非对比计算机断层扫描的发现,用于识别慢性封闭的冠状动脉旁路移植
Jordan H Chamberlin1, Carter D Smith1, Elizabeth Van Swol1
1Division of Cardiovascular Imaging, Department of Radiology and Radiologic Science, Medical University of South Carolina, Charleston, SC, USA.
Acta radiologica (Stockholm, Sweden : 1987)
|August 31, 2023
概括
非对比CT可以准确地检测冠状动脉旁路移植闭塞使用血管形态学,特别是静脉移植. 这种方法对于具有对比染料的禁忌的患者是可行的.
科学领域:
- 心血管成像 - 心血管成像
- 放射学 放射学是一门学科.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 使用非对比计算断层扫描 (CT) 检测冠状动脉旁路移植 (CABG) 阻塞是一个研究不足的领域.
- 准确评估CABG通透度对于患者管理至关重要.
研究的目的:
- 评估非对比CT的形态发现,用于诊断慢性CABG闭塞.
- 为潜在的临床用例调查这种诊断方法的性能统计数据.
主要方法:
- 对73名CABG患者的回顾性分析,这些患者接受了非对比和动脉相胸部CT血管造影.
- 两个阅读器使用预定义的形态发现 (例如,血管形状,光层崩,移植标记物) 在非对比CT上评估了移植透视度.
- 动脉相 CT 作为绩效评估的基本真相.
主要成果:
- 对于闭塞的每患者诊断准确率为0.890.
- 静脉移植的整体准确率为88%.
- 没有检测到动脉移植封闭;专利移植的负概率比为0.121.1.
结论:
- 在非对比CT上对冠状动脉旁路移植进行长期阻塞的形态评估是可行的和准确的,特别是对于静脉移植.
- 这种技术适用于低至中等风险的患者胸痛或呼吸短促,当对比度是禁忌.
- 非对比CT提供了一个可行的替代方案,用于评估特定患者群体的CABG状态.
相关概念视频
Imaging Studies for Cardiovascular System V: CT
41
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
41
Acute Coronary Syndrome III: Diagnostic Studies
10
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
10
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
39
Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
39
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
23
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
23


