Muth Gregor, Daniel Werner G, Achenbach Stephan
Department of Internal Medicine 2, University of Erlangen-Nürnberg, Erlangen, Germany.
J Cardiovasc Comput Tomogr. 2008 Jul-Aug;2(4):272-3. doi: 10.1016/j.jcct.2008.06.002. Epub 2008 Jun 4.
Cardiac computed tomography (CT) angiography permits detection of myocardial scars through "late enhancement." We report the case of a patient with suspected cardiac sarcoidosis. Because of implanted defibrillator leads, magnetic resonance imaging was not possible. Dual-source CT with intravenous contrast injection was used as an alternative technique to detect late myocardial enhancement. A typical pattern of myocardial scarring allowed us to establish the diagnosis of cardiac sarcoidosis. CT imaging may be an alternative diagnostic tool to visualize late enhancement in patients with contraindications to magnetic resonance imaging.
心脏计算机断层扫描（CT）血管造影可通过“延迟强化”检测心肌瘢痕。我们报告一例疑似心脏结节病患者的病例。由于植入了除颤器导线，无法进行磁共振成像。采用静脉注射造影剂的双源CT作为检测心肌延迟强化的替代技术。典型的心肌瘢痕模式使我们得以确诊心脏结节病。对于有磁共振成像禁忌证的患者，CT成像可能是一种可视化延迟强化的替代诊断工具。
