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多功能 CT 技术:患者风险评估的现实还是幻想?

A multifunctional CT technology: Reality or illusion for patient risk assessment?

机构信息

Department of Cardiology, Hakodate Goryoukaku Hospital, Hakodate, 040-8611, Japan.

Sapporo Medical University School of Medicine, Sapporo, 060-8543, Japan.

出版信息

J Nucl Cardiol. 2017 Aug;24(4):1263-1266. doi: 10.1007/s12350-016-0439-x. Epub 2016 Mar 28.

DOI:10.1007/s12350-016-0439-x
PMID:27021384
Abstract

A high-speed, multi-slice coronary computed tomography (CT) imaging has emerged as a promising or clinically available multifunctional technique for the assessment of myocardial ischemia, viability, ischemia-induced cardiac dysfunction, and coronary atherosclerotic alterations in patients with suspected or known coronary artery disease. Despite several technical issues remain to be resolved, cardiac CT imaging will have a reality as a multifunctional modality for guiding physicians in better decision-making for favorable clinical outcomes in patients with suspected coronary artery disease, provided that this imaging technology can contribute to characterization and localization of high-risk coronary atherosclerosis in combination with the quantitative evaluation of functional myocardial ischemia.

摘要

多层高速冠状动脉 CT 成像已成为一种很有前途的或可临床应用的多功能技术,可用于评估疑似或已知冠心病患者的心肌缺血、存活心肌、缺血性心功能障碍和冠状动脉粥样硬化改变。尽管仍有一些技术问题有待解决,但心脏 CT 成像将成为一种多功能模式,为疑似冠心病患者的临床决策提供更好的指导,前提是这种成像技术能够有助于高危冠状动脉粥样硬化的特征描述和定位,并结合功能性心肌缺血的定量评估。

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本文引用的文献

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Relation between quantitative coronary CTA and myocardial ischemia by adenosine stress myocardial CT perfusion.定量冠状动脉 CTA 与腺苷负荷心肌 CT 灌注检测心肌缺血的关系
J Nucl Cardiol. 2017 Aug;24(4):1253-1262. doi: 10.1007/s12350-016-0393-7. Epub 2016 Feb 9.
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How to Utilize Coronary Computed Tomography Angiography in the Treatment of Coronary Artery Disease.如何在冠状动脉疾病治疗中运用冠状动脉计算机断层扫描血管造影术。
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