磁共振血管成像在颅内肿瘤术前评估中的应用

    The preoperative application value of magnetic resonance angiography in intracranial tumor

    • 摘要: 目的:探讨磁共振动脉造影(MRA)、磁共振静脉造影(MRV)在颅内肿瘤术前检查的临床应用价值。方法:经手术病理证实的颅内肿瘤患者20例,术前行MRI检查及MRA和/或MRV检查。以术中所见为标准,对术前图像资料分析结果作对比。结果:MRA检查18例,供血动脉异常增粗4例,颅内重要血管受压、推移和包埋现象6例;MRV检查12例,静脉窦受侵犯6例,静脉窦受压、推移4例,引流静脉增粗3例。MRA及MRV检查结果与术中所见基本一致。结论:MRA、MRV可以清晰地显示肿瘤与周围重要血管的解剖关系,为神经外科制定合理的手术方案提供准确的影像信息。

       

      Abstract: Objective:To study the preoperative application value of magnetic resonance arteriography(MRA) and magnetic resonance venography(MRV) in intracranial tumor.Methods:Twenty patients with intracranial tumor dignosed by pathology were detected by MRI,MRA and/or MRV before operation.The preoperative image data were compared with the intraoperative findings.Results:Among 18 cases examined by MRA,4 cases with blood supply artery abnormal enlargement and 6 cases with intracranial major vascular oppressed,moved and embedded by tumor were found.Among 12 cases examined by MRV,6 cases with venous sinus invaded and 4 cases with venous sinus oppressed and moved by tumor were found.Three cases with draining vein enlargement were found.The intraoperative findings were highly consistent with the preoperative MRA and MRV images.Conclusions:MRA and MRV can clearly display the anatomical relationships between intracranial tumor and major blood vessel,which can provide the precise image information for formulating reasonable operation scheme.

       

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