Objective: We investigated the appropriate reconstruction interval required to generate optimal quality images of the coronary veins and to evaluate the size of each vein at the systolic and diastolic phases using cor...Objective: We investigated the appropriate reconstruction interval required to generate optimal quality images of the coronary veins and to evaluate the size of each vein at the systolic and diastolic phases using coronary computed tomography (CT) venography. Methods: Coronary CT venograms obtained from 30 patients using 64-slice CT were reconstructed at 0% to 90% of the cardiac cycle in 10% increments. Two radiologists assessed the image quality of the anterior interventricular vein (AIV), the great cardiac vein (GCV), the posterior vein of the left ventricle (PVLV), the posterior interventricular vein (PIV), the coronary sinus (CS) and the small cardiac vein (SCV). We determined the sizes of measurable CS (n = 16) and GCV (n = 12) at the end systolic and mid diastolic phases. Results: The most appropriate reconstruction point for all coronary veins turned out to be at the mid-diastolic phase. The size of the CS and GCV was greater at a 30% than that at a 70% R-R interval (p Conclusions: Image quality was optimal at the mid-diastolic phase for each coronary vein, but the sizes of the coronary veins varied during the cardiac cycle. The cardiac cycle must be considered when measuring the sizes of cardiac veins.展开更多
Pulmonary infarction may present as a solitary pulmonary nodule resembling a malignant pulmonary tumor. A 71-year-old woman who had undergone the surgery for abdominal malignant fibrous histiocytoma (MFH) with inflamm...Pulmonary infarction may present as a solitary pulmonary nodule resembling a malignant pulmonary tumor. A 71-year-old woman who had undergone the surgery for abdominal malignant fibrous histiocytoma (MFH) with inflammatory nature presented with a small nodule in the right lung in computed tomographic images. Two months later, the nodule became enlarged and had an accompanying infiltrative shadow. We suspected a metastatic tumor from MFH and performed video-assisted thoracic surgery. However, subsequent pathological diagnosis of the nodule was pulmonary infarction due to thromboembolism. When a peripheral nodule is detected, pulmonary infarction should be considered as a possible diagnosis.展开更多
文摘Objective: We investigated the appropriate reconstruction interval required to generate optimal quality images of the coronary veins and to evaluate the size of each vein at the systolic and diastolic phases using coronary computed tomography (CT) venography. Methods: Coronary CT venograms obtained from 30 patients using 64-slice CT were reconstructed at 0% to 90% of the cardiac cycle in 10% increments. Two radiologists assessed the image quality of the anterior interventricular vein (AIV), the great cardiac vein (GCV), the posterior vein of the left ventricle (PVLV), the posterior interventricular vein (PIV), the coronary sinus (CS) and the small cardiac vein (SCV). We determined the sizes of measurable CS (n = 16) and GCV (n = 12) at the end systolic and mid diastolic phases. Results: The most appropriate reconstruction point for all coronary veins turned out to be at the mid-diastolic phase. The size of the CS and GCV was greater at a 30% than that at a 70% R-R interval (p Conclusions: Image quality was optimal at the mid-diastolic phase for each coronary vein, but the sizes of the coronary veins varied during the cardiac cycle. The cardiac cycle must be considered when measuring the sizes of cardiac veins.
文摘Pulmonary infarction may present as a solitary pulmonary nodule resembling a malignant pulmonary tumor. A 71-year-old woman who had undergone the surgery for abdominal malignant fibrous histiocytoma (MFH) with inflammatory nature presented with a small nodule in the right lung in computed tomographic images. Two months later, the nodule became enlarged and had an accompanying infiltrative shadow. We suspected a metastatic tumor from MFH and performed video-assisted thoracic surgery. However, subsequent pathological diagnosis of the nodule was pulmonary infarction due to thromboembolism. When a peripheral nodule is detected, pulmonary infarction should be considered as a possible diagnosis.
