在肺癌查CT扫描中鉴定出冠状动脉化:一个范围广泛的审查
Nada Al-Antary1, Kelly A Hirko2, Andrea E Cassidy-Bushrow3
1Henry Ford Health + Michigan State University Health Sciences, Detroit, MI; Department of Public Health Sciences, Henry Ford Health, Detroit, MI; Henry Ford Cancer, Henry Ford Health, Detroit, MI.
冠状动脉化 (CAC) 经常在肺癌查CT扫描中偶然发现. 识别CAC可以帮助预防心血管事件,突出需要标准化报告和多样化的研究群体.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 冠状动脉化 (CAC) 是肺癌查 (LCS) 低剂量计算机断层扫描 (CT) 中的一个重要偶然发现.
- CAC的存在和等级提供了诊断和预防价值,特别是在没有已知的冠状动脉疾病的患者中.
研究的目的:
- 审查CAC作为LCSCT扫描中的偶然发现的流行情况.
- 确定关于LCS中CAC的未来研究方向.
主要方法:
- 进行了范围审查.
- 选了256篇摘要,其中32篇文章被纳入最终分析.
主要成果:
- 在不同研究中,CAC的患病率差异很大 (14.8%98%).
- 轻度CAC是报告的最常见的等级 (46.9%).
- 大多数研究都缺乏种族多样性和有关检测到CAC的下游干预措施的信息.
结论:
- CAC是LCSCT扫描中的常见偶然发现,预测心血管事件.
- 在LCS中标准化CAC文档和管理至关重要.
- 未来的研究应该优先考虑多样化的群体和干预策略.
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