头颈部动脉管壁高分辨MR病例分享课件.pptx

1、头颈部动脉管壁高分辨MR病例分享颈动脉管壁MR高清成像应用CPRCPRVRCase 1：男，55岁；突发头痛一周头颈部CTA颈动脉管壁MR高清成像应用Case 1 颈部MRA3D-TOF MRA3D-TOF MRAce-MRACPR3D-MIP3D-MIP颈动脉管壁MR高清成像应用3D CUBE T1高分辨率血管壁成像CUBE T1CUBE T1+C颈动脉管壁MR高清成像应用3D CUBE T1高分辨率血管壁成像右侧颈内动脉C1段夹层黑血重建CUBE T1 CPRCUBE T1 Cor+CCUBE T1 Cor颈动脉管壁MR高清成像应用DSADSA支架置入术后颈动脉管壁MR高清成像应用Case

2、 2：78岁男性，反复头晕2天颈动脉管壁MR高清成像应用CT灌注成像RL判断斑块的稳定性判断斑块的稳定性颈动脉内膜剥脱术后CTA3D-TOFCUBE-T2CUBE-T1CUBE-T1 +CCase 3：男，60岁，阵发性左上肢麻木不灵1天颈动脉管壁MR高清成像应用颈动脉管壁MR高清成像应用18个月前颈动脉管壁MR高清成像应用Case 4：男，57岁；主诉：发作性头痛伴视物变形4天。右侧颈内动脉C2段斑块斜冠状面斜冠状面MRP血管垂直断面血管垂直断面GE Silent 750W 3.0THNU coil3D CUBE T13D CUBE T1颈动脉管壁MR高清成像应用右侧颈内动脉C2段斑块斜冠状

3、面斜冠状面MRP血管垂直断面血管垂直断面GE Silent 750W 3.0THNU coil3D CUBE T13D CUBE T13D CUBE PD3D CUBE PD颈动脉管壁MR高清成像应用右侧颈内动脉C2段斑块斜冠状面斜冠状面MRP血管垂直断面血管垂直断面GE Silent 750W 3.0THNU coil3D CUBE T13D CUBE T13D CUBE PD3D CUBE PD3D CUBE T1+C3D CUBE T1+C颈动脉管壁MR高清成像应用颅内动脉MR高清管壁成像应用颅内动脉MR高清管壁成像应用GE Silent 750W 3.0THNU coil3D CUBE

4、 T13D CUBE T13D CUBE PD3D CUBE PD3D CUBE T1+C3D CUBE T1+CAx DWI（b=1000）Ax T2-Flair女，65岁 ，颅脑MRI体检Case 1左侧大脑中动脉M1狭窄GE Silent 750W 3.0THNU coil3D CUBE T13D CUBE T13D CUBE PD3D CUBE PD3D CUBE T1+C3D CUBE T1+C颅内动脉MR高清管壁成像应用左侧MCA-M1狭窄GE Silent 750W 3.0THNU coil3D CUBE T13D CUBE T13D CUBE PD3D CUBE3D CUBE-

5、T1-T13D CUBE T1+C3D CUBE T1+CAx Ax FseFse-PD-PDAx Fse-T1Ax Fse-T1+CAx Fse-T1+C颅内动脉MR高清管壁成像应用左侧MCA-M1狭窄3D-pc ASL侧枝循环评估GE Silent 750W 3.0THNU coil3D CUBE T13D CUBE T13D CUBE PD3D CUBE PD3D CUBE T1+C3D CUBE T1+CAx Fse-T1Ax Fse-T1+C3D CUBE T1 3D CUBE T1+C3D CUBE T1PLD=1525msCBF=（L：36.0；R：46.6）PLD=2525ms

6、CBF=（L：46.1；R：44.1）增强后增强后 3D-TOF MRA左侧左侧M1段周围小血管显示段周围小血管显示颅内动脉MR高清管壁成像应用右侧大脑中动脉M1狭窄GE Silent 750W 3.0THNU coil3D CUBE T13D CUBE T13D CUBE PD3D CUBE PD3D CUBE T1+C3D CUBE T1+C3D TOF-MRA颅内动脉MR高清管壁成像应用Case 2女，54岁，主诉：耳鸣20余天，发作性头晕15天。右侧大脑中动脉M1 斑块3D CUBE T13D CUBE T13D CUBE PD3D CUBE PD3D CUBE T1+C3D CUBE

7、 T1+C3D TOF-MRA3D CUBE T13D CUBE T1血管水平断面血管水平断面血管垂直断面血管垂直断面GE Silent 750W 3.0THNU coil颅内动脉MR高清管壁成像应用右侧大脑中动脉M1 斑块3D CUBE T13D CUBE T13D CUBE PD3D CUBE PD3D CUBE T1+C3D CUBE T1+C3D TOF-MRA3D CUBE T13D CUBE T1冠状位及局部放大图像冠状位及局部放大图像3D CUBE T1黑血重建黑血重建3D CUBE min MIP颅内动脉MR高清管壁成像应用右侧大脑中动脉M1 斑块3D CUBE T13D CU

8、BE PD3D CUBE T1+C3D TOF-MRA3D CUBE T1血管垂直断面血管垂直断面2D Fse PD2D Fse T12D Fse T1+C颅内动脉MR高清管壁成像应用右侧大脑中动脉M1 斑块3D CUBE T13D CUBE PD3D CUBE T1+C3D TOF-MRA冠状面及局部放大图像冠状面及局部放大图像GE Silent 750W 3.0THNU coil3D CUBE T1+C3D CUBE T1+C颅内动脉MR高清管壁成像应用右侧大脑中动脉M1 狭窄3D CUBE T13D CUBE PD3D CUBE T1+C3D TOF-MRA3D CUBE T1GE Si

9、lent 750W 3.0THNU coil3D TOF-MRA颅内动脉MR高清管壁成像应用Case 3:男，52岁,主诉：头晕、头胀痛3天右侧大脑中动脉M1 狭窄3D CUBE T13D CUBE PD3D CUBE T1+C3D TOF-MRA3D CUBE T13D TOF-MRA3D CUBE T13D CUBE T1冠状位及局部放大图像冠状位及局部放大图像血管垂直断面血管垂直断面GE Silent 750W 3.0THNU coil颅内动脉MR高清管壁成像应用右侧大脑中动脉M1 狭窄3D CUBE T13D CUBE PD3D CUBE T1+C3D TOF-MRA3D CUBE T

10、13D TOF-MRA3D CUBE T1血管垂直断面血管垂直断面3D CUBE PD3D CUBE T13D CUBE T1+C颅内动脉MR高清管壁成像应用右侧大脑中动脉M1 狭窄3D CUBE T13D CUBE PD3D CUBE T1+C3D TOF-MRA3D CUBE T13D TOF-MRA3D CUBE T13D CUBE T1冠状位及局部放大图像冠状位及局部放大图像血管垂直断面血管垂直断面GE Silent 750W 3.0THNU coil3D CUBE T1+C3D CUBE T1+C颅内动脉MR高清管壁成像应用右侧大脑中动脉M1 段夹层3D CUBE T13D CUBE PD3D CUBE T1+C3D TOF-MRA3D CUBE T13D TOF-MRA3D CUBE T13D CUBE T13D CUBE T1+C3D CUBE T1+CCTADSA颅内动脉MR高清管壁成像应用右侧大脑中动脉M1 段夹层3D CUBE T13D CUBE PD3D CUBE T1+C3D TOF-MRA3D CUBE T13D TOF-MRA3D CUBE T13D CUBE T13D CUBE T1+C3D CUBE T1+CCTADSA颅内动脉MR高清管壁成像应用谢谢！谢谢！