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CT在心血管疾病诊断中的应用 被引量：3

CT in diagnosis of cardiovascular diseases
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摘要 近5年来多排螺旋CT技术发展迅速,特别是2004年64排螺旋CT应用于临床以来,多排螺旋CT已经成为心血管病一项新的临床诊断技术,并得以迅速推广和发展。本文以作者3年来的临床应用经验,并配合参考文献,主要阐明多排螺旋CT对冠状动脉的成像和诊断,在主动脉病变、先天性心脏病和肺血管病的临床应用价值方面仅作了简单介绍。 With the fast development of multi-detector row spiral computed tomography（MDCT） in recent five years, especially clinical applications of 64 MDCT in 2004, MDCT has been used widely and popularized rapidly for diagnosing cardiovascular diseases as a new imaging technology. This paper introduces the imaging protocols and diagnosis of coronary artery disease as well as aortic diseases, congenital heart diseases and pulmonary diseases based upon the author＇s three-year clinical experiences and the data from published references.
作者 吕滨
机构地区 中国医学科学院北京协和医院 中国医学科学院心血管病研究所 中国医学科学院阜外心血管病医院放射科
出处 《临床荟萃》 CAS 2009年第19期1681-1686,F0002,共7页 Clinical Focus
关键词 体层摄影术 螺旋计算机 心血管疾病 诊断技术 心血管 tomography, spiral computed cardiovascular diseases diagnosis techniques, cardiovascular
分类号 R54 [医药卫生—心血管疾病]
  • 相关文献

参考文献9

  • 1鲁锦国,吕滨,邱金海,白桦,唐翔,杨新令,蒋世良,戴汝平,陈涛.64层螺旋CT冠状动脉血管成像不同对比剂注射方案应用的研究[J].中华放射学杂志,2008,42(6):586-591. 被引量：21
  • 2吴文辉,吕滨,蒋世良,鲁锦国,乔树宾,吴永健,戴汝平,沈云.多层螺旋CT对冠状动脉粥样硬化斑块的显示结果及与超声结果的比较[J].中华放射学杂志,2007,41(10):1027-1031. 被引量：24
  • 3Achenbach S,Giesler T,Ropers D, et al. Detection of coronary artery stenoses by contrast-enhanced, retrospectively elect rocardiographically-gated, multislice spiral computed tomography[J]. Circulation, 2001,103(21 ) : 2535-2538.
  • 4Hoffmann U,Moselewski F, Cury RC, et al. Predictive value of 16-slice muhideteetor spiral computed tomography to detect significant obstructive coronary artery disease in patients at high risk for coronary artery disease: patient-versus segment-based analysis[J]. Circulation, 2004,110 (17) : 2638-2643.
  • 5Maintz D, Seifarth H, Raupach R, et al. 64- slice multidetector coronary CT angiography: in vitro evaluation of 68 different stents[J]. Eur Radiol,2006,16(4) :818-826.
  • 6Ehara M, Surmely J F, Kawai M, et al. Diagnostic accuracy of 64- slice computed tomography for detecting angiographically significant coronary artery stenosis in an unselected consecutive patient population:comparison with conventional invasive angiography[J]. Circ J, 2006,70(5) : 564-571.
  • 7Gaspar T, Halon DA, Lewis ES, et al. Diagnosis of coronary instent restenosis with multidetector row spiral computed tomography[J]. J Am Coll Cardiol,2005,46(8) : 1573-1579.
  • 8Gregory SA, Ferencik M, Achenbach S, et al . Comparison of sixty-four-slice multidetector computed tomographic coronary angiography to coronary angiography with intravascular ultrasound for the detection of transplant vasculopathy[J]. Am J Cardiol,2006,98(7) :877-884.
  • 9Sigurdsson G, Carrascosa P, Yamani MH, et al. Detection of transplant coronary artery disease using multidetector computed tomography with adaptative multisegraent reconstruction[J]. J Am Coll Cardiol, 2006,48 (6) : 772-778.

二级参考文献30

  • 1吕滨,庄囡,戴汝平,蒋世良.电子束CT冠状动脉钙化积分和血管造影诊断冠心病的价值[J].中华放射学杂志,2004,38(12):1305-1310. 被引量：11
  • 2李颖,杨立,刘新,王新疆,赵锡海.心率对64层螺旋CT冠状动脉成像质量的影响[J].中国医学影像技术,2006,22(10):1477-1480. 被引量：27
  • 3Hara T, Yamada S, Hayashi T, et aL Accuracy of nonstenolic coronary alherosclerosis assessment by multi-detector computed tomography. Circ J, 2007, 71:911-914.
  • 4Pflederer T, Schmid M, Ropers D, et aJ. Interobserver variability of 64-slice computed tomography for the quantification of non-calcified coronary atherosclerotic plaque. Rofo, 2007, 179 : 953 -957.
  • 5Onuma Y, Tanabe K, Chihara R, et al. Evaluation of coronary artery bypass grafts and native cornary arteries using 64-slice muhidetector computed tomograptly. Am Heart J, 2007, 154: 519-526.
  • 6Ong K, Chin SP, Chan WL, et al. Feasibility and accuracy of 64-row MDCT coronary imaging from a centre with early experience: a review and comparison with established centres. Med J Malaysia, 2005, 60: 629-636.
  • 7Fleichmann D. Presenl and future trends in multiple detector-row CT apphcations: CT angiography. Eur Radiol, 2002, 12: S11 -S15.
  • 8Setty BN, Sahani DV, Ouellete-Piazzo K, et al. Comparison of enhancement, image quality, cost, and adverse reactions using 2 different contrast medium concentrations for routine chest CT on 16-stiee MDCT. Comput Assist Tomogr, 2006, 30: 818-822.
  • 9Sekiguchi R, Nawano S, Satake M, el at. Muhislice CT of the thorax: effects of contrast material pushed with saline solution using a dual power injector on contrast material dose and perivenous artifacts. Nippon Igaku Hoshasen Gakkai Zasshi, 2001, 61 : 484-490.
  • 10Haage P, Sehmitz-Rode T, Hubner D, et al. Reduction of contrast material dose and artifacts by a saline flush using a double power injector in helical CT of the thorax. AJR, 2000, 174: 1049 -1053.

共引文献41

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引证文献3

二级引证文献205

临床荟萃
2009年 第19期

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