| 团注追踪法增强MRA对糖尿病患者下肢血管病的诊断价值 |
| 投稿时间：2010-06-08 修订日期：2010-11-17 点此下载全文 |
| 引用本文：张时秒,翟正艳,黄文才.团注追踪法增强MRA对糖尿病患者下肢血管病的诊断价值[J].医学研究杂志,2011,40(2):104-106 |
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| 中文摘要:目的探讨团注追踪法增强磁共振血管成像（MRA）技术评估糖尿病下肢血管病的应用价值。方法对31例可疑罹患下肢血管病的糖尿病患者依次行MRA、DSA造影检查；以DSA为金标准，综合评价MRA图像诊断下肢血管病变的准确性。结果团注追踪法增强MRA检查，所有患者下肢动脉血管均显示满意。MRA检出狭窄程度≥50%的血管（B 类）病变的敏感度与特异度分别为95%、98%，检出血管闭塞（C类）的敏感度和特异度分别为98%、99%。MRA对整个下肢动脉、腘动脉以上动脉和腘动脉下血管的评价均与DSA有很好的一致性，kappa值分别为0.93、0.96、0.91。结论磁共振血管成像是一种简单可靠的方法，有助于糖尿病患者肢体血管病性疾病评价。 |
| 中文关键词:糖尿病 磁共振成像(MRI) 血管造影 数字减影血管造影术(DSA) |
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| Value of Contrast-enhanced MR Angiography with Bolus-chase Technique for Lower Limb Vascular Disease in Patients with Diabetes |
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| Abstract:ObjectiveTo evaluate the diagnostic accuracy of bolus-chase contrast-enhanced MR angiography in diabetic patients with limb ischemia. MethodsPreoperative bolus-chase MRA and angiography (DSA) were performed consecutively in 31 diabetic patients with suspected lower limb vascular occlusion. The ability of MR angiography to detect lower extremity vascular disease was determined comprehensively using DSA as the gold standard. ResultsWith bolus-chase method, MRA images of whole lower extremity arteries were satisfactory in all patients. The sensitivity and specificity were 95% and 98% in depicting vascular stenosis ≥ 50% (B class), and 98% and 99% in occlusion (C Class). MRA and DSA results were in good agreement in image analysis for overall artery (kappa value, 0.93), the suprapopliteal and popliteal vessels (kappa value, 0.96) and infrapopliteal artery (kappa value, 0.91). ConlusionBolus-chase MR angiography is a convenient and reliable method in the evaluation of diabetic limb ischemia. |
| keywords:Diabetes Magnetic resonance imaging (MRI) Angiography Digital subtraction angiography (DSA) |
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