Tsai I-Chen, Lee Wen-Lieng, Tsao Chen-Rong, Chang Yen, Chen Min-Chi, Lee Tain, Liao Wan-Chun
Department of Radiology, Taichung Veterans General Hospital, Taichung Harbor Rd, Taichung, Taiwan, ROC.
AJR Am J Roentgenol. 2008 Jul;191(1):64-72. doi: 10.2214/AJR.07.3484.
Recently MDCT has become widely used for the evaluation of ischemic heart disease, but clinically the evaluation is primarily focused on the coronary artery only. We describe why and how to comprehensively evaluate the cardiac CT scan, including myocardium, motion, viability, valve, and perfusion aspects related to ischemic heart disease.
Radiologists should be familiar with the protocol design and comprehensive interpretation of cardiac MDCT to provide comprehensive treatment suggestions for the patients.
近年来,多层螺旋CT(MDCT)已广泛用于缺血性心脏病的评估,但在临床实践中,评估主要仅集中于冠状动脉。我们阐述了为何以及如何全面评估心脏CT扫描,包括与缺血性心脏病相关的心肌、运动、存活心肌、瓣膜及灌注等方面。
放射科医生应熟悉心脏MDCT的方案设计及全面解读,以便为患者提供全面的治疗建议。