期刊文献+

如何正确掌握好氙气CT的检查方法 被引量:3

How to grasp the Xenon-CT examination correctly
下载PDF
导出
摘要 目的:准确、无误的掌握好Xe-CT CBF分析系统的各项操作步骤,成功地完成Xe-CT检查,从而为临床提供准确、有效、可靠的脑血流量(CBF)测量数据。方法:选择100例脑血管病患者(男80例,女20例,年龄11~75岁)在安静状态下进行CT头颅常规扫描然后吸入氙气与氧气按一定的比例形成的混合气体后再次进行扫描,其中9例注入血管扩张药后进而行增强扫描,最后将扫描结果上传Xe-CT CBF分析系统,进行CBF的定量分析。结果:在这随机抽选的100例行Xe-CT检查的脑血管病患者中,最后检查成功者94例(占94%),不成功者6例(占6%)。结论:Xe-CT CBF分析结果是令人满意的且所得数据真实可信,但为了得到更多准确、高质的CBF的图像,尽量减低不成功率,因而,正确无误、规范的控制Xe-CT扫描流程是至关重要的。 Objective To successfully accomplish the Xe-CT examination and supply correct, valid and reliable data about cerebral blood flow (CBF) of the patients for clinical doctors. Methods One hundred patients (80 males and 20 females, aged from 11 to 75 years) who suffered from cerebrovascular disease received routine cerebral CT examination in resting state firstly. After breathing in the xenon-oxygen mixed gase in proportion, they once more received the cerebral CT examination. Nine of them were injected vasodilating agent, then received the enhanced CT examination again. Finally, these results were transferred to the Xe-CT CBF analysis system to analyze the CBF quantitatively. Results In the 100 patients selected randomly who suffered from cerebrovascular diseases, Xe-CT scanning was successful in 94 cases, while unsuccessful in 6 cases. Conclusion The results of CBF analysis are satisfied and most data are actual and reliable. For obtaining high-quality CBF images and reducing the unsuccess ratio as far as possible, it is vital to control the flow-sheet of Xe-CT scanning correctly and standardly.
出处 《中国医学影像技术》 CSCD 北大核心 2007年第6期929-933,共5页 Chinese Journal of Medical Imaging Technology
关键词 氙气 脑血流量 体层摄影术 X线计算机 Xenon Cerebral blood flow Tomography, X-ray computed
  • 相关文献

参考文献13

  • 1倪建明,姚振威,沈天真,陈星荣.氙气CT灌注用于脑血流及其储备功能的初步评价[J].中国医学计算机成像杂志,2005,11(2):75-79. 被引量:10
  • 2Yonas H,Pindzola RP,Johnson DW.Xenon computed tomography cerebral blood flow and its use in clinical management[J].Neurosurg Clin North Am,1996,7(4):605-616.
  • 3Rubin G.Cerebrovascular disease[M],2000,10:221-228.
  • 4Demasio H.Acomputerd tomographic guide to the identification of cerebral vascular territories[J].Arch Neurol,1983,40(3):138-142.
  • 5董强,丁宏岩,史朗峰,韩翔,傅建辉,吕传真.急性脑出血患者颅内血肿周边局部脑血流量的氙-CT研究[J].中华医学杂志,2004,84(10):822-825. 被引量:11
  • 6Bouma GJ,Muizelaar JP.Evaluation of regional cerebral blood flow in acute head injury by stable xenon-enhanced computerized tomography[J].Acta Neurochir Suppl (Wien),1993,59(Suppl):34-40.
  • 7Latchaw RE,Yonas H,Pentheny SL,et al.Adverse reactions to xenon-enhanced CT cerebral blood flow determination[J].Radiology,1987,163(1):251-254.
  • 8Haughton VM,Foley WD,Schmidt,et al.Xenon contrast enhancement in computed body tomography[J].Radiology,1978,129(1):219-220.
  • 9Drayer BP,Wolfson SK Jr,Reinmuth OM,et al.Xenon enhanced computed tomography for the analysis of cerebral integrity,perfusion,and blood flow[J].Stroke,1978,9(2):123-130.
  • 10Meyer JS,Shinohara T,Imai A,et al.Imaging local cerebral blood flow by xenon-enhanced computerd tomography-technical optimization procedures[J].Neuroradiology,1988,30(4):283-292.

二级参考文献24

  • 1黎元,张俊海,冯晓源,汤伟军,刘含秋.脑功能性磁共振成像的生理学基础[J].中国医学计算机成像杂志,2004,10(5):308-313. 被引量:2
  • 2Demasio H. A computed tomographic guide to the identification of cerebral vascular territories. Arch Neurol, 1983,40: 138~ 142.
  • 3Winkler SS, Sackett JF, Holden JE, et al. Xenon inhalation as an adjunct to computerized tomography of the brain: preliminary study. Invest Radiol, 1977,12:15 ~ 18.
  • 4Meyer JS, Shinohara T, Imai A, et al. Imaging local cerebral blood flow by xenon - enhanced computed tomography - technical optimization procedures. Neuroradiology, 1988,30:283 ~ 292.
  • 5Fatouros PP, Wist AO, Kishore PR, et al. Xenon computed tomography cerebral blood flow measurements. Methods and accuracy. Invest Radiol, 1987,22:705 ~ 712.
  • 6Odano I, Ohkubo M, Noguchi E, et al. Quantification of regional cerebral blood flow at the control state and loaded with diamox using split - dose 99m Tc - ECD SPECT and venous blood samples. Kaku Igaku, 1998,35:71 ~ 85.
  • 7Kitagawa Y, Meyer JS, Tanahashi N, et al. Cerebral blood flow and brain atrophy correlated by xenon contrast CT scanning.Comput Radiol, 1985,9:331 ~ 340.
  • 8Yonas H, Darby JM, Marks EC, et al. CBF measured by Xe -CT: approach to analysis and normal values. J Cereb Blood Flow Metab , 1991,1:716 ~ 725.
  • 9Tu YK, Liu HM. Effects of isovolemic hemodilution on hemodynamics, cerebral perfusion, and cerebral vascular reactivity. Stroke , 1996,27:441 ~ 445.
  • 10Tachibana H, Meyer JS, Okayasu H, et al. Changing topographic patterns of human cerebral blood flow with age measured by xenon CT. A JR, 1984,142:1027 ~ 1034.

共引文献19

同被引文献28

  • 1倪建明,姚振威,沈天真,陈星荣.氙气CT灌注用于脑血流及其储备功能的初步评价[J].中国医学计算机成像杂志,2005,11(2):75-79. 被引量:10
  • 2张苗,卢洁,李坤成,高艳,殷敬喜,焦力群,李萌.氙CT脑血流成像在颞浅动脉-大脑中动脉搭桥术中的应用价值[J].医学影像学杂志,2007,17(4):329-332. 被引量:4
  • 3Yonas H, Pindzola RR, Johnson DW. Xenon computed tomography cerebral blood flow and its use in clinical management[J]. Neurosurg Clin North Am, 1996,7:605 - 615.
  • 4Rubin G, Levy El, Scarrow AM, et al. Remote effects of acute ischemic stroke: a xenon CT cerebral bolld flow study [J]. Cerebrovase Dis, 2000,10:221 - 228.
  • 5Demasio H. Acomputerd tomographic guide to the identification of cerebral vascular territories[J]. Arch Neurol, 1983,40:138 - 142.
  • 6Pindzola RR, Balzer JR, Nemoto EM, et al. Cerebrovascular reserve in patients with carotid occlusive disease assessed by stable xenon-enhanced et cerebral blood flow and transcranial Doppler[J]. Stroke, 2001,8:1811- 1817.
  • 7Berqholt B, Osterqaard L, Von Oettinqen G, et al. Cerebral blood flow in volunteers measured by PET and Xe CT/CBF. A compararion [J]. Keio J Med, 2000,1:55-57.
  • 8谢强.计算机断层成像技术[M].北京:科学出版社,2006.
  • 9Martin A, San Sebastian E, Gomez-Vallejo V, et al. Posi- tron emission tomograghy with [tN] ammonia evidences long-term cerebral hyperperfusion after 2h-transient focal ischemia [J]. Neuroscience, 2012, 213: 47-53.
  • 10Vagal AS, Leach JL, Femandez-Ulloa M, et al. The acetazolamide challenge: techniques and applications in the evaluation of chronic cerebral ischemia [J]. Am J Neuro- radiol, 2009, 30(5): 876-884.

引证文献3

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部