|本期目录/Table of Contents|

[1]任增光.６４排１２８层螺旋ＣＴ胸痛三联一站式扫描技术临床应用价值[J].慢性病学杂志,2013,(07):508-510.
　REN Zeng-guang.Clinical value of 64-rows 128-slice spiral CT three one-stop scanning technology on Chest Pain[J].,2013,(07):508-510.
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６４排１２８层螺旋ＣＴ胸痛三联一站式扫描技术临床应用价值(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2013年07期
页码:
508-510
栏目:
论著
出版日期:
2013-07-30

文章信息/Info

Title:
Clinical value of 64-rows 128-slice spiral CT three one-stop scanning technology on Chest Pain
作者:
任增光
山东省聊城市第三人民医院影像中心,山东 聊城 252000
Author(s):
REN Zeng-guang
Department of Medical Image,Liaocheng NO 3 hospital,Liaocheng,Shandong 252000,China Corresponding author:REN Zeng-guang,E-mail:kejiaoke3@126.com
关键词:
64排128层螺旋CT;  胸痛三联;  肺动脉栓塞
Keywords:
64-rows 128-slice spiral CT;  Chest pain triple;  Pulmonary Embolism
分类号:
R816.2
DOI:
-
摘要:
目的 探讨64 排螺旋CT 胸痛三联一站式扫描技术在急性胸痛诊断中的临床应用价值。方法 对52例胸痛患者行64 排128层螺旋CT 胸痛三联检查,所有患者原始数据行多平面重建(MPR)、容积再现(VR)、曲面重建(CPR)、最大密度投影(MIP)等方法分别进行冠状动脉、肺动脉、主动脉成像, 其中12例患者行选择性冠状动脉造影(CCA)检查,并与冠状动脉CTA(CTCA)结果相对照。结果 所有患者均可清晰显示肺动脉、冠状动脉主干及胸主动脉。显示肺动脉栓塞20例、冠状动脉狭窄18例、主动脉夹层10 例、3 例未见明显异常。结论 64 排128层螺旋CT胸痛三联一站式扫描技术具有较高的临床应用价值。
Abstract:
Objective To explore the clinical value of 64-MDCT chest angiography protocol for diagnosis of chest pain. Methods 52 patients with chest pain were examined using 64-rows 128-slice spiral CT with triple checks.All original data line and multi planar reconstruction(MPR),volume rendering(VR),surface reconstruction(CPR),maximum intensity projection(MIP )and other methods were performed on coronary artery,pulmonary artery,and aortic imaging,of which 12 patients underwent selective coronary angiography,and coronary CTA for comparison purpose. Results all of patients with triple check had clear display of the pulmonary arteries,coronary artery and thoracic aorta.The scanning found pulmonary embolism in 20 cases,coronary artery stenosis in 18 cases,aortic dissection in 10 cases,and 3 cases without significant abnormality. Conclusions 64-MDCT chest angiography has high clinical value and is a useful and noninvasive examination in the differential diagnosis of chest pain.

参考文献/References:

[1] 王锡明,晁宝婷,武乐斌,等.64层螺旋CT心胸联合造影在急性胸痛病因鉴别诊断中的价值[J].中华放射学杂志,2006,40(8):812-814.
[2] 王青,马祥兴,李传福,等.16层螺旋C T肺血管造影在肺动脉栓塞诊断中的应用[J].中华放射学杂志,2004,38(7):711-713.
[3] Garg K.CT of pulmonary thromboembolic disease[J].Radiol Clic North Am,2002,40(1):111-122.
[4] Lee T H,Goldman L.Evaluation of the patient with acute chest pain[J].N Engl J Med,2000,342(6):1187-1195.
[5] Ioannidis JP,Salem D,Chew PW,et al.Accuracy of imaging technologies in the diagnosis of acute cardiac ischemia in the emergency department:a meta-analysis[J]. Ann Emerg Med,2001,37(2):471-477.
[6] Kuettner A,Kopp AF,Schroeder S,et al.Diagnostic accuracy of multidetector computed tomography coronary angiography in patients with angiographically proven coronary artery disease[J]. J Am Coll Cardiol,2004,43(5):831-839.

备注/Memo

备注/Memo:
作者简介:任增光,大学本科,副主任医师,主要从事心血管病变CT诊断工作 通讯作者:任增光,E-mail:kejiaoke3@126.com
更新日期/Last Update: 2013-07-30