Imaging of the Intracranial Venous System

Imaging of the Intracranial Venous System
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颅内静脉系统成像

DOI:
10.1097/nrl.0b013e318157f791
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发表时间:
2008
期刊:
The Neurologist
影响因子:
--
通讯作者:
R. Farb
R. Farb
中科院分区:
--
文献类型:
--
作者:
R. Agid;I. Shelef;J. Scott;R. Farb

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背景:颅内静脉系统的评估历来是通过传统的基于导管的数字减影血管造影(DSA)进行的。鉴于其固有的血管内干预和脑静脉血栓溶栓的选择,DSA的持续重要性不能被夸大。然而,DSA是一种具有相关风险的侵入性手术,包括辐射暴露和碘化造影剂的不良反应。DSA还受到二维平面成像的限制。由于这些原因,无创成像技术在颅内静脉系统的评估中发挥着更大的作用。综述综述:本综述概述了目前的非侵入性方法及其应用和局限性,并举例说明了它们在各种疾病过程中的应用。讨论了计算机断层静脉造影(CTV)以及各种类型的脑磁共振静脉造影(MRV)。结论:在条件允许的情况下,磁共振辅助触发钆增强MRV技术是诊断硬脑膜窦血栓形成以及大多数其他影响颅内静脉系统的病理实体的首选方法。
Background:Evaluation of the intracranial venous system has historically been performed with conventional catheter-based digital subtraction angiography (DSA). The continued importance of DSA can not be overstated in light of its inherent option of endovascular intervention and thrombolysis for cerebral venous thrombosis. DSA is, however, an invasive procedure with associated risks, including radiation exposure, and adverse effects of iodinated contrast medium. DSA also suffers from the limitations of 2-dimensional planar imaging. For these reasons, noninvasive imaging techniques are playing a greater role in evaluation of the intracranial venous system. Review Summary:This review provides an overview of the current noninvasive methods and their applications and limitations, with examples of their use in a variety of disease processes. Computed tomography venography (CTV) is discussed as well as the various types of cerebral magnetic resonance venography (MRV). Conclusion:When available, MR supplemented with the technique of triggered gadolinium-enhanced MRV is the method of choice for the diagnosis of dural sinus thrombosis as well as most other pathologic entities affecting the intracranial venous system.
DOI: 10.1148/radiology.205.1.9314975
发表时间: 1997-10-01
期刊: RADIOLOGY
影响因子: 19.7
作者:
Wilman, AH;Riederer, SJ;Ehman, RL
通讯作者: Ehman, RL