磁共振结合3D-slicer软件评估颅内未破裂动脉瘤形态的准确性分析

Accuracy of combing magnetic resonance angiography and 3D-slicer software in evaluating morphology of unruptured intracranial aneurysm

  • 摘要: 目的 评估3D-slicer软件对颅内动脉瘤磁共振血管成像(magnetic resonance angiography,MRA)和高分辨率磁共振(high resolutionmagnetic resonance imaging,HRMRI)数据重建的准确性。 方法 收集本院神经外科2013年1月- 2014年10月收治的诊断为颅内未破裂动脉瘤且同时行MRA和HRMRI检查患者的影像资料(DICOM格式原始数据),采用3D-slicer对其进行三维重建,将重建结果与数字减影血管造影术(digital subtraction angiography,DSA)进行对比,判断两种检查结果是否存在差异。 结果 本组共有动脉瘤16例,男性9例,女性7例,平均年龄48.7(25 ~ 72)岁。瘤顶高:DSA为(9.68±4.51) mm,重建MRA为(9.65±4.55) mm,差异无统计学意义(t=0.147,P=0.885);瘤体宽:DSA为(14.39±6.71)mm,重建MRA为(14.55±6.96) mm,差异无统计学意义(t=-0.442,P=0.665);瘤颈宽:DSA为(3.70±1.15) mm,MRA为(3.51±1.42) mm,差异无统计学意义(t=0.908,P=0.378)。 结论 3D-slicer软件对MRA数据重建结果具有较好的准确性,有利于指导动脉瘤手术。

     

    Abstract: Objective To assess the accuracy of 3D-slicer software in reconstructing data of intracranial aneurysmal with magnetic resonance angiography (MRA) and high resolution magnetic resonance imaging (HRMRI). Methods DICOM data of MRA and HRMRI of the inpatients who were diagnosed with unruptured intracranial aneurysms in the neurosurgery department of our hospital from January 2013 to October 2014 were collected and reconstructed by 3D-slicer software, then the results were compared with the gold standard digital subtraction angiography (DSA) to find out whether results of the two measurements had any differences. Results Of the 16 patients in our study, nine were males and seven were females with average age of 48.7 years (ranging from 16 to 72 years). There were no statistically significant difference in value of aneurysm height, aneurysm diameter and width of aneurysm neck between DSA and MRA (9.68±4.51) mm vs (9.65±4.55) mm, t=0.147, P=0.885; (14.39±6.71) mm vs (14.55±6.96) mm, t=-0.442, P=0.665; (3.70±1.15) mm vs (3.51±1.42) mm, t=0.908, P=0.378. Conclusion The reconstructive results with MRA data by 3D-slicer software is quite accurate and it is beneficial for aneurysm surgery.

     

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