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Heterogeneous microinfarcts caused by coronary microemboli: evaluation with multidetector CT and MR imaging in a swine model.冠状动脉微栓塞引起的异质性微梗死：猪模型的多排 CT 和 MR 成像评估。
Radiology. 2010 Mar;254(3):718-28. doi: 10.1148/radiol.09090527.
2
Prevalence of first-pass myocardial perfusion defects detected by contrast-enhanced dual-source CT in patients with non-ST segment elevation acute coronary syndromes.对比增强双源 CT 在非 ST 段抬高型急性冠状动脉综合征患者中检测到的首次通过心肌灌注缺陷的患病率。
Eur Radiol. 2010 Jul;20(7):1607-14. doi: 10.1007/s00330-010-1725-7. Epub 2010 Feb 13.
3
Incremental value of adenosine-induced stress myocardial perfusion imaging with dual-source CT at cardiac CT angiography.腺苷负荷心肌灌注成像在双源 CT 冠状动脉 CT 血管成像中的增量价值。
Radiology. 2010 Feb;254(2):410-9. doi: 10.1148/radiol.09091014.
4
Chronic myocardial infarction detection and characterization during coronary artery calcium scoring acquisitions.冠状动脉钙化积分采集过程中的慢性心肌梗死检测和特征描述。
J Cardiovasc Comput Tomogr. 2010 Mar-Apr;4(2):99-107. doi: 10.1016/j.jcct.2009.12.003. Epub 2009 Dec 21.
5
Signal density of left ventricular myocardial segments and impact of beam hardening artifact: implications for myocardial perfusion assessment by multidetector CT coronary angiography.左心室心肌节段的信号密度和射束硬化伪影的影响：多排 CT 冠状动脉成像在心肌灌注评估中的应用。
Int J Cardiovasc Imaging. 2010 Mar;26(3):345-54. doi: 10.1007/s10554-009-9531-5. Epub 2009 Nov 12.
6
Adenosine stress 64- and 256-row detector computed tomography angiography and perfusion imaging: a pilot study evaluating the transmural extent of perfusion abnormalities to predict atherosclerosis causing myocardial ischemia.腺苷负荷64排和256排探测器计算机断层血管造影及灌注成像：一项评估灌注异常透壁范围以预测引起心肌缺血的动脉粥样硬化的初步研究。
Circ Cardiovasc Imaging. 2009 May;2(3):174-82. doi: 10.1161/CIRCIMAGING.108.813766. Epub 2009 Mar 31.
7
Early assessment of myocardial viability by the use of delayed enhancement computed tomography after primary percutaneous coronary intervention.在直接经皮冠状动脉介入治疗后，通过延迟强化计算机断层扫描对心肌存活能力进行早期评估。
JACC Cardiovasc Imaging. 2009 Sep;2(9):1072-81. doi: 10.1016/j.jcmg.2009.03.023.
8
Adenosine-induced stress myocardial perfusion imaging using dual-source cardiac computed tomography.使用双源心脏计算机断层扫描的腺苷诱导应激心肌灌注成像
J Am Coll Cardiol. 2009 Sep 15;54(12):1072-84. doi: 10.1016/j.jacc.2009.06.014.
9
Prospective electrocardiogram-gated delayed enhanced multidetector computed tomography accurately quantifies infarct size and reduces radiation exposure.前瞻性心电图门控延迟增强多层螺旋计算机断层扫描可准确量化梗死面积并减少辐射暴露。
JACC Cardiovasc Imaging. 2009 Apr;2(4):412-20. doi: 10.1016/j.jcmg.2008.12.019.
10
Feasibility of dual-source cardiac CT angiography with high-pitch scan protocols.双源心脏CT血管造影采用高螺距扫描方案的可行性。
J Cardiovasc Comput Tomogr. 2009 Jul-Aug;3(4):236-42. doi: 10.1016/j.jcct.2009.05.012. Epub 2009 Jun 6.

使用多排探测器心脏计算机断层扫描进行心肌灌注成像和梗死灶特征分析

Myocardial perfusion imaging and infarct characterization using multidetector cardiac computed tomography.

作者信息

Rodríguez-Granillo Gastón A, Ingino Carlos A, Lylyk Pedro

机构信息

Gastón A Rodríguez-Granillo, Carlos A Ingino, Pedro Lylyk, Department of Cardiovascular Imaging, Clínica La Sagrada Familia, José Hernández 1642 C1426EOB, Buenos Aires, Argentina.

出版信息

World J Cardiol. 2010 Jul 26;2(7):198-204. doi: 10.4330/wjc.v2.i7.198. Epub 2010 Jul 21.

DOI:10.4330/wjc.v2.i7.198
PMID:21160751
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2999055/
Abstract

Until recently, computed tomography coronary angiography was restricted to the anatomical assessment of coronary stenosis, whereas the functional significance of coronary lesions remained outside of its scope. Nevertheless, the kinetics of iodinated contrast is similar to gadolinium-diethylenetriamine pentaacetic acid used in contrast-enhanced magnetic resonance imaging, allowing assessment of myocardial perfusion and viability by cardiac computed tomography.

摘要

直到最近，计算机断层扫描冠状动脉造影仍局限于对冠状动脉狭窄的解剖学评估，而冠状动脉病变的功能意义仍不在其评估范围内。然而，碘化造影剂的动力学与用于对比增强磁共振成像的钆-二乙烯三胺五乙酸相似，这使得通过心脏计算机断层扫描能够评估心肌灌注和存活情况。