摘要
目的探讨64排多层螺旋CT(64-MSCT)联合MRI对烟雾病的诊断价值。方法选取2020年2月至2022年5月医院收治的83例疑似烟雾病患者,均接受64-MSCT、MRI检查,并行数字减影血管造影(DSA)检查,将DSA检查结果作为诊断金标准,比较64-MSCT、MRI单独及联合检查结果与DSA检查结果的一致性,以及对烟雾病的诊断效能。结果DSA检查结果显示,83例患者中42例阳性,占比50.60%;64-MSCT、MRI单独检查与DSA检查结果的一致性理想(Kappa=0.590、0.614),联合检查与DSA检查结果的一致性极好(Kappa=0.952);64-MSCT联合MRI对烟雾病的诊断灵敏度、特异度、准确度均高于两者单独检查,差异有统计学意义(P<0.05)。结论64-MSCT联合MRI对烟雾病的诊断价值高于两者单独检查,且与金标准有极好的一致性。
Objective The diagnostic value of 64-multislice spiral computed tomography(64-MSCT)combined with MRI in moyamoya disease was explored.Methods With selection of 83 patients suspected moyamoya disease admitted to the hospital from February 2020 to May 2022,the patients were examined by 64-MSCT,MRI,and digital subtraction angiography(DSA).With the DSA examination results as the diagnostic gold standard,the consistencies of 64-MSCT and MRI alone and in combination with DSA examination results for moyamoya disease were compared.Meanwhile,the diagnostic efficacy for moyamoya disease was compared.Results The DSA examination results showed that 42 out of 83 patients were positive,accounting for 50.60%;The results of 64-MSCT and MRI alone and DSA were in good agreement(Kappa=0.590,0.614),while the results of combined examination and DSA were in excellent agreement(Kappa=0.952);The diagnostic sensitivity,specificity,and accuracy of 64-MSCT combined with MRI for moyamoya disease were higher than those of the two methods alone,and the differences were statistically significant(P<0.05).Conclusion The diagnostic value of 64-MSCT combined with MRI for moyamoya disease is higher than that of the two methods alone,and there is excellent consistency with the gold standard.
作者
冯林亮
Feng Linliang(The First People's Hospital of Jiujiang City,Jiujiang Jiangxi 332000,China)
出处
《医疗装备》
2023年第12期20-22,共3页
Medical Equipment
关键词
烟雾病
64排多层螺旋CT
MRI
诊断价值
Moyamoya disease
64-multislice spiral computed tomography
MRI
Diagnostic value
