Abstract：【Objective】To evaluate the clinical value of head multislice spiral computed tomography angiography(MSCTA) in the diagnosis of intracranial aneurysm (IA).【Methods】The clinical data of 85 patients with suspected IA admitted to our hospital from February 2019 to February 2023 were retrospectively analyzed. All patients underwent digital subtraction angiography (DSA) and MSCTA. With surgical pathological diagnosis as the gold standard, the diagnostic results and diagnostic efficacy of the two diagnostic methods for IA were compared, and the detection values of the maximum diameter of the tumor neck and the maximum diameter of the tumor body were compared between MSCTA and DSA.【Results】48 patients were confirmed as IA by operation. The Kappa values of MSCTA and DSA for diagnosis of IA were 0.880 and 0.881, respectively, which were in good agreement with pathological diagnosis results (P<0.05). There was no significant difference in accuracy, specificity and sensitivity between MSCTA and DSA in the diagnosis of IA (P>0.05). There was no significant difference between MSCTA and DSA in the maximum diameter of tumor neck and the maximum diameter of tumor body (P>0.05).【Conclusion】MSCTA can effectively diagnose IA, and its diagnostic value is similar to that of traditional DSA, and it can be used as an auxiliary diagnostic method for DSA in clinic.
王琰, 刘喜全. 头部螺旋CT血管造影诊断颅内动脉瘤的临床价值[J]. 医学临床研究, 2025, 42(2): 221-224.
WANG Yan, LIU Xiquan. Clinical Value of Head MSCTA in Diagnosis of Intracranial Aneurysms. JOURNAL OF CLINICAL RESEARCH, 2025, 42(2): 221-224.
2025, Vol. 42 
