64層螺旋CT三維圖像對先天性心臟病的應用價值_《華西醫學》

作者：

褚志剛 ,  余建群 , 袁紅梅

四川大學華西醫院放射科,四川成都 610041;

關鍵詞：

體層攝影術 X線計算機心臟先天性心臟病

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的:評價先天性心臟病（CHD）不同病變類型在64層螺旋CT（64-MDCT）三維重建圖像上的表現及顯示效果。方法:回顧性分析36例CHD患者的64-MDCT資料,分別在軸位、冠狀、矢狀位及容積再現（VR）重組圖像上觀察病變,統計分析不同重組圖像顯示總體病變及房、室間隔缺損效果有無差異。結果:36例患者共有病變59處,軸位、冠狀及矢狀位圖像在發現病變（59處,100.0%；57處,96.6%；53處,89.8%）及室間隔缺損顯示（顯示效果評分:41、38及39分）方面無明顯差異（P＞0.05）,但軸位圖像顯示房間隔缺損明顯優于冠、矢狀位圖像（顯示效果評分:19、13及12分）（P＜0.05）。VR圖像與軸位及冠、矢狀位圖像顯示心外大血管病變效果無差異P＞0.05）。不同類型病變在軸位,冠、矢狀位及VR圖像上表現特征不盡相同,而不同重組圖像有各自優勢顯示的病變類型。結論:64-DCT三維重建圖像能夠很好地顯示先心病各種類型病變,了解不同重建圖像上病變表現特征及顯示效果有利于做出準確、全面的診斷。

引用本文： 褚志剛,余建群,袁紅梅. 64層螺旋CT三維圖像對先天性心臟病的應用價值. 華西醫學, 2009, 24(3): 693-697. doi: 復制

1.	SAMYN M M. A review of the complementary information available with cardiac magnetic resonance imaging and multislice computed tomography （CT） during the study of congenital heart disease [J]. Int J Cardiovasc Imaging, 2004, 20:569-578..
2.	GOO H W, PARK I S, KO J K, et al. CT of congenital heart disease: normal anatomy and typical pathologic conditions [J]. Radiographics,2003,23:S147-S165..
3.	OU P, CELERMAJER D S, CALCAGNI G, et al. Threedimensional CT scanning: a new diagnostic modality in congenital heart disease [J]. Heart,2007,93: 908-913..
4.	VAN PRAAGH R. The segmental approach to diagnosis in congenital heart disease. In: Bergsma D. Birth defects original article series, Vol Ⅷ, No 5. The National Foundation–March of Dimes[M]. Baltimore: Williams and Wilkins, 1972:4-23..
5.	KLINGERBECKREGN K, SCHALLER S, FHLOR T,et al. Subsecond multislice computed tomography: basis and applications [J].Eur J Radiol,1999,31:110-124..
6.	CARRASCOSA P M, CAPUAY C M, PARODI J C,et al. General utilities of multislice tomography in the cardiac field [J]. Herz,2003,28（1）:44-51..
7.	程召平,武樂斌,王錫明,等.64層螺旋CT在先天性心臟病診斷中的價值[J].實用放射學雜志,2008,24（2）:190-192..
8.	陳艷,韓萍,周陽泱,等.復雜型先天性心臟病多層螺旋CT血管成像與超聲心動圖對比研究[J].臨床放射學雜志,2008,27（8）:1103-1106..
9.	楊有優,王思云,周旭輝,等.64層螺旋CT診斷復雜先天性心臟病及與超聲心動圖和手術對照[J].臨床放射學雜志,2007,26（10）:1029-1032.
10.	美萍,梁長虹,曾輝,等.多層螺旋CT在小兒肺靜脈畸形引流診斷中的價值[J].中華放射學雜志,2005,39(5):520-523..
11.	周陽泱,韓萍,馮敢生,等.多層螺旋CT血管造影在小兒復雜先天性心臟病中的臨床應用價值[J].中華小兒外科雜志,2005,26（11）:579-582..
12.	KAEMMERER H, STERN H, FRATZ M, et al. Imaging in adults with congenital cardiac disease （ACCD） [J]. Thorac Cardiovasc Surg,2000,48（6）: 328-335..
13.	HARAMATI L B,GLICKSTEIN J S,ISSENBERG H J,et al.MR imaging and CT of vascular anomalies and connections in patients with congenital heart disease: significance in surgical planning [J].Radiographics,2002,22（2）: 337-349..
14.	TSAI S K,CHANG C I,WANG M J,et al.The assessment of the proximal left pulmonary artery by transesophageal echocardiography and computed tomography in neonates and infants: a case series [J].Anesth Analg,2001,93 （3）: 594-597..

1. SAMYN M M. A review of the complementary information available with cardiac magnetic resonance imaging and multislice computed tomography （CT） during the study of congenital heart disease [J]. Int J Cardiovasc Imaging, 2004, 20:569-578..
2. GOO H W, PARK I S, KO J K, et al. CT of congenital heart disease: normal anatomy and typical pathologic conditions [J]. Radiographics,2003,23:S147-S165..
3. OU P, CELERMAJER D S, CALCAGNI G, et al. Threedimensional CT scanning: a new diagnostic modality in congenital heart disease [J]. Heart,2007,93: 908-913..
4. VAN PRAAGH R. The segmental approach to diagnosis in congenital heart disease. In: Bergsma D. Birth defects original article series, Vol Ⅷ, No 5. The National Foundation–March of Dimes[M]. Baltimore: Williams and Wilkins, 1972:4-23..
5. KLINGERBECKREGN K, SCHALLER S, FHLOR T,et al. Subsecond multislice computed tomography: basis and applications [J].Eur J Radiol,1999,31:110-124..
6. CARRASCOSA P M, CAPUAY C M, PARODI J C,et al. General utilities of multislice tomography in the cardiac field [J]. Herz,2003,28（1）:44-51..
7. 程召平,武樂斌,王錫明,等.64層螺旋CT在先天性心臟病診斷中的價值[J].實用放射學雜志,2008,24（2）:190-192..
8. 陳艷,韓萍,周陽泱,等.復雜型先天性心臟病多層螺旋CT血管成像與超聲心動圖對比研究[J].臨床放射學雜志,2008,27（8）:1103-1106..
9. 楊有優,王思云,周旭輝,等.64層螺旋CT診斷復雜先天性心臟病及與超聲心動圖和手術對照[J].臨床放射學雜志,2007,26（10）:1029-1032.
10. 美萍,梁長虹,曾輝,等.多層螺旋CT在小兒肺靜脈畸形引流診斷中的價值[J].中華放射學雜志,2005,39(5):520-523..
11. 周陽泱,韓萍,馮敢生,等.多層螺旋CT血管造影在小兒復雜先天性心臟病中的臨床應用價值[J].中華小兒外科雜志,2005,26（11）:579-582..
12. KAEMMERER H, STERN H, FRATZ M, et al. Imaging in adults with congenital cardiac disease （ACCD） [J]. Thorac Cardiovasc Surg,2000,48（6）: 328-335..
13. HARAMATI L B,GLICKSTEIN J S,ISSENBERG H J,et al.MR imaging and CT of vascular anomalies and connections in patients with congenital heart disease: significance in surgical planning [J].Radiographics,2002,22（2）: 337-349..
14. TSAI S K,CHANG C I,WANG M J,et al.The assessment of the proximal left pulmonary artery by transesophageal echocardiography and computed tomography in neonates and infants: a case series [J].Anesth Analg,2001,93 （3）: 594-597..

《華西醫學》

64層螺旋CT三維圖像對先天性心臟病的應用價值

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

《華西醫學》

64層螺旋CT三維圖像對先天性心臟病的應用價值

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料