[1]吴文菁,邓克学.成人出血型与缺血型烟雾病的3D pCASL侧支分布特点比较[J].医学信息,2021,34(08):170-172.[doi:10.3969/j.issn.1006-1959.2021.08.047]
　WU Wen-jing,DENG Ke-xue.Comparison of 3D pCASL Collateral Distribution Characteristics Between Adult Hemorrhagic and Ischemic Moyamoya Disease[J].Medical Information,2021,34(08):170-172.[doi:10.3969/j.issn.1006-1959.2021.08.047]
点击复制

成人出血型与缺血型烟雾病的3D pCASL侧支分布特点比较()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年08期
页码:
170-172
栏目:
诊疗技术
出版日期:
2021-04-15

文章信息/Info

Title:
Comparison of 3D pCASL Collateral Distribution Characteristics Between Adult Hemorrhagic and Ischemic Moyamoya Disease
文章编号:
1006-1959（2021）08-0170-03
作者:
吴文菁; 邓克学
（安徽医科大学附属安徽省立医院南区影像中心，安徽 合肥 230036）
Author(s):
WU Wen-jing; DENG Ke-xue
(The Southern District Imaging Center,Anhui Provincial Hospital Affiliated to Anhui Medical University,Hefei 230036,Anhui,China)
关键词:
烟雾病; 动脉自旋标记; 磁共振成像; 动脉穿行伪影
Keywords:
Moyamoya disease; Arterial spin labeling; Magnetic resonance imaging; Arterial passage artifacts
分类号:
R445.2；R743
DOI:
10.3969/j.issn.1006-1959.2021.08.047
文献标志码:
A
摘要:
目的 比较成人出血型与缺血型烟雾病（MMD）在磁共振三维准连续动脉自旋标记（3D pCASL）的侧支分布特点。方法 回顾性分析2018年6月~2020年2月安徽省立医院南区神经外科收治的出血型及缺血型MMD患者共71例，将其分为出血组34例和缺血组37例，均于搭桥术前行MR常规序列、3D pCASL及磁化率加权成像（SWI）序列检查，基于Alberta 卒中项目早期 CT前循环及后循环评分法（ASPECTS及pc-ASPECTS法）将3D pCASL血流图分成27个区，根据各区动脉通过伪影（ATA）的强度进行赋值，比较出血型与缺血型患者前循环、后循环、脑深部、脑浅部ATA值的差异。结果 出血型MMD患者后循环、脑深部ATA值高于缺血型，脑浅部、前循环ATA值低于缺血型患者，差异均有统计学意义（P＜0.05）；出血型MMD患者脑深部ATA值高于脑浅部，差异有统计学意义（P＜0.05）；缺血型MMD患者脑深部ATA值与脑浅部比较，差异无统计学意义（P＞0.05）。结论 成人出血型烟雾病患者侧支循环分布以后循环、脑深部为主，缺血型烟雾病患者侧支循环分布以前循环、脑浅部为主。
Abstract:
Objective To compare the collateral distribution characteristics of adult hemorrhagic and ischemic moyamoya disease (MMD) in MRI three-dimensional quasi-continuous arterial spin labeling (3D pCASL).Methods A total of 68 patients with hemorrhagic and ischemic MMD admitted to the Department of Neurosurgery of the Southern District of Anhui Provincial Hospital from June 2018 to February 2020 were retrospectively analyzed. All patients underwent conventional MR sequence, 3D pCASL and magnetic susceptibility before bypass surgery. Weighted imaging (SWI) sequence inspection,Based on the early CT pre-circulation and post-circulation scoring method (ASPECTS and pc-ASPECTS method) of the Alberta stroke project, the 3D pCASL blood flow map was divided into 27 areas.Assign values according to the intensity of arterial passage artifacts (ATA) in each area, and compare the differences in ATA values of anterior circulation, posterior circulation, deep brain, and superficial brain between hemorrhagic and ischemic patients.Results The ATA values of posterior circulation and deep brain of hemorrhagic MMD patients were higher than those of ischemic type, and ATA values of superficial brain and anterior circulation were lower than that of ischemic patients,the difference was statistically significant (P<0.05);The ATA value of deep brain of patients with hemorrhagic MMD was higher than that of superficial brain, the difference was statistically significant (P＜0.05);There was no significant difference in the ATA value between the deep brain and the superficial brain in patients with ischemic MMD (P>0.05).Conclusion In adults with hemorrhagic moyamoya disease, the collateral circulation is mainly distributed in the posterior circulation and the deep brain, and in patients with ischemic moyamoya disease, the collateral circulation is mainly distributed in the anterior circulation and the superficial brain.

参考文献/References:

[1]李春芳,潘晓婷.间接血管重建治疗烟雾病的手术配合[J].医学信息,2016,29(16):139-140. [2]Kronenburg A,Bulder MMM,Bokkers RPH,et al.Cerebrovascular Reactivity Measured with ASL Perfusion MRI,Ivy Sign,and Regional Tissue Vascularization in Moyamoya[J].World Neurosurg,2019(125):e639-e650. [3]Funaki T,Takahashi JC,Yoshida K,et al.Periventricular anastomosis in moyamoya disease:detecting fragile collateral vessels with MR angiography[J].J Neurosurg,2016,124(6):1766-1772. [4]Yu J,Du Q,Xie H,et al.What and why:the current situation and future prospects of"ivy sign"in moyamoya disease[J].Ther Adv Chronic Dis,2020(11):2040622320960004. [5]烟雾病和烟雾综合征诊断与治疗中国专家共识编写组,国家卫生计生委脑卒中防治专家委员会缺血性卒中外科专业委员会.烟雾病和烟雾综合征诊断与治疗中国专家共识(2017)[J].中华神经外科杂志,2017,33(6):541-547. [6]刘志文,蒋云,王蕊,等.多参数半定量Albserta卒中项目早期CT评分联合评价在急性缺血性卒中的应用[J].中华医学杂志,2018,98(21):1697-1702. [7]Wu F,Han C,Liu Y,et al.Validation of choroidal anastomosis on high-resolution magnetic resonance imaging as an imaging biomarker in hemorrhagic moyamoya disease[J].Eur Radiol,2021. [8]张苗怡,唐杰,刘娜,等.血管重建术对不同类型烟雾病患者卒中复发及功能预后的影响[J].复旦学报（医学版）,2018,45(4):478-484. [9]张崇杰,席永强,赵小军,等.磁共振成像在成人缺血型烟雾病中的应用分析[J].中西医结合心脑血管病杂志,2020,18(11):1827-1830. [10]Lehman VT,Cogswell PM,Rinaldo L,et al.Contemporary and emerging magnetic resonance imaging methods for evaluation of moyamoya disease[J].Neurosurg Focus,2019,47(6):E6. [11]王丹丹,王学建.动脉自旋标记在急性脑梗死中的应用[J].医学信息,2019,32(12):102-104. [12]唐纳,赵光明,张洁,等.3D-ASL磁共振成像检查各脑区血流量及年龄与性别因素对其影响[J].医学影像学杂志,2018(5):697-701. [13]Zaharchuk G,Do HM,Marks MP,et al.Arterial Spin-Labeling MRI Can Identify the Presence and Intensity of Collateral Perfusion in Patients With Moyamoya Disease[J].Stroke,2011,42(9):2485-2491.

相似文献/References:

[1]雷少晖,张永海.脑氧代谢的影像学测定方法研究[J].医学信息,2018,31(05):38.[doi:10.3969/j.issn.1006-1959.2018.05.015]
　LEI Shao-hui,ZHANG Yong-hai.Imaging Study of Brain Oxygen Metabolism[J].Medical Information,2018,31(08):38.[doi:10.3969/j.issn.1006-1959.2018.05.015]
[2]王丹丹,王学建.动脉自旋标记在急性脑梗死中的应用[J].医学信息,2019,32(12):102.[doi:10.3969/j.issn.1006-1959.2019.12.031]
　WANG Dan-dan,WANG Xue-jian.Application of Arterial Spin Labeling in Acute Cerebral Infarction[J].Medical Information,2019,32(08):102.[doi:10.3969/j.issn.1006-1959.2019.12.031]
[3]江 瑜,王敏娟,李亚军.烟雾病的发病机制、诊断和治疗研究[J].医学信息,2021,34(08):41.[doi:10.3969/j.issn.1006-1959.2021.08.011]
　JIANG Yu,WANG Min-juan,LI Ya-jun.Research on the Pathogenesis,Diagnosis and Treatment of Moyamoya Disease[J].Medical Information,2021,34(08):41.[doi:10.3969/j.issn.1006-1959.2021.08.011]

更新日期/Last Update: 1900-01-01