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《Chinese Journal of CT and MRI》 2009-01
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The clinical value of double-phase three-dimensional 16-detector row computed tomographic angiography in Pre-operation of meningioma

ZHANG Jie-ping,CAO Dai-rong,LI Yin-guan,et al.Department of Image,the First Affiliated Hospital,Fujian Medical University,Fuzhou 350005  
Objective To explore the role of double-phase 3D 16-slice MDCT angiography(MDCTA) in the preoperative evaluation of intracranial vascular involvement induced by meningiomas.Methods The preoperative double-phase 3D-CTA image data of 61 pathologically confirmed meningioma was analyzed retrospectively.The results were compared with intra-operative findings.The ability of the relationship between meningioma and its surrounding vessels with 3D-CTA was evaluated.Results Regarded the surgical findings as standard,this study of 42 patients with artery close contact with the meningiomas;CTA revealed that 28 cases were type A(surrounding arteries remained intact),24 of which were consistent with the surgical findings;14 cases were type B(erosion of artery) 12 of which were consistent with the surgical findings.Of the 28 cases around the dural sinus meningiomas,CTA determine 18 cases invaded the sinus,all of the18 cases were confirmed completely by the surgery,and invasion degree judged by CTA was consistent with surgical finding in 14 cases.Conclusion Double-phase 3D MDCT angiography(MDCTA) can provide accurate anatomic information regarding the lesion and its surrounding vessels and bony structures and demonstrate lesions,arteries,and veins,separately,aid in surgical planning and improve the predictability in the surgical management.
【Fund】: 福建省教育厅课题(编号JGG200726)
【CateGory Index】: R739.45
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