在治疗和未治疗脑动脉瘤中进行后续成像
Charlotte Y Chung1, Maksim Shapiro2, Erez Nossek3
1Department of Neurosurgery, NYU Langone Health, New York, NY, USA; Department of Radiology, NYU Langone Health, New York, NY, USA.
Neuroimaging clinics of North America
|July 9, 2025
概括
对内动脉瘤的成像随访有助于破裂风险评估和及时干预. 本综述审查了当前的成像实践,确定了知识差距,并讨论了标准化后续治疗方案的证据,以获得更好的患者结果.
科学领域:
- 神经外科 神经外科
- 放射学 放射学是一门学科.
- 血管医学 血管医学
背景情况:
- 内动脉瘤管理依赖于成像随访进行风险评估和干预.
- 目前治疗和未治疗动脉瘤的随访协议缺乏频率,持续时间和模式的标准化.
- 现有的知识差距和技术局限性阻碍了一致的实践.
研究的目的:
- 审查当代的成像技术和实践,用于内动脉瘤的随访.
- 突出当前后续战略中的局限性和知识差距.
- 提供关于治疗结果的最新证据,以告知后续治疗方案的考虑.
主要方法:
- 对动脉瘤随访的当代成像技术进行全面的文献综述.
- 对常见治疗策略的演变和长期结果的证据分析.
- 讨论影响后续治疗方案标准化的因素.
主要成果:
- 在动脉瘤随访中使用的频率,持续时间和成像方法存在很大差异.
- 一些知识缺口和技术限制阻碍了成像协议的标准化.
- 更新的证据提供了对治疗后预期的放射性结果的见解.
结论:
- 需要对脑内动脉瘤的成像随访进行标准化.
- 解决知识差距和技术限制对于优化后续策略至关重要.
- 基于证据的考虑可以指导制定更一致和更有效的后续方案.
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