CT肺血管成像诊断肺血栓栓塞时的误诊原因及影像表现
被引量:4
摘要
CT肺血管成像(CT pulmonary angiography,CTPA)现已成为诊断可疑肺栓塞(pulmonary embolism,PE)的一线影像检查技术,Russo等Ⅲ通过Meta分析认为CTPA应成为诊断PE的一个新的“金标准”。在CTPA上,PE表现为血管腔内完全或部分充盈缺损,与对比剂的边界清楚。
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2007年第11期1268-1270,共3页
Chinese Journal of Radiology
参考文献24
-
1Weiss CR, Scatarige JC, Diette GB, et al. CT pulmonary angiography is the first-line imaging test for acute pulmonary embolism: a survey of US clinicians. Acad Radiol, 2006, 13: 434-446.
-
2Russo V, Piva T, Lovato L, et al. Muhidetector CT: a new gold standard in the diagnosis of pulmonary embolism?State of the art and diagnostic algorithms. Radiol Med ( Torino ), 2005, 109 : 49-61.
-
3Beigelman C, Chartrand-Lefebvre C, Howarth N, et al. Pitfalls in diagnosis of pulmonary embolism with helical CT angiography. AJR, 1998,171:579-585.
-
4Wittram C, Mather MM, Yoo A J, et al. CT angiography of pulmonary embolism: diagnostic criteria and causes of misdiagnosis. Radiographics ,2004,24 : 1219-1238.
-
5Patel S, Kazerooni EA. Helical CT for the evaluation of acute pulmonary embolisra. AJR, 2005,185:135-149.
-
6Schoepf UJ, Costello P. CT angiography for diagnosis of pulmonary embolism: state of the art. Radiology, 2004,230 : 329-337.
-
7Cobelli R, Zompatori M, Lomardo E, et al. Opacification of the inferior vena eava and inspiration-associated artifacts. AJR,2005, 184 : 1361-1362.
-
8Gotway MB, Patel RA, Webb WR. Helical CT for the evaluation of suspected acute pulmonary embolism: diagnostic piffalls.J Comput Assist Tomogr ,2000,24:267-273.
-
9Cosselin MV, Rassner UA, Thieszen SL, et al. Contrast dynamics during CT pulmonary angiogram: analysis of an inspiration associated artifact. J Thorac Imaging,2004,19 : 1-7.
-
10Bae KT, Mody GN, Balfe DM, et al. CT depiction of pulmonary emboli : display window settings. Radiology, 2005,236:677-684.
同被引文献30
-
1白峰,孙丽,杨培红64排螺旋CT增强扫描技术诊断肺动脉栓塞39例分析[J].中外健康文摘,2012,9(11):155-156.
-
2Wittram C, Maher MM, Yoo A J, et al. CT angiography of pulmonary embolism: diagnostic criteria and causes of misdiagnosis. Radiographics, 2004, 24 : 1219-1238.
-
3Nikolaou K, Thieme S, Sommer W, et al. Diagnosing pulmonary embolism: new computed tomography applications. J Thorac Imaging, 2010, 25 : 151-160.
-
4Kerl JM, Bauer RW, Renker M, et al. Triphasic contrast injection improves evaluation of dual energy lung perfusion in pulmonary CT angiography. Eur J Radial, 2011, 80 : e483-e487.
-
5Bae KT, Tao C, Giirel S, et al. Effect of patient weight andscanning duration on contrast enhancement during pulmonary multidetector CT angiography. Radiology, 2007, 242:582-589.
-
6Roggenland D, Peters SA, Lemburg SP, et al. CT angiography in suspected pulmonary embolism: impact of patient characteristics and different venous lines on vessel enhancement and image quality. AJR Am J Roentgenol, 2008, 190 :W351-W359.
-
7Eyer BA, Goodman LR, Washington L. Clinicians' response to radiologists' reports of isolated subsegmental pulmonary embolism or inconclusive interpretation of pulmonary embolism using MDCT. AIR Am J Roentgenol, 2005, 184:623-628.
-
8Henzler T, Meyer M, Reichert M, et al. Dual-energy CT angiography of the lungs: comparison of test bolus and bolus tracking techniques for the determination of scan delay. Eur J Radial, 2012, 81:132-138.
-
9Schaefer-Prokop C, Prokop M. CTPA for the diagnosis of acute pulmonary embolism during pregnancy. Eur Radiol, 2008, 18 : 2705 -2708.
-
10Schoepf UJ. Pulmonary artery CTA. Tech Vasc Interv Radiol, 2006, 9 : 180-191.
引证文献4
-
1戴志强.多排螺旋CT肺动脉造影对肺动脉栓塞的诊断价值[J].吉林医学,2011,32(16):3280-3281. 被引量:2
-
2胡永胜.肺动脉栓塞运用16排螺旋CT临床诊断价值[J].中国社区医师(医学专业),2012,14(24):218-218. 被引量:1
-
3陈彬,张文明,胡吉波,胡红杰.第二代双源CT肺动脉造影扫描方案优化选择[J].中华医学杂志,2012,92(31):2186-2190. 被引量:1
-
4范欣,李琦,张越,邹佩伶.肺血栓栓塞症CTPA假阳性诊断常见原因分析及影像表现[J].放射学实践,2024,39(1):70-76.
二级引证文献4
-
1张文明,陈彬,胡吉波,胡红杰.比较团注对比剂跟踪技术和小剂量团注测试技术在双能量CT肺灌注扫描中的应用[J].中华放射学杂志,2013,47(10):892-897. 被引量:18
-
2曹文.腹部16排CT在急腹症诊断中的价值[J].中国卫生产业,2013,10(30):144-144. 被引量:4
-
3王欣.螺旋CT肺动脉造影征象演变与治疗转归、肺动脉栓塞临床预测评分一致性分析[J].吉林医学,2013,34(36):7593-7594. 被引量:2
-
4李毅.肺动脉栓塞多排螺旋CTA血管成像分析[J].中外医学研究,2014,12(2):61-62.
-
1陈丽英,应可净,虞振委,洪武军,江立斌.膀胱癌并发反复静脉血栓1例[J].中国肿瘤临床,2006,33(11):658-659. 被引量:2
-
2曹书颖,左竹林,张祥宏,王保法,马俊义.肺癌并发肺血栓栓塞14例临床分析[J].中国实用内科杂志,2002,22(12):751-751. 被引量:7
-
3马富成,冷晓玲,武秀兰.乳腺错构瘤的声像图及病理特征分析[J].医学影像学杂志,2010,20(6):869-869. 被引量:1
-
4龙花.B超诊断肝腺瘤10例报告[J].世界今日医学杂志,2005,6(3):191-192. 被引量:1
-
5全国彪,张康胜,欧春燕,吴耀初,吴华超.16层螺旋CT对肾上腺外嗜铬细胞瘤的诊断价值[J].现代医用影像学,2013,22(6):504-504.
-
6赵莹,梁春利,张小兵,张永祥,孔灵菲.肺血栓栓塞44例临床分析并文献复习[J].国际呼吸杂志,2008,28(18):1097-1099. 被引量:1
-
7C. Schaefer-Prokop,M. Prokop,马可云.妊娠期急性肺栓塞的CT肺血管成像诊断[J].国际医学放射学杂志,2009,32(1):94-94.
-
8朱红莲.甲状腺恶性结节的CT诊断价值分析[J].中国现代医药杂志,2007,9(8):102-102.
-
9刘伟竹(译).胸痛CT三联成像:高辐射量,但无临床获益[J].英国医学杂志中文版,2013,16(6):385-386.
-
10王慧霞.恶性消化道肿瘤合并肺血栓栓塞25例临床分析[J].中国实用医刊,2014,41(23):54-56. 被引量:3