Objective To compare magnetic resonance angiography （MRA） with traditional angiography and doppler ultrasonography （DUS） in the assessment of portal venous anatomy and its hemodynamics. Methods Three dimensional d...Objective To compare magnetic resonance angiography （MRA） with traditional angiography and doppler ultrasonography （DUS） in the assessment of portal venous anatomy and its hemodynamics. Methods Three dimensional dynamic contrast-enhanced （ 3 D-DCE） MRA and two dimensional phase-contrast （2D-PC） MR were used for the study of portal venous system in the patients with portal hypertension and those without liver cirrhosis. The comparison of the portal blood flow （PBF） measured with 2D-PC MR and DUS was made. Results The portal vein, splenic vein, superior mesenteric vein, cephalic collateral veins and anastomotic stoma of surgical shunting were clearly displayed in 3D-DCE MRA. There was no significant difference between PBF measured with 2D-PC MR and DUS. Conclusion The results of present study indicate that the anatomical imaging of the portal venous system can be dearly revealed in MRA and the PBF can be accurately measured with 2D-PC MR. It is believed that MRA is a useful tool in the management of the patients with portal hypertension.展开更多
Background:Neurovascular compression syndromes including trigeminal neuralgia(TN)and hemifacial spasm(HFS)are caused by neurovascular conflicts at the root entry zone of the corresponding cranial nerves in the posteri...Background:Neurovascular compression syndromes including trigeminal neuralgia(TN)and hemifacial spasm(HFS)are caused by neurovascular conflicts at the root entry zone of the corresponding cranial nerves in the posterior fossa.Microvascular decompression(MVD)is the best choice for the treatment of TN and HFS.An accurate delineation of the responsible vessel could decrease the rate of possible operative complications such as nerve paresis.Methods:In this study,three-dimensional fast imaging employing steady-state acquisition(3D-FIESTA)and three-dimensional time-of-flight magnetic resonance angiography(3D-TOF MRA)were performed on 113 patients with TN or HFS.The imaging data were compared to the intraoperative findings and the accuracy of the data was calculated among the different responsible blood vessels and disease types.The accuracy of the data among different genders,disease durations,disease sides,and disease types was also calculated to identify the target patients for the preoperative diagnostic approach with 3D-FIESTA combined with 3D-TOF MRA.Results:The accuracy of detection with the imaging was above 75%in cases with single-vessel compression.Among these,the accuracy of the preoperative imaging result was the highest when the lesions were in the superior cerebellar artery(SCA;91.1%).In cases of multiple-vessel compression,however,the coincidence between the preoperative and intraoperative results was only 30.0%.In most of the cases of TN,the responsible blood vessels were in the SCA,and the accuracy in the SCA reached 94.9%.In HFS patients,the responsible blood vessels were in the anterior inferior cerebellar artery(AICA)and posterior inferior cerebellar artery(PICA),and the accuracy was 86.8%and 90.0%,respectively.The differences in the accuracy of the data among different genders,disease durations,disease sides,and disease types were not statistically significant.Conclusion:This study verified the clinical instructional value of 3D-FIESTA combined with 3D-TOF MRA in MVD,and showed that this preoperative examination is reliable for all genders,disease durations,disease sides,and disease types.展开更多
文摘Objective To compare magnetic resonance angiography （MRA） with traditional angiography and doppler ultrasonography （DUS） in the assessment of portal venous anatomy and its hemodynamics. Methods Three dimensional dynamic contrast-enhanced （ 3 D-DCE） MRA and two dimensional phase-contrast （2D-PC） MR were used for the study of portal venous system in the patients with portal hypertension and those without liver cirrhosis. The comparison of the portal blood flow （PBF） measured with 2D-PC MR and DUS was made. Results The portal vein, splenic vein, superior mesenteric vein, cephalic collateral veins and anastomotic stoma of surgical shunting were clearly displayed in 3D-DCE MRA. There was no significant difference between PBF measured with 2D-PC MR and DUS. Conclusion The results of present study indicate that the anatomical imaging of the portal venous system can be dearly revealed in MRA and the PBF can be accurately measured with 2D-PC MR. It is believed that MRA is a useful tool in the management of the patients with portal hypertension.
文摘Background:Neurovascular compression syndromes including trigeminal neuralgia(TN)and hemifacial spasm(HFS)are caused by neurovascular conflicts at the root entry zone of the corresponding cranial nerves in the posterior fossa.Microvascular decompression(MVD)is the best choice for the treatment of TN and HFS.An accurate delineation of the responsible vessel could decrease the rate of possible operative complications such as nerve paresis.Methods:In this study,three-dimensional fast imaging employing steady-state acquisition(3D-FIESTA)and three-dimensional time-of-flight magnetic resonance angiography(3D-TOF MRA)were performed on 113 patients with TN or HFS.The imaging data were compared to the intraoperative findings and the accuracy of the data was calculated among the different responsible blood vessels and disease types.The accuracy of the data among different genders,disease durations,disease sides,and disease types was also calculated to identify the target patients for the preoperative diagnostic approach with 3D-FIESTA combined with 3D-TOF MRA.Results:The accuracy of detection with the imaging was above 75%in cases with single-vessel compression.Among these,the accuracy of the preoperative imaging result was the highest when the lesions were in the superior cerebellar artery(SCA;91.1%).In cases of multiple-vessel compression,however,the coincidence between the preoperative and intraoperative results was only 30.0%.In most of the cases of TN,the responsible blood vessels were in the SCA,and the accuracy in the SCA reached 94.9%.In HFS patients,the responsible blood vessels were in the anterior inferior cerebellar artery(AICA)and posterior inferior cerebellar artery(PICA),and the accuracy was 86.8%and 90.0%,respectively.The differences in the accuracy of the data among different genders,disease durations,disease sides,and disease types were not statistically significant.Conclusion:This study verified the clinical instructional value of 3D-FIESTA combined with 3D-TOF MRA in MVD,and showed that this preoperative examination is reliable for all genders,disease durations,disease sides,and disease types.
