可靠的非侵入性冠状动脉血管学与快速的亚毫米多切片螺旋计算断层扫描
Koen Nieman1, Filippo Cademartiri, Pedro A Lemos
1Thoraxcenter, Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands. koennieman@hotmail.com
Circulation
|October 16, 2002
概括
多切片螺旋计算断层扫描 (MSCT) 可靠地检测出阻塞性冠状动脉疾病. 改进的成像技术和心率控制提高了非侵入性冠状动脉血管学诊断的准确性.
科学领域:
- 心血管成像 - 心血管成像
- 医学诊断 医学诊断 医学诊断
- 放射学 放射学是一门学科.
背景情况:
- 多切片螺旋计算断层扫描 (MSCT) 显示出非侵入性冠状动脉血管学的潜力.
- 临床使用受限于运动器件和化,影响可解释性.
研究的目的:
- 评估ECG导入的MSCT血管造影的诊断准确性,以检测阻塞性冠状动脉疾病.
主要方法:
- 在59名怀疑冠状动脉疾病的患者中,在16片扫描仪上进行了ECG导入的MSCT血管学.
- 数据是在对比剂注射后的20秒喘息期间获得的.
- 与定量冠状动脉血管学相比,评估冠状动脉和分支的狭窄率>或=50%,与定量冠状动脉血管学相比.
主要成果:
- 在58名患者中,MSCT取得了成功,评估了231个分支.
- 检测>或=50%狭窄的灵敏度,特异性和PPV/NPV分别为95%,86%,80%和97%.
- 对主要冠状动脉的整体准确率在81%至100%之间;对疾病程度的患者分类准确率为78%.
结论:
- 在MSCT技术和心率控制的改进使得可靠的非侵入性检测阻塞性冠状动脉疾病.
- 电心电图 (ECG) 导入的MSCT血管造影是诊断冠状动脉疾病的宝贵工具.
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