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| The value of MSCTA in the etiological diagnosis of spontaneous intracranial hemorrhage |
| WANG Lei, PEI Chang-jun, WANG Kun, CAI Wei-bo |
| Department of Radiology, Sihong People’s Hospital, Sihong Jiangsu 223900, China |
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Abstract Objective: To evaluate the value of multi-slice spiral CT angiography(MSCTA) in the etiological diagnosis of spontaneous intracranial hemorrhage. Methods: We retrospectively analyzed the imaging data of 69 cases spontaneous intracranial hemorrhage. All patients underwent MSCTA examination, including 36 patients with aneurysm who underwent DSA and the embolization therapy of responsibility aneurysms. Results: We diagnosed 36 cases of aneurysm, 13 cases of moyamoya disease, and 8 cases of arteriovenous malformations by MSCTA, but 33 cases of aneurysm was confirmed by DSA and embolization, one of misdiagnosis and 2 cases of miss diagnosis, with the diagnostic accuracy of 91.7% in patients with aneurysms. The cause analysis of bleeding in different bleeding positions showed that subarachnoid hemorrhage was mainly caused by the ruptured of aneurysm, ventricular hemorrhage was mostly caused by moyamoya disease, the main reason of the lobar hemorrhage was cerebral vascular malformations, the main reason of deep cerebral hemorrhage was caused by moyamoya disease. Mixed hemorrhage could be caused by aneurysm and vascular malformations. Conclusion: MSCTA has an important value in the etiological diagnosis of spontaneous intracranial hemorrhage.
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Received: 28 June 2016
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[1]Cao YI, Wang Y, Hou HT, et al. Application of 3D DSA in cerebral angiography[J]. J Med Imaging, 2011, 21(4): 500-502.
[2]王彦民，舒圣捷，刘白鹭. 64层螺旋CT血管造影对烟雾病的诊断价值[J]. 医学影像学杂志，2009，19（4）：385-387.
[3]潘仁龙，夏鹰，蔡德郡，等. CT血管造影在急性自发性脑出血中的临床应用价值[J]. 浙江医学，2009，31（1）：25-29.
[4]Roth C. Value of CT and MR angiography for diagnostic of intracranial aneurysms[J]. Radiology, 2011, 51(2): 106-112.
[5]Li MH, Li YD, Tan HQ, et al. Contrast-free MRA at 3.0T for the detection of intracranial aneurysms[J]. Neurology, 2011, 77(7): 667-676.
[6]潘宇宁，黄求理，叶贤旺，等. 320排全脑动态容积CT血管造影及灌注成像在烟雾病中的应用[J]. 中国临床医学影像杂志，2011，22（12）：840-843.
[7]张丽萍，唐秉航，李良才，等. 自发性颅内出血患者的CT血管造影或数字减影血管造影：回顾病例系列研究[J]. 国际脑血管病杂志，2013，21（11）：827-831. |
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