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目的:评价MRA不同成像方法对动静脉畸形(AVM)的诊断价值,探讨最佳方法选择。方法:26例AVM患者分别作常规MR成像及MRA成像,其中26例均行2DPC检查,8例行3D-TOF检查,18例行3D-MOTSA检查,8例行3DPC检查。比较各序列AVM的血管巢、供血动脉及引流静脉的显示情况。结果:MR图像及MRA各序列图像均满意地显示了血管巢。2DPC对供血动脉及引流静脉显示率分别为65.4%和80.8%;3D-TOF对供血动脉及引流静脉显示率为75.0%和12.5%;3D-MOTSA显示率为100%和33.3%;3DPC显示率为87.5%和100%。结论:3D-MOTSA应作为诊断AVM的主要MRA检查序列,低流速的2DPC序列作为辅助序列,结合SE图像综合观察,能对AVM做出评价
Objective: To evaluate the diagnostic value of different MRA imaging modalities for AVM and to explore the best method to choose. Methods: Twenty-six AVM patients underwent routine MR imaging and MRA imaging. Among them, 2DPC was performed in 26 cases, 3D-TOF in 8 cases, 3D-MOTSA in 18 cases and 3DPC in 8 cases. Compare the AVM vascular nests, blood supply arteries and drainage veins of each sequence. Results: MR images and MRA images of each series showed satisfactory vascular nests. 2DPC showed a rate of 65.4% and 80.8% for the feeding arteries and draining veins; 3D-TOF showed rates of 75.0% and 12.5% for the feeding arteries and draining veins; 3D-MOTSA showed rates of 100 % And 33.3% respectively; the 3DPC display rates were 87.5% and 100%. Conclusion: 3D-MOTSA should be used as the main MRA examination sequence for the diagnosis of AVM. 2DPC sequences with low flow rate should be used as auxiliary sequences. Combined with SE images, AVM can be evaluated