Drees Randi, Frydrychowicz Alex, Keuler Nicholas S, Reeder Scott B, Johnson Rebecca
Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Linden Drive 2015, Madison, WI 53706, USA.
Vet Radiol Ultrasound. 2011 Jul-Aug;52(4):362-7. doi: 10.1111/j.1740-8261.2011.01822.x. Epub 2011 May 4.
Pulmonary angiography using 64-multidetector-row computed tomography (MDCT) was used to evaluate pulmonary artery anatomy, and determine the sensitivity of pulmonary artery segment visualization in four Beagle dogs using images reconstructed to 0.625 mm and retro-reconstructed to 1.25 and 2.5 mm slice thickness. Morphologically, characteristic features included a focal narrowing in the right cranial pulmonary artery in all dogs, which should not be mistaken as stenosis. While the right cranial pulmonary artery divided into two equally sized branches that were tracked into the periphery of the lung lobe in all dogs, only a single left cranial (cranial portion) lobar artery was present. Compared with 1.25 and 2.5 mm retro-reconstructions, 0.625 mm reconstructions allowed for detection of significantly (P≤0.05) more pulmonary artery segments and sharper depiction of vessel margins. Clinical applications such as prevalence and significance of diameter changes, and detection of pulmonary arterial thrombembolism on lobar and sublobar level, using pulmonary angiography with 64-MDCT applying 0.625 mm reconstruction slice thickness remain to be established.
使用64排多层螺旋计算机断层扫描(MDCT)进行肺血管造影,以评估肺动脉解剖结构,并通过将图像重建为0.625毫米以及重新重建为1.25毫米和2.5毫米的切片厚度,来确定4只比格犬中肺动脉段可视化的敏感性。形态学上,特征包括所有犬的右头侧肺动脉均有局灶性狭窄,不应将其误诊为狭窄。虽然所有犬的右头侧肺动脉均分为两个大小相等的分支,并追踪至肺叶周边,但仅存在一条左头侧(头侧部分)叶动脉。与1.25毫米和2.5毫米的重新重建相比,0.625毫米的重建能够显著(P≤0.05)检测到更多的肺动脉段,并且血管边缘的描绘更清晰。使用0.625毫米重建切片厚度的64排MDCT进行肺血管造影,在叶和亚叶水平上关于直径变化的发生率和意义以及肺动脉血栓栓塞的检测等临床应用仍有待确立。