Mustafa El Sheikh, Shang Peng Koh, Mustafa Omer, Kevin Agyemang, Parameswaran Bhattathiri, Samih Hassan, Ahmed Iqbal, Wazim Izzath, Jerome St George, Sin Yee Foo
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引用次数: 0
摘要
我们提出了一个说明性的病例系列，其中高空间分辨率黑血(BB) MRI序列被用作颅内动脉瘤急性治疗的辅助手段，诊断不确定的破裂状态。本文讨论了几个急性治疗难题，包括对先前治疗过的颅内破裂动脉瘤的监测，在多个颅内破裂动脉瘤中识别罪魁祸首病变，以及对偶发未破裂颅内动脉瘤进行风险分层。我们提出我们的经验，支持评估这种血管壁成像技术在更大的多中心观察研究。在3.0 Tesla Siemens Somatom Vida系统上进行MR成像，使用的序列包括:敏感性加权成像、扩散加权成像和3D T1对比增强前后的BB序列。
Black blood MRI sequences in the acute management of ruptured and unruptured intracranial aneurysms.
We present an illustrative case series in which high spatial resolution black blood (BB) MRI sequences were used as an adjunct in the acute management of intracranial aneurysms with diagnostic uncertainty regarding rupture status. Several acute management dilemmas are discussed including the surveillance of previously treated ruptured intracranial aneurysms, identifying culprit lesion(s) amongst multiple ruptured intracranial aneurysms, and risk stratifying incidental unruptured intracranial aneurysms. We present our experience which supports the evaluation of this vessel wall imaging technique in larger multi-centre observational studies. MR imaging was performed on a 3.0 Tesla Siemens Somatom Vida system and sequences used included: Susceptibility Weighted Imaging, Diffusion Weighted Imaging & 3D T1 pre- and post-contrast-enhanced BB sequences.
期刊介绍：
The British Journal of Neurosurgery is a leading international forum for debate in the field of neurosurgery, publishing original peer-reviewed articles of the highest quality, along with comment and correspondence on all topics of current interest to neurosurgeons worldwide.
Coverage includes all aspects of case assessment and surgical practice, as well as wide-ranging research, with an emphasis on clinical rather than experimental material. Special emphasis is placed on postgraduate education with review articles on basic neurosciences and on the theory behind advances in techniques, investigation and clinical management. All papers are submitted to rigorous and independent peer-review, ensuring the journal’s wide citation and its appearance in the major abstracting and indexing services.
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