introduce a new better contrast-enhanced MR angiographic metnod, named 3D time-resolved imaging of contrast kinetics (3D-TRICKS). Methods: TRICKS is a high temporal resolution (2-6 s) MR angiographi... Objective:To introduce a new better contrast-enhanced MR angiographic metnod, named 3D time-resolved imaging of contrast kinetics (3D-TRICKS). Methods: TRICKS is a high temporal resolution (2-6 s) MR angiographic technique using a short TR(4 ms) and TE(1.5 ms), partial echo sampling, in which central part of k-space is updated more frequently than the peripheral part. TRICKS pre-contrast mask 3D images are firstly scanned, and then the bolus injecting of Gd-DTPA, 15-20 sequential 3D images are acquired. The reconstructed 3D images, subtraction of contrast 3D images with mask images, are conceptually similar to a catheter-based intra-arterial digital subtraction angiographic series (DSA). Thirty patients underwent contrast-enhanced MR angiography using 3D-TRICKS. Results: Totally 12 vertebral arteries were well displayed on TRICKS, in which 7 were normal, 1 demonstrated bilateral vertebral artery stenosis, 4 had unilateral vertebral artery stenosis and 1 was accompanied with the same lateral carotid artery bifurcation stenosis. Four cases of bilateral renal arteries were normal, 1 transplanted kidney artery showed as normal and 1 transplanted kidney artery showed stenosis. 2 cerebral arteries were normal, 1 had sagittal sinus thrombosis and 1 displayed intracranial arteriovenous malformation. 3 pulmonary arteries were normal, 1 showed pulmonary artery thrombosis and 1 revealed pulmonary sequestration's abnormal feeding artery and draining vein. One left lower limb fibrolipoma showed feeding artery. One displayed radial-ulnar artery artificial fistula stenosis. One revealed left antebrachium hemangioma. Conclusion: TRICKS can clearly delineate most body vascular system and reveal most vascular abnormality. It possesses convenience and high successful rate, which make it the first choice of displaying most vascular abnormality. 展开更多
关键词 magnetic resonance angiography contrast-enhanced MR angiography time-resolved imaging of contrast kinetics (TRICKS) vascular malformation
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三维动态增强MR血管造影对颅内动脉瘤的诊断价值 被引量:34
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作者 刘崎 陆建平 +4 位作者 王飞 王莉 田建明 金爱国 曾浩 《中华放射学杂志》 CAS CSCD 北大核心 2003年第3期238-242,共5页
目的 评价三维动态增强磁共振血管造影 (3DDCE MRA)在颅内动脉瘤诊断中的价值。方法 对 5 4例高度怀疑有颅内动脉瘤的病人行 3DDCE MRA检查 ,随后行DSA造影及可行的血管内栓塞治疗。3DDCE MRA用超快速三维梯度回波序列 (3DFISP) (钆... 目的 评价三维动态增强磁共振血管造影 (3DDCE MRA)在颅内动脉瘤诊断中的价值。方法 对 5 4例高度怀疑有颅内动脉瘤的病人行 3DDCE MRA检查 ,随后行DSA造影及可行的血管内栓塞治疗。3DDCE MRA用超快速三维梯度回波序列 (3DFISP) (钆喷替酸葡甲胺 0 .2mmol/kg ,1次扫描时间 10s) ,工作站上三维重建 ,比较 3DDCE MRA及常规DSA在显示动脉瘤、瘤颈及与载瘤动脉关系上的优劣 ,及对血管内栓塞治疗的价值。结果  3 9例脑动脉瘤患者共 45个动脉瘤 ,3DDCE MRA对动脉瘤的敏感度为 96% ,特异度 73 % ,准确度 90 %。 3DDCE MRA对动脉瘤细节及瘤颈的显示明显优于常规DSA ,尤其是颈内动脉海绵窦部及椎动脉近小脑后下动脉的动脉瘤 ,可指导DSA显示动脉瘤方向及预先制定治疗方案。但对周边部及动脉分岔处小动脉瘤的诊断应谨慎。结论  3DDCE MRA能无创有效地诊断颅内动脉瘤 ,所提供的三维信息对治疗方案的制定具有极大帮助。当诊断有怀疑时 。 展开更多
关键词 三维动态增强MR血管造影 颅内动脉瘤 诊断 血管内栓塞 治疗
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三维动态增强MR血管造影诊断颈动脉狭窄的对比研究 被引量:10
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作者 包娜 蒋涛 +2 位作者 翟仁友 姜桦 崔湧 《中国医学影像技术》 CSCD 2002年第12期1236-1239,共4页
目的 评价双倍剂量三维动态增强MR血管造影技术 ( 3DDCE MRA)诊断颈动脉狭窄的准确性。方法  2 2例怀疑有颈动脉狭窄的病人均接受超声、双倍剂量 3DDCE MRA和DSA检查。动态增强MRA图像采用最大强度投影法(MIP)和多平面投影重组法 (MPR... 目的 评价双倍剂量三维动态增强MR血管造影技术 ( 3DDCE MRA)诊断颈动脉狭窄的准确性。方法  2 2例怀疑有颈动脉狭窄的病人均接受超声、双倍剂量 3DDCE MRA和DSA检查。动态增强MRA图像采用最大强度投影法(MIP)和多平面投影重组法 (MPR)重建。应用颈总动脉法 (CCM )测量狭窄率。以DSA检查结果为金标准 ,将超声、3DDCE MRA与其对比 ,评价两种方法的敏感性、特异性、诊断准确性、高估和低估狭窄的情况。结果 ① 2 2例 44条颈内动脉中 ,DSA诊断 17条为正常 ,2 7条呈不同程度狭窄或闭塞 ,轻度狭窄 2条 ,中度 8条 ,重度 12条 ,闭塞 5条。 3DDCE MRA与DSA诊断一致者为 40条 ( 90 .9% ) ,3条高估 ,1条低估。②以阴性 (正常 )和阳性 (狭窄或闭塞 )为判断点时 ,3DDCE MRA较超声的敏感性、特异性和诊断准确性高 ,分别为 10 0 %、82 .4%、93 .2 %与 96.3 %、5 8.8%、81.8%。③以 70 %狭窄为判断点时 ,3DDCE MRA的敏感性、特异性和诊断准确性更明显优于超声 ,分别为 94.1%、96.3 %、95 .5 %与 64 .7%、88.9%、79.5 %。结论 与超声检查相比 ,3DDCE MRA评价颈动脉狭窄更可靠 ,它是一种更具先进性的无创检查方法。超声和 3DDCE MRA结合使用能够在颈动脉狭窄的筛选、诊断及监测中发挥重要作用。 展开更多
关键词 三维动态增强MR血管造影 颈动脉狭窄 磁共振血管造影
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