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冠状动脉计算机断层扫描血管造影中的非冠状动脉心脏表现及陷阱

Non-coronary cardiac findings and pitfalls in coronary computed tomography angiography.

作者信息

Oyama-Manabe Noriko, Sugaya Teppei, Yamaguchi Takayoshi, Terae Satoshi

机构信息

Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, kita-ku, Sapporo, Japan.

出版信息

J Clin Imaging Sci. 2011;1:51. doi: 10.4103/2156-7514.86666. Epub 2011 Oct 25.

DOI:10.4103/2156-7514.86666
PMID:22184544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3237007/
Abstract

Non-coronary incidental findings are not rare. Kirsch et al found 67% non-coronary abnormalities with coronary computed tomography angiography (CCTA). Radiologists are expected to identify the extracoronary, intra- and para-cardiac anatomical structures and distinguish them from pathologic processes in CCTA. We have reviewed 2000 CCTA studies done at our institution with 64-MDCT. This pictorial essay presents case studies of non-atherosclerotic cardiovascular findings to recognize cardiac anatomic structures and how to distinguish them from pathologic processes. Correct interpretation of benign, clinically insignificant findings is crucial to avoid unnecessary additional imaging tests.

摘要

非冠状动脉偶然发现并不罕见。基尔希等人通过冠状动脉计算机断层扫描血管造影（CCTA）发现了67%的非冠状动脉异常。放射科医生需要识别冠状动脉外、心脏内和心脏旁的解剖结构，并在CCTA中将它们与病理过程区分开来。我们回顾了在我们机构使用64排多层螺旋CT进行的2000项CCTA研究。这篇图文并茂的文章展示了非动脉粥样硬化性心血管发现的病例研究，以识别心脏解剖结构以及如何将它们与病理过程区分开来。正确解读良性、临床意义不大的发现对于避免不必要的额外影像学检查至关重要。

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