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通过颈动脉计算机断层血管造影标准方案对颈动脉体进行成像的质量

The Quality of Imaging of the Carotid Body by the Standard Protocol for Computed Tomography Angiography of the Carotid Arteries.

作者信息

Jaźwiec Przemysław, Gać Paweł, Niewiński Piotr, Poręba Rafał

机构信息

Department of Clinical Radiology and Imaging Diagnostics, 4th Military Hospital, Wrocław, Poland.

Cardiology Clinic, Center for Heart Diseases, 4th Military Hospital, Wrocław, Poland.

出版信息

Adv Clin Exp Med. 2015 Nov-Dec;24(6):1037-43. doi: 10.17219/acem/39866.

Abstract

BACKGROUND

The clinical significance of the carotid body (CB) has been increasing. Currently, research connected with the CB is focused on establishing the significance of chronically increased activity of the CB in the progression of heart failure and in the genesis of hypertension. Moreover, it has been suggested that cardiac hypertrophy may be associated with an increase in CB volume.

OBJECTIVES

The aim of study was to assess the quality of imaging the CB by following the standard protocol for computed tomography angiography (CTA) of the carotid arteries.

MATERIAL AND METHODS

The analysis includes 50 consecutive CTA examinations of the carotid arteries. A retrospective assessment of the quality of imaging both the right and left CB (rCB and lCB) was carried out for all the CTA examinations of the carotid arteries.

RESULTS

The rCB was exposed in 62% and the lCB in 56% of the CTA examinations. None of the CTA examinations analyzed resulted in good or very good quality visualization of the CB. Only 22% of the CTA examinations provided a medium quality rCB image. An even lower ratio of medium-quality visualizations of the lCB was noted: only 14% of the analyzed examinations. In the male sample group, the CB was exposed significantly more often than in the female group.

CONCLUSIONS

The standard protocol for CTA examinations of the carotid arteries appears to be insufficient for use in assessing the CB.

摘要

背景

颈动脉体(CB)的临床意义日益凸显。目前,与颈动脉体相关的研究主要集中在确定颈动脉体慢性活动增加在心力衰竭进展和高血压发生中的意义。此外,有研究表明心脏肥大可能与颈动脉体体积增加有关。

目的

本研究旨在通过遵循颈动脉计算机断层血管造影(CTA)的标准方案来评估颈动脉体成像的质量。

材料与方法

分析连续50例颈动脉CTA检查。对所有颈动脉CTA检查进行回顾性评估,以确定右侧和左侧颈动脉体(rCB和lCB)的成像质量。

结果

在62%的CTA检查中可显示右侧颈动脉体,56%的检查中可显示左侧颈动脉体。所有分析的CTA检查均未获得高质量或非常高质量的颈动脉体可视化图像。只有22%的CTA检查提供了中等质量的右侧颈动脉体图像。左侧颈动脉体中等质量可视化的比例更低:仅14%的分析检查。在男性样本组中,颈动脉体的显示频率明显高于女性组。

结论

颈动脉CTA检查的标准方案似乎不足以用于评估颈动脉体。

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