在测量大动脉根尺寸和冠状动脉骨高度方面,4D横食管心声学和多探测器计算机断层扫描之间的协议
Mohamed Hassan1,2, Mostafa M Abdrabou1,2, Wasseem Amin Wahba1
1Department of Cardiology, Faculty of Medicine, Cairo University, Cairo, Egypt.
The international journal of cardiovascular imaging
|June 3, 2023
概括
四维透食管心声学 (4D TEE) 在大多数大动脉根测量中与多探测器计算机断层扫描 (MDCT) 强烈一致. 当MDCT无法使用时,4D TEE可能是一个可行的替代方案.
科学领域:
- 心血管成像 - 心血管成像
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 计算机断层扫描 (CT) 是一种计算机断层扫描.
背景情况:
- 多检测器计算机断层扫描 (MDCT) 是非侵入性大动脉根评估的标准.
- 评估大动脉尺寸对于诊断和管理心血管疾病至关重要.
研究的目的:
- 为了比较4D透食管心声学 (4D TEE) 和MDCT在测量大动脉根尺寸方面的一致性.
- 评估4D TEE作为MDCT的替代品的实用性.
主要方法:
- 一项前性分析研究,涉及43名成年患者.
- 测量包括大动脉环形尺寸,冠状动脉骨高度和Valsalva鼻腔 (SoV) 和鼻管结 (STJ) 直径,使用ECG导入的MDCT和4D TEE.
- 使用eSie门软件半自动计算TEE测量结果.
主要成果:
- 在4D TEE和MDCT之间发现了强烈的相关性和良好的协议,用于环状尺寸,左冠状动脉骨架高度,最小STJ直径和最小SoV直径.
- 对右冠状动脉骨高度观察到中等一致性和较大的差异.
- 在大多数大动脉根测量中,4D TEE与MDCT有很好的相关性.
结论:
- 4D TEE是一种可靠的工具,用于测量大动脉环形尺寸,冠状动脉骨架高度,SoV和STJ直径,与MDCT有很好的一致性.
- 4D TEE可能会取代MDCT用于大动脉根评估,当MDCT无法使用或禁用时.
- 需要进一步的研究来确定这些发现是否会影响临床结果.
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