在脑血管外科手术期间,使用Superb微血管成像进行超声波监测
Mami Ishikawa1, Taku Uchiyama2, Atsuya Okawa2
1Department of Neurosurgery, Saitama Medical Center, Jichi Medical University, 1-847, Amanumacho, Omiyaku, Saitamacity, Saitama 330-8503, Japan; Department of Neurosurgery, Nerima Hikarigaoka Hospital, Tokyo, Japan; Department of Neurosurgery, Edogawa Hospital, Tokyo, Japan.
Clinical neurology and neurosurgery
|March 1, 2024
概括
使用对比剂的优秀微血管成像 (SMI) 有效地可视化了神经外科手术期间的大脑血管流动. 这种新的超声波技术有助于诊断和监测脑血管疾病,如莫亚莫亚和动脉瘤.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 医疗成像医学成像
背景情况:
- 超声波 (美国) 是神经外科的实时成像工具.
- 超级微血管成像 (SMI) 是一种新的多普勒美国技术,用于低速度血流的高分辨率可视化.
- 对于小型船舶的动态成像,SMI提供高率.
研究的目的:
- 评估一种新的多普勒美国技术的实用性,即超级微血管成像 (SMI),使用对比剂来可视化神经外科手术期间的大脑血管流动.
- 评估SMI在各种脑血管疾病中的应用.
主要方法:
- 43名患有各种脑血管疾病的患者接受了神经外科手术,并使用US SMI和对比剂进行监测.
- 分析包括特定患者群体的穿透血管的直径,长度和数量 (未破裂的大脑动脉瘤,莫亚莫亚病,ICH).
主要成果:
- 与对照人群相比,在莫亚莫亚病和ICH患者中观察到穿透血管的直径和长度显著增加.
- 莫亚莫亚病患者的穿透血管数量增加.
- SMI有效地发现了脉动性脑动脉瘤,动脉狭窄以及在血管母细胞瘤或静脉血管瘤中大幅增加的流量.
结论:
- 带有对比剂的美国SMI在脑血管手术期间提供了血管结构和深层小血管的宝贵流量信息.
- 该技术对于实时监测各种脑血管疾病非常有用.
- 建议使用SMI进行进一步的定量分析,以加强脑血管外科手术规划.
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