慢性血栓栓塞性肺病的成像:当前的做法和进展
Hakim Ghani1,2, Jonathan R Weir-McCall3,4, Alessandro Ruggiero4
1National Pulmonary Hypertension Centre, Royal Papworth Hospital, UK.
慢性血栓栓塞性肺病 (CTEPD) 的管理依赖于成像用于诊断和治疗计划. 先进的CT和MRI提供了洞察力,人工智能有望进行自动化分析,以获得更好的患者结果.
科学领域:
- 心肺医学 心肺医学
- 放射学 放射学是一门学科.
- 血管成像 血管成像
背景情况:
- 慢性血栓栓塞性肺病 (CTEPD) 由未解决的肺动脉血栓引起,可能导致肺高血压 (PH).
- 有效的管理涉及机械干预和药物,以改善血液动力学和减少死亡率.
- 成像在诊断CTEPD,指导治疗和评估结果方面发挥着至关重要的作用.
研究的目的:
- 审查成像在治疗CTEPD中的关键作用.
- 突出目前和新兴的成像模式用于CTEPD诊断和评估.
- 探索人工智能在分析CTEPD成像数据中的潜力.
主要方法:
- 计算机断层扫描 (CT) 肺血管图,右心导管,双能量CT,映射CT和动态对比增强MRI的审查.
- 讨论通风 perfusion 扫描和数字减去血管学.
- 探索CTEPD医疗成像中的人工智能应用.
主要成果:
- CT肺血管图像和右心脏导管是评估外科候选人的关键.
- 先进的CT和MRI技术显示出与CTEPD诊断的V/Q光学相提并论的前景.
- 肺血管造影仍然对于评估气球肺血管造形术的目标至关重要.
结论:
- 图像对全面的CTEPD管理是不可或缺的.
- 在CT和MRI的技术进步提高了诊断能力,但面临着可访问性挑战.
- 人工智能在自动化图像分析和改善CTEPD护理方面具有重大潜力.
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