Aquilion ONE能做啥？及其優(yōu)勢(shì)(系列之一)

1、Toshiba Medical Systems CorporationToshiba Medical Systems CorporationAquilion ONE能做啥？及其優(yōu)勢(shì)（系列之一） 葛冰Toshiba Medical Systems CorporationToshiba Medical Systems Corporation基本信息1：腦動(dòng)脈瘤破裂伴蛛血發(fā)病率及死亡率高。2：320排動(dòng)態(tài)容積CT掃描+心電門(mén)控，對(duì)破裂和未破裂的腦動(dòng)脈瘤搏動(dòng)異常隆起搏動(dòng)異常隆起點(diǎn)點(diǎn)（即相關(guān)出血點(diǎn)責(zé)任部位）的監(jiān)測(cè)，對(duì)于臨床應(yīng)用的意義重大。3：方法：容積掃描+心電門(mén)控。（full）全掃描重建，把一個(gè)心動(dòng)周

2、期分成20個(gè)序列，觀察。Toshiba Medical Systems CorporationToshiba Medical Systems Corporation基本信息破裂腦動(dòng)脈瘤ruptured cerebral aneurysm 簡(jiǎn)稱(chēng)(RCA).處理方案：1：開(kāi)顱夾閉（或者結(jié)扎）手術(shù)2：經(jīng)血管栓塞兩種方式各有利弊。如果能夠監(jiān)測(cè)到破裂出血點(diǎn)，有利于外科治療方案的選擇。Toshiba Medical Systems CorporationToshiba Medical Systems Corporation基本信息未破裂腦動(dòng)脈瘤unruptured cerebral aneurysm 簡(jiǎn)稱(chēng)

3、(URCA).能夠評(píng)估動(dòng)脈瘤破裂的風(fēng)險(xiǎn)，對(duì)于病人的管理、隨訪監(jiān)測(cè)和預(yù)后有極大好處。Toshiba Medical Systems CorporationToshiba Medical Systems Corporation（病例1）左頸內(nèi)動(dòng)脈瘤破裂伴蛛血（多發(fā)動(dòng)脈瘤）Toshiba Medical Systems CorporationToshiba Medical Systems Corporation陽(yáng)性的搏動(dòng)異常隆起點(diǎn)搏動(dòng)異常隆起點(diǎn)Toshiba Medical Systems CorporationToshiba Medical Systems Corporation搏動(dòng)異常隆起點(diǎn)，搏

4、動(dòng)異常隆起點(diǎn)，周?chē)奂饕某鲅把[Toshiba Medical Systems CorporationToshiba Medical Systems Corporation夾閉手術(shù)首選，術(shù)中所見(jiàn)與CT吻合（星號(hào)系血凝塊）Toshiba Medical Systems CorporationToshiba Medical Systems Corporation（病例2）右側(cè)大腦中動(dòng)脈，動(dòng)脈瘤破裂伴蛛血Toshiba Medical Systems CorporationToshiba Medical Systems Corporation搏動(dòng)異常隆起點(diǎn)搏動(dòng)異常隆起點(diǎn)Toshiba Medi

5、cal Systems CorporationToshiba Medical Systems Corporation術(shù)中所見(jiàn)出血點(diǎn)及周?chē)龎K與CT吻合Toshiba Medical Systems CorporationToshiba Medical Systems Corporation（病例3）前交通動(dòng)脈瘤破裂早期，平掃未見(jiàn)明確的出血，出現(xiàn)劇烈的頭痛癥狀Toshiba Medical Systems CorporationToshiba Medical Systems Corporation明顯的搏動(dòng)異常隆起點(diǎn)搏動(dòng)異常隆起點(diǎn)Toshiba Medical Systems Corporat

6、ionToshiba Medical Systems Corporation術(shù)中所見(jiàn)蛛網(wǎng)膜下腔已經(jīng)有了少量的出血。同一天進(jìn)行了夾閉手術(shù)Toshiba Medical Systems CorporationToshiba Medical Systems Corporation（URCA）未破裂的基底動(dòng)脈尖的動(dòng)脈瘤Toshiba Medical Systems CorporationToshiba Medical Systems Corporation可以看到的：搏動(dòng)異常隆起點(diǎn)搏動(dòng)異常隆起點(diǎn)Toshiba Medical Systems CorporationToshiba Medical Sys

7、tems Corporation23個(gè)月復(fù)查：搏動(dòng)異常隆起點(diǎn)，搏動(dòng)異常隆起點(diǎn)，明顯增大、變形Toshiba Medical Systems CorporationToshiba Medical Systems Corporation優(yōu)勢(shì)對(duì)比螺旋CT+心電門(mén)控螺旋CT掃描+心電門(mén)控動(dòng)脈瘤的搏動(dòng)異常搏動(dòng)異常隆起點(diǎn)隆起點(diǎn)檢出率和精確度低。原因：螺旋CT不能同時(shí)夠獲得一個(gè)心動(dòng)周期的所有的完整數(shù)據(jù)，而不得不拼接同一個(gè)解剖位置的不同時(shí)間序列的數(shù)據(jù)。（如下圖）Toshiba Medical Systems CorporationToshiba Medical Systems Corporation64排螺旋CT對(duì)比320Toshiba Medical Systems CorporationToshiba Medical Systems Corporation優(yōu)勢(shì)對(duì)比DSADSA幾乎沒(méi)有辦法檢出搏動(dòng)異常隆起