Detection of intracranial aneurysms with dual-source CT angiography:comparison with digital subtraction angiography
10.3760/cma.j.issn.1673-4165.2012.11.004
- VernacularTitle:双源CT血管造影检测颅内动脉瘤:与数字减影血管造影的比较
- Author:
Wenhao WANG
;
Yigang YU
;
Mingsheng ZHANG
;
Hong LIN
;
Junming LIN
;
Wei HUANG
;
Fei LUO
;
Lianshui HU
- Publication Type:Journal Article
- Keywords:
Intracranial Aneurysm;
Subarachnoid Hemorrhage;
Tomography,X-Ray Computed;
Cerebral Angiography;
Angiography,Digital Subtraction
- From:
International Journal of Cerebrovascular Diseases
2012;(11):839-842
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnostic value of dual-source CT angiography (DSCTA) for intracranial aneurysms.Methods The data of DSCTA and digital subtraction angiography (DSA) were collected from 95 patients with subarachnoid hemorrhage (SAH).The efficacies of detection and description of morphologic features of intracranial aneurysms were analyzed retrospectively.Results A total of 117 aneurysms in 88 patients were detected with DSCTA.Two patients were suspected of having aneurysms,and no aneurysrms were detected in 5 patients.These patients were reexamined with DSA,4 were diagnosed as having aneurysm,and the aneurysms were not detected in 3 patients.DSA results were considered as gold standard,the specificity,sensitivity and accuracy of DSCTA for the detection of intracranial aneurysms were 100％,96.7％and 96.8％,respectively.The larger volume of intracranial aneurysm was,the higher the sensitivity of DSCTA diagnosis would be.Even for small aneurysms,the sensitivity of DSCTA diagnose was more than 90％.In addition,tmeasurement results of the maximum diameter and neck width of aneurysms measured by DSCTA were almost consistent with DSA.Condclusions SCTA is a non-invasive,quick,reliable,and effective method,and can provide accurate imaging information for surgery.The specificity and sensitivity of the diagnosis of aneurysms with DSCTA are almost the same with DSA.It has more advantages than DSA in the emergency operation of intracranial aneurysms.
