冠状动脉计算机断层扫描血管造影的偶然发现
Maria Ellingsøe Vistisen1, Andreea Iuliana Danaila1, Henrik Vadmann1,2
1Department of Clinical Medicine, Aalborg University.
冠状动脉CT血管造影 (CCTA) 的偶然发现很常见,但癌症很少见. 这项研究发现,只有0.65%的患者在CCTA上有心脏外发现 (ECF),最终被诊断患有癌症.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 冠状动脉CT血管造影 (CCTA) 的使用在丹麦正在增加,增加了偶然的心脏外发现 (ECF),特别是肺结节.
- 虽然ECF通常需要进一步调查,但最终被诊断为癌症的比例很小.
- 本研究重点关注CCTA期间发现的ECF以及被诊断患有癌症的患者的特征.
研究的目的:
- 为了调查在冠状动脉CT血管造影 (CCTA) 中发现的心脏外发现 (ECF).
- 提交关于在CCTA上偶然ECF后被诊断患有癌症的患者的数据.
- 为了确定在CCTA上发现的ECF患者中癌症的发病率.
主要方法:
- 基于注册表的回顾性研究使用了从2018年1月1日到2022年12月31日的数据进行.
- 数据来自北丹麦地区医院的电子病历系统.
- 使用描述性统计数据来呈现ECF和患者特征,包括那些被诊断患有癌症的人.
主要成果:
- 在研究期间,共有2635名患者接受了CCTA治疗.
- 643名患者 (24.4%) 发现了心脏外发现 (ECF),肺结节是最常见的 (40.9%).
- 只有17名患者 (0.65%) 在CCTA后被诊断患有癌症,尽管63.1%被转诊进一步评估.
结论:
- 心脏外发现 (ECF) 是冠状动脉CT血管造影 (CCTA) 期间经常出现的偶然发现.
- 在CCTA发现的ECF患者中,癌症的发病率很低 (在本研究中为0.65%).
- 需要对ECF进行进一步的研究,但大多数并不是恶性瘤.
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