在诊断性脑血管造影中用于未破裂动脉瘤评估的标准化对比注射协议:解决当前的变化和技术挑战
N Dehlinger1, J-P Dillenseger2, R Pop3
1Department of Interventional Neuroradiology, Strasbourg University Hospitals, Strasbourg, France; Pole d'imagerie Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Radiography (London, England : 1995)
|November 27, 2025
概括
使用ALADA原则在脑血管学中标准化化对比剂 (ICM) 注射可以提高患者的安全性和诊断可靠性. 这种方法促进了以患者为中心的护理,并优化了干预性神经放射学团队的程序.
科学领域:
- 神经辐射学神经辐射学
- 医疗成像医学成像
- 放射学 放射学是指放射学
背景情况:
- 大脑血管造影是对内动脉瘤评估的黄金标准.
- 目前的离子对比剂 (ICM) 注射实践非常多变,缺乏标准化.
- 这种变化会影响患者的安全性,舒适性和诊断可靠性.
研究的目的:
- 审查目前的ICM注射实践在诊断大脑血管学.
- 探索将ALADA (诊断上可以接受的最低水平) 原则应用于ICM注射的潜力.
- 强调干预性神经放射学家-放射学家团队在促进安全和以患者为中心的程序中的作用.
主要方法:
- 关于ICM注射用于脑血管造影的当前实践的文献综述.
- 对内动脉 (ICA) 和脊椎动脉 (VA) 的2D DSA和3D-RA报告的注射参数的分析.
- 突出注入量和流量中的异质性.
主要成果:
- 在研究中报告的注射参数中观察到显著的异质性.
- 对于二维DSA (ICA):在3.0-7.0毫升/秒时的5.0-10.0毫升; (VA):在2.5-5.0毫升/秒时的4.5-8.0毫升.
- 对于3D-RA (ICA):体积10.0-36.0毫升在1.5-5.0毫升/秒; (VA):体积10.0-24.0毫升在2.0-5.0毫升/秒.
结论:
- 阿拉达原则为脑血管学中更安全,以患者为中心,基于证据的ICM注射提供了一种新的方法.
- 需要对ICM注射进行协调,定量指导方针,以标准化协议并提高患者的安全性.
- 优化实践加强了放射科医生在实施更安全的程序中的作用.
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