Современные нейрорентгенологические методы диагностики внутричерепных артериальных аневризм: обзор литературы

Цель. Анализ мировой литературы, посвящённый современной диагностике внутричерепных артериальных аневризм с акцентом на возможности МР-визуализации сосудистой стенки.
Материал и методы. Проведен поиск научных публикаций и клинических рекомендаций в информационно-аналитической системе PubMed за 2012–2020 гг. по ключевым словам: “aneurysm” (аневризма), “СТ” (КТ), “MRI” (МРТ), “CFD – computational hydrodynamics” (вычислительная гидродинамика), “vessel wall imaging“ (визуализация сосудистой стенки). В результате поиска было отобрано и изучено 137 статей, из которых в обзоре использовались 27 статей, дополненные 10 статьями из списков литературы 1990–2012 гг.
Результаты. Были продемонстрированы современные возможности диагностики интракраниальных аневризм с особым вниманием на преимущества метода МР-визуализации сосудистой стенки. Определены основные технические аспекты, на которых базируется специализированная методика МР-визуализации сосудистой стенки.
Выводы. Современные методики КТ- и МР-визуализации способны предоставить дополнительную информацию о происходящих в просвете аневризмы и ее стенке процессах, которая может явиться ключевым фактором при предоперационном нейрохирургическом планировании.

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