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心脏多层螺旋CT:良性与恶性心脏肿块的影像学表现谱

Multidetector CT of the heart: spectrum of benign and malignant cardiac masses.

作者信息

Chu Linda C, Johnson Pamela T, Halushka Marc K, Fishman Elliot K

机构信息

Department of Radiology, Johns Hopkins Hospital, 601 N. Caroline Street, Room 3140D, Baltimore, MD 21287, USA.

出版信息

Emerg Radiol. 2012 Oct;19(5):415-28. doi: 10.1007/s10140-012-1055-y. Epub 2012 Jun 6.

Abstract

Recent innovations in multidetector 3D CT have improved the spatial and temporal resolution of cardiac computed tomography (CT), which results in greater frequency of mass lesion identification and provides a new opportunity for more precise characterization. Although cardiac masses are rare entities, patients with cardiac masses may present with acute symptoms and may be encountered by emergency radiologists. The objectives of this article are to review the CT appearance of cardiac masses and the role of volumetric MDCT with 3D rendering to define characteristic features and provide a practical approach to formulating a differential diagnosis.

摘要

多探测器3D CT的最新创新提高了心脏计算机断层扫描(CT)的空间和时间分辨率,这导致发现肿块病变的频率更高,并为更精确的特征描述提供了新机会。虽然心脏肿块是罕见的病症,但患有心脏肿块的患者可能会出现急性症状,急诊放射科医生可能会遇到这类患者。本文的目的是回顾心脏肿块的CT表现以及容积MDCT结合3D重建在定义特征方面的作用,并提供一种制定鉴别诊断的实用方法。

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