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烟雾病的影像学研究进展
刘日,田冰,陆建平*
0
(第二军医大学长海医院放射科, 上海 200433
*通信作者)
摘要:
烟雾病是一种原因不明的慢性进行性脑血管疾病,发病率具有明显的种族特征,主要发生在东亚,中国为高发地区之一。目前烟雾病的发病机制仍未明确,且临床特征缺乏特异性,早期及不典型患者诊断较为困难。研究表明血流重建手术可以阻止烟雾病患者的缺血进程,但并未有足够的证据表明其对出血型烟雾病有足够的治疗价值。影像学是脑血管疾病包括烟雾病的主要诊断、评估及随访复查的手段,主要包括形态学及功能学成像。本文就各种影像学方法在烟雾病中的应用现状及进展进行综述。
关键词:  烟雾病  形态学成像  功能学成像
DOI:10.16781/j.0258-879x.2016.05.0601
投稿时间:2015-08-30修订日期:2015-12-29
基金项目:
Progress of imaging for moyamoya disease
LIU Ri,TIAN Bing,LU Jian-ping*
(Department of Radiology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
*Corresponding author)
Abstract:
Moyamoya disease (MMD) is a chronic progressive cerebrovascular disease with its reason remaining unclear; the disease has different morbidities among different races, with East Asia countries including China having higher incidence. The pathogenesis of MMD is still unclear and the clinical characteristics lack specificity, making it difficult for early diagnosis. Researches have shown that revascularization surgery can slow down the ischemic process, but no sufficient evidence indicates that revascularization surgery can be used for hemorrhagic MMD. Imaging approachs, including morphological and functional imaging, are the main diagnosis, evaluation and follow-up method for cerebrovascular diseases. This review aimed to summarize the application and research on multiple imaging methods for MMD.
Key words:  moyamoya disease  morphological imaging  functional imaging