中国卒中杂志 ›› 2018, Vol. 13 ›› Issue (05): 516-520.DOI: 10.3969/j.issn.1673-5765.2018.05.023

• 综述 • 上一篇    下一篇

脑侧支循环影像学评价研究进展

赵婷婷,李国忠,钟镝,陈洪苹   

  1. 150001 哈尔滨医科大学附属第一医院神经内科
  • 收稿日期:2017-10-11 出版日期:2018-05-20 发布日期:2018-05-20
  • 通讯作者: 李国忠 hydlgz1962@163.com

Progress of Imaging Evaluation of Cerebral Collateral Circulation

  • Received:2017-10-11 Online:2018-05-20 Published:2018-05-20

摘要:

本综述阐述了脑侧支循环的特点、侧支循环影像学评价方法及其优点和局限性。主要包 括经颅多普勒超声、磁共振血管成像、计算机断层扫描血管成像、计算机断层扫描灌注成像、数字减 影血管造影、多时相计算机断层扫描血管成像。帮助临床医师在疾病早期选择合适的影像学方法评 价侧支循环状态,指导临床决策和预后。

文章导读: 脑侧支循环状态是急性缺血性卒中患者预后强烈预测因子,多时相计算机断层扫描血管成像是分别从动脉峰值期、静脉峰值期以及静脉晚期评价脑侧支循环状态的新方法,提高了脑侧支循环评价的准确性,为卒中患者的治疗和预后指导提供重要依据。

关键词: 缺血性卒中; 脑侧支循环; 影像学评价方法

Abstract:

This review is to introduce the features of cerebral collateral circulation, imaging evaluation methods of collateral circulation and its advantage and limitation. It mainly includes transcranial Doppler, magnetic resonance angiography, computed tomography angiography, computered tomography perfusion, digital subtraction angiography and multiphase computed tomography angiography. These methods might help clinicians choose appropriate imaging methods which assess collateral circulation status at the early stage of disease and guide the treatment decision-making and prognosis.

Key words: Ischemic stroke; Cerebral collateral circulation; Imaging evaluation methods