血管内成像技术在法医学尸体检验中的应用

Application of Intravascular Imaging in Forensic Autopsy

微创导管、旋转耦合器等一系列新技术、设备的涌现,使传统超声、光学相干断层成像(optical co?herence tomography,OCT)等成像技术应用范围逐渐扩大。近年来,血管内超声(intravascular ultrasound,IVUS)和OCT作为冠状动脉血管内成像技术已日渐成熟,成为冠状动脉造影的重要补充手段。尽管IVUS和OCT临床应用的大量可行性研究数据已在前期尸体研究的评估中得到证实,但这些技术在法医学尸体检验中却一直处于被忽略的地位。本文就IVUS和OCT新型成像技术在法医学尸体检验,特别是在辅助评价冠状动脉疾病中的应用价值进行综述,包括IVUS和OCT成像技术的特点、传统尸体检验中冠状动脉检查面临的问题以及新型血管内成像技术在法医学尸体检验中的具体应用等。

With the emergence of new technologies and devices including minimally invasive catheters and rotary couplers, the application of imaging technology such as traditional ultrasound and optical coherence tomography (OCT) is gradually expanded. In recent years, intravascular ultrasound (IVUS) and OCT have become increasingly mature as coronary intravascular imaging techniques, and therefore become an important complementary means of coronary angiography. Although studies on feasibility of clinical applications of IVUS and OCT have been confirmed in the evaluation of previous cadaver studies, these techniques have been neglected in forensic autopsy. This paper reviews the application value of IVUS and OCT in forensic autopsy, especially in the adjuvant evaluation of coronary artery disease. Including the characteristics of IVUS and OCT imaging technology, the problems of coronary examination in traditional autopsy and the specific application of new intravascular imaging technology in forensic autopsy.