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冠状动脉CT血管造影中的混浊模式:对比差异与梯度

Patterns of Opacification in Coronary CT Angiography: Contrast Differences and Gradients.

作者信息

Rybicki Frank J, Juan Yu-Hsiang, Saboo Sachin S, George Elizabeth, Bhivasankar Rani, Mitsouras Dimitrios

机构信息

Applied Imaging Science Laboratory, Department of Radiology, Brigham and Women's Hospital & Harvard Medical School, 75 Francis Street, Boston, MA 02115.

出版信息

Curr Cardiovasc Imaging Rep. 2014 Oct 1;7(10):9291. doi: 10.1007/s12410-014-9291-z.

DOI:10.1007/s12410-014-9291-z
PMID:25258657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4170683/
Abstract

Iodinated contrast delivery is a key component of coronary CT angiography. However, the purpose of contrast delivery has been limited to morphology alone. Specifically, iodine opacification of the coronary lumen has been used to separate it from the coronary artery wall and lesions within the coronary arteries. Because contrast is delivered to the coronary arteries according to the coronary blood flow, there is flow information encoded within the contrast opacification which, depending on CT hardware and acquisition protocol, can be recognized in coronary CT angiography. In addition, metrics related to flow have been identified and studied. They include coronary contrast opacification differences and contrast opacification gradients.

摘要

碘造影剂注入是冠状动脉CT血管造影的关键组成部分。然而,造影剂注入的目的一直仅限于单纯的形态学观察。具体而言,冠状动脉管腔的碘造影剂充盈已被用于将其与冠状动脉壁及冠状动脉内的病变区分开来。由于造影剂是根据冠状动脉血流注入冠状动脉的,因此在造影剂充盈中编码了血流信息,根据CT硬件和采集协议的不同,这些信息在冠状动脉CT血管造影中是可以识别的。此外,与血流相关的指标也已被确定并进行了研究。它们包括冠状动脉造影剂充盈差异和造影剂充盈梯度。

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本文引用的文献

1
Diagnostic performance of noninvasive fractional flow reserve derived from coronary computed tomography angiography in suspected coronary artery disease: the NXT trial (Analysis of Coronary Blood Flow Using CT Angiography: Next Steps).基于冠状动脉 CT 血管造影的无创性血流储备分数在疑似冠心病中的诊断性能:NXT 试验(使用 CT 血管造影分析冠状动脉血流:下一步)。
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Non-invasive functional assessment using computed tomography: when will they be ready for clinical use?使用计算机断层扫描进行无创功能评估:它们何时才能准备好用于临床?
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Computed tomography angiography and perfusion to assess coronary artery stenosis causing perfusion defects by single photon emission computed tomography: the CORE320 study.计算机断层血管造影和灌注成像用于评估单光子发射计算机断层扫描显示的由冠状动脉狭窄导致的灌注缺损:CORE320研究
Eur Heart J. 2014 May;35(17):1120-30. doi: 10.1093/eurheartj/eht488. Epub 2013 Nov 19.
4
Noninvasive fractional flow reserve derived from computed tomography angiography for coronary lesions of intermediate stenosis severity: results from the DeFACTO study.基于 CT 血管造影的无创性冠状动脉狭窄程度中度病变血流储备分数:DeFACTO 研究结果。
Circ Cardiovasc Imaging. 2013 Nov;6(6):881-9. doi: 10.1161/CIRCIMAGING.113.000297. Epub 2013 Sep 30.
5
Preprocedural coronary CT angiography significantly improves success rates of PCI for chronic total occlusion.经皮冠状动脉 CT 血管造影术可显著提高慢性完全闭塞性病变 PCI 的成功率。
Int J Cardiovasc Imaging. 2013 Dec;29(8):1819-27. doi: 10.1007/s10554-013-0258-y. Epub 2013 Jun 23.
6
TAG-is it it?: improving coronary computed tomography angiography with the isotemporal transluminal contrast attenuation gradient.TAG 是这样吗?:利用等时腔内对比剂衰减梯度改善冠状动脉计算机断层扫描血管造影术
J Am Coll Cardiol. 2013 Mar 26;61(12):1280-2. doi: 10.1016/j.jacc.2012.12.027. Epub 2013 Feb 13.
7
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J Am Coll Cardiol. 2013 Mar 26;61(12):1271-9. doi: 10.1016/j.jacc.2012.12.029. Epub 2013 Feb 13.
8
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Radiology. 2013 Mar;266(3):766-72. doi: 10.1148/radiol.12121294. Epub 2012 Dec 6.
9
Noninvasive diagnosis of ischemia-causing coronary stenosis using CT angiography: diagnostic value of transluminal attenuation gradient and fractional flow reserve computed from coronary CT angiography compared to invasively measured fractional flow reserve.采用 CT 血管造影术无创诊断缺血性冠状动脉狭窄:血管内测量的血流储备分数与 CT 血管造影术计算的管腔衰减梯度和血流储备分数的诊断价值比较。
JACC Cardiovasc Imaging. 2012 Nov;5(11):1088-96. doi: 10.1016/j.jcmg.2012.09.002.
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Diagnostic accuracy of fractional flow reserve from anatomic CT angiography.解剖 CT 血管造影中血流储备分数的诊断准确性。
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