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使用640层容积CT分析升主动脉、降主动脉和肺动脉的弹性特征。

Analysis of elasticity characteristics of ascending aorta, descending aorta and pulmonary artery using 640 slice-volume CT.

作者信息

Yang Fei, Wang Dawei, Liu Huaijun, Zhu Xiaolong, Zou Dianjun, Wang Xiaocan, Hu Zhenshun, Ji Mengmeng, Cui Shujun, Zhu Yue Xiang, Wen Jing

机构信息

Department of Medical Imaging, The Second Hospital of Hebei Medical University, Shijiazhuang Department of Medical Imaging Department of Cardiac Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou Department of CT, Toshiba Medical Systems (China) Co. Ltd., Beijing, China.

出版信息

Medicine (Baltimore). 2018 Jun;97(26):e11125. doi: 10.1097/MD.0000000000011125.

Abstract

As the prevalence of coronary computed tomographic angiography (CCTA), it is meaningful that CCTA can provide not only the structural details of artery, but also functional information of vessel elasticity. Our aim was to explore the elasticity characteristics of ascending aorta (AA), descending aorta (DA), main pulmonary artery (MPA), left pulmonary artery (LPA), right pulmonary artery (RPA), and their relationship between each other using 640 slice-volume computed tomography (CT). Furthermore, this study will also observe their relations with age.A total of 42 subjects that were free of cardiovascular disease, high blood pressure, diabetes, and hyperlipidemia underwent CCTA on 640 slice-volume CT and were enrolled in this study. The subjects were divided into 2 groups: Group 1, age <46; Group 2, age ≥46. The aortic distensibility (AD) and aortic compliance (AC) of aorta and pulmonary artery (PA) of each group were compared.The AD and AC of PA decreased in the following order: MPA, RPA, and LPA. The correlation coefficients of different elastic parameters between different vessels were found to be different. The correlation coefficient of AD between AA and DA, AA and MPA, DA and MPA, RPA and MPA, LPA and MPA, and RPA and LPA were 0.689 (P = .000), 0.520 (P = .000), 0.393 (P = .010), 0.329 (P = .033), 0.579 (P = .000), and 0.534 (P = .000), respectively. The correlation coefficients of AC for the 6 groups mentioned above were 0.351 (P = .023), 0.470 (P = .002), 0.249 (P = .112), 0.190 (P = .228), 0.441 (P = .005), and 0.409 (P = .010), respectively. There was an age-dependent decrease of AD and AC in AA, DA, MPA, LPA (P < .05), but no difference in RPA (P > .05).The elasticity characteristics of AA, DA, MPA, LPA, and RPA could be well shown by 640 slice-volume CT. The elasticity relativity was observed and was different between AA and DA, AA and MPA, LPA and MPA, LPA and RPA. An obvious age-related decrease in vascular elasticity was found in AA, DA, MPA, and LPA, which should be taken into consideration in clinical trials and treatments for the elasticity-related cardiovascular diseases.

摘要

随着冠状动脉计算机断层血管造影(CCTA)的普及,CCTA不仅能够提供动脉的结构细节,还能提供血管弹性的功能信息,这具有重要意义。我们的目的是使用640层容积计算机断层扫描(CT)来探究升主动脉(AA)、降主动脉(DA)、主肺动脉(MPA)、左肺动脉(LPA)、右肺动脉(RPA)的弹性特征以及它们之间的相互关系。此外,本研究还将观察它们与年龄的关系。

共有42例无心血管疾病、高血压、糖尿病和高脂血症的受试者接受了640层容积CT的CCTA检查并纳入本研究。受试者被分为两组:第1组,年龄<46岁;第2组,年龄≥46岁。比较了每组主动脉和肺动脉(PA)的主动脉扩张性(AD)和主动脉顺应性(AC)。

PA的AD和AC按以下顺序降低:MPA、RPA和LPA。发现不同血管之间不同弹性参数的相关系数不同。AA与DA、AA与MPA、DA与MPA、RPA与MPA、LPA与MPA以及RPA与LPA之间AD的相关系数分别为0.689(P = 0.000)、0.520(P = 0.000)、0.393(P = 0.010)、0.329(P = 0.033)、0.579(P = 0.000)和0.534(P = 0.000)。上述6组AC的相关系数分别为0.351(P = 0.023)、0.470(P = 0.002)、0.249(P = 0.112)、0.190(P = 0.228)、0.441(P = 0.005)和0.409(P = 0.010)。AA、DA、MPA、LPA中AD和AC随年龄下降(P < 0.05),但RPA中无差异(P > 0.05)。

640层容积CT能够很好地显示AA、DA、MPA、LPA和RPA的弹性特征。观察到了弹性相关性,且AA与DA、AA与MPA、LPA与MPA、LPA与RPA之间的弹性相关性不同。在AA、DA、MPA和LPA中发现血管弹性明显随年龄下降,这在与弹性相关的心血管疾病的临床试验和治疗中应予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d25e/6039643/8e3148595749/medi-97-e11125-g001.jpg

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