两种磁共振血管成像序列对脑静脉畸形的比较影像学研究

摘要

Objective To discuss the diagnostic value of Venous Blood Oxygenation Dependent MR1 (VEN_BOLD) and time of flight MR angiography(TOF-MRA) in cerebral venous malformation (CVM). Methods Using 1.5T superconducting MRI scanner, 13 cases of our hospital are diagnosed by the contrast imaging analysis of TOF-MRA and VENBOLD. Results Original axial images of TOF-MRA not only could display drainage vein of all cases, but also could observe 3D images of maximum intensity prolection(MIP). Among these original axial images, only 6 cases could show few pulp vein, however, VENBOLD could clear display drainage vein and more pulp veins of all CVM cases. Conclusion TOF-MRA could directly show 3D images of drainage vein of CVM, however, VEN_BOLD could clear display drainage vein and more pulp veins of CVM, The combining of TOF-MRA and VENBOLD could be the necessary supplement sequence for CVM diagnosis.%目的 探讨磁共振静脉血氧水平依赖成像(VEN-BOLD)和时间飞跃法血管成像(TOF-MRA)对静脉畸形(CVM)的诊断价值.方法 采用1.5T超导磁共振扫描仪对我院收治的13例CVM患者进行TOF-MRA和VEN-BOLD对比成像分析.结果 TOF-MRA原始轴位图像可显示全部13例CVM的引流静脉,并可进行最大密度投影重建(MIP) 3D图像观察,但仅6例原始图像可显示稀少的髓静脉,而VEN-BOLD可清晰显示全部13例CVM的引流静脉及更多的髓静脉.结论 TOF-MRA可对CVM的引流静脉进行3D直观显示；而VEN-BOLD可清晰准确地显示CVM的引流静脉及髓静脉,二者结合可作为CVM诊断必要的补充序列.