Медицинская литература. Новинки

 

 

 

 

 

 

Современные нейрорентгенологические методы диагностики внутричерепных артериальных аневризм: обзор литературы

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Цель. Анализ мировой литературы, посвящённый современной диагностике внутричерепных артериальных аневризм с акцентом на возможности МР-визуализации сосудистой стенки.Материал и методы. Проведен поиск научных публикаций и клинических рекомендаций в информационно-аналитической системе PubMed за 2012–2020 гг. по ключевым словам: “aneurysm” (аневризма), “СТ” (КТ), “MRI” (МРТ), “CFD – computational hydrodynamics” (вычислительная гидродинамика), “vessel wall imaging“ (визуализация сосудистой стенки). В результате поиска было отобрано и изучено 137 статей, из которых в обзоре использовались 27 статей, дополненные 10 статьями из списков литературы 1990–2012 гг.Результаты. Были продемонстрированы современные возможности диагностики интракраниальных аневризм с особым вниманием на преимущества метода МР-визуализации сосудистой стенки. Определены основные технические аспекты, на которых базируется специализированная методика МР-визуализации сосудистой стенки.Выводы. Современные методики КТ- и МР-визуализации способны предоставить дополнительную информацию о происходящих в просвете аневризмы и ее стенке процессах, которая может явиться ключевым фактором при предоперационном нейрохирургическом планировании.

Ключевые слова:
аневризма, МР-визуализация, сосудистая стенка, воспаление, неоваскуляризация, aneurysm, magnetic resonance imaging, vessel wall, inflammation, neovascularization

Литература:
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Modern neuroradiological diagnostic methods for intracranial arterial aneurysms: a review

Aim. Analysis of modern neuroimaging methods of intracranial arterial aneurysms with an emphasis on the possibilities of MR imaging of the vessel wall.Methods. Scientific articles and clinical recommendations from the PubMed from 2012 to 2020 were included into analysis, using keywords: aneurysm, CT, MRI, CFD (computational hydrodynamics), vessel wall imaging. As a result of the search, 137 articles were selected of which 27 articles were used in the review, supplemented by 10 articles from the reference lists 1990–2012.Results. Modern possibilities of intracranial arterial aneurysms imaging were demonstrated, with particular attention to the advantages of the method of MR imaging of the vessel wall. The main technical aspects of MR vessel wall imaging were demonstrated.Conclusion. Modern CT and MR imaging can provide additional information about the processes occurring in the lumen of the aneurysm and its wall. This information can be a key factor in the neurosurgical patient management.

Keywords:
аневризма, МР-визуализация, сосудистая стенка, воспаление, неоваскуляризация, aneurysm, magnetic resonance imaging, vessel wall, inflammation, neovascularization