Detection of Cerebral Aneurysm in Cerebral Arteries Following Non-Invasive CT Angiogram

S. Abbas, M. A. Naeem, Abid Ali, Sadia Azam, Atika Hasan, Syeda Doaa Zainab, Waseem Zafar
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Abstract

Background: Cerebral aneurysm is the basic cause of sub-arachnoid hemorrhage; Computed tomographic angiogram is the non-invasive approach to diagnose aneurysm by reconstructing the image in 3D dimension making it possible to locate the aneurysm and differentiate it from other arteries. Objective: Focus of this study was to investigate the accuracy of CTA to detect the aneurysm, its type, location and size. Material and method: Data of 50 patients was taken retrospectively with cost-benefit approach that undergoes non-invasive CTA through Aquilion 64-slices CT machine under post-processing work station. Results: This retrospective study is taken with 50 patients, with a 38 percent positive predictive value and a 62 percent negative predictive value, multi-slice CT properly revealed substantial aneurysm in 19 of 50 cases. Conclusion: 64-slices CT provides high diagnostic accuracy for detecting the aneurysm in cerebral arteries with a non-invasive angiogram procedure.
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无创CT血管造影对脑动脉动脉瘤的检测
背景:脑动脉瘤是导致蛛网膜下腔出血的根本原因;计算机断层血管造影是诊断动脉瘤的无创方法,通过重建三维图像,可以定位动脉瘤并将其与其他动脉区分开来。目的:探讨CTA对动脉瘤类型、位置和大小的检测准确性。材料与方法:回顾性分析50例患者的资料,采用成本-收益法,在后处理工作站下,通过Aquilion 64层CT机行无创CTA。结果:本研究回顾性分析了50例患者,阳性预测值为38%,阴性预测值为62%,50例中19例多层螺旋CT正确显示实质动脉瘤。结论:64层CT无创血管造影对脑动脉动脉瘤有较高的诊断准确率。
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