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多层螺旋CT灌注扫描评价心肌缺血的应用进展

Myocardial Ischemia Assessment by Perfusion Imaging Using Multi-slice Computed Tomography

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【作者】 曾伟彬江锦赵刘远健

【Author】 ZENG Wei-bin1,2,JIANG Jin-zhao1,LIU Yuan-jian1.(1.Department of Radiology,Peking University Shenzhen Hospital,Shenzhen 518036,China;2.Medical College of Shantou University,Shantou 515041,China)

【机构】 北京大学深圳医院放射科汕头大学医学院

【摘要】 多层螺旋CT心肌灌注扫描是通过采集对比剂经过组织时的灌注数据,来测定感兴趣区组织的密度变化,得出心肌密度曲线。心肌灌注可清晰显示缺血区域的血流灌注情况,提示存在不同的心肌缺血、坏死变化,有助于对冠心病的风险评估。心肌灌注的晚期持续性改变,能显示其局部心肌坏死或存活情况。新近256层和320层螺旋CT在一次心动周期中完成全容积扫描,可同时进行冠脉成像和灌注扫描,实现"一站式"检查。

【Abstract】 Myocardial perfusion imaging with Multi-slice computed tomography(MSCT)can detect tissue attenuation changes of target region by collecting the perfusion data produced by contrast agent passing the organization.By measuring the various in tissue attenuation overtime,attenuation curves of the myocardium can be calculated.MSCT perfusion imaging can clearly show the perfusion information in ischemia area,and suggest the presence of myocardial infarction or necrotic changing,thus contribute to assess the prognostic value of coronary artery disease.Late-phase presences of myocardial perfusion imaging can visualize the local myocardial infarction or myocardial viability.Recently,256-row and 320-row MSCT can perform full-volume scan of the heart within a single heart beat circle,and detect both coronary anatomy and myocardial perfusion in one procedure,this enable the use of MSCT as a "one-stop-shop" for the diagnosis.

【基金】 深圳市科委资助课题(200802011)
  • 【文献出处】 医学综述 ,Medical Recapitulate , 编辑部邮箱 ,2010年01期
  • 【分类号】R816.2
  • 【被引频次】1
  • 【下载频次】193
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