螺旋计算断层扫描用于急性肺栓塞
U Joseph Schoepf1, Samuel Z Goldhaber, Philip Costello
1Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, Mass 02115, USA. schoepf@bwh.harvard.edu
Circulation
|May 12, 2004
概括
对于急性肺栓塞的最佳诊断成像仍在争论中. 多检测器串螺旋CT显示有希望,改善检测中心和外周栓塞,可能成为新的护理标准.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 心血管成像 - 心血管成像
背景情况:
- 正在讨论急性肺栓塞 (PE) 的最佳诊断成像模式.
- 目前的选择包括核医学扫描,导管肺血管造影和螺旋CT.
- 螺旋CT越来越多地使用,但在检测小外围栓塞方面存在局限性.
研究的目的:
- 审查CT在诊断急性肺栓塞中的当前作用和未来潜力.
- 评估用于PE检测的CT技术的发展.
- 将CT性能与其他成像方法进行比较.
主要方法:
- 对肺栓塞的CT成像现有文献的综述.
- 讨论单切片与多检测器行螺旋CT (MDCT) 功能的讨论.
- 对中央和外围栓塞的诊断准确性的评估.
主要成果:
- 单切片螺旋CT在检测外围PE方面存在局限性,报告的错误率高达30%.
- 多检测器串串螺旋CT (MDCT) 显著改善了对外围肺动脉的可视化和小栓塞的检测.
- 在中部和外围PE检测方面,MDCT的性能似乎优于其他模式.
结论:
- 对于PE的螺旋CT,MDCT技术正在克服以前的准确性问题.
- 证据支持根据MDCT的负结果保留抗凝血剂.
- MDCT即将成为诊断急性肺栓塞的参考标准.
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