• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

主动脉夹层内膜撕裂和壁内血肿溃疡样突起的检测：全相位回顾性 ECG 门控 CT 血管造影的应用价值。

Detection of the intimal tear in aortic dissection and ulcer-like projection in intramural hematoma: usefulness of full-phase retrospective ECG-gated CT angiography.

机构信息

Departments of Diagnostic Radiology, Tohoku University Graduate School of Medicine, Seiryo 1-1, Sendai, 980-8574, Japan.

Department of Radiology, Seikeikai Chiba Medical Center, 1-7-1, Minami-cho, Chuo-ku, Chiba, 260-0842, Japan.

出版信息

Jpn J Radiol. 2020 Nov;38(11):1036-1045. doi: 10.1007/s11604-020-01008-1. Epub 2020 Jul 24.

DOI:10.1007/s11604-020-01008-1
PMID:32710132
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7591413/
Abstract

PURPOSE

To compare the accuracy of non-electrocardiogram (ECG)-gated CT angiography (CTA), single-diastolic-phase ECG-gated CTA, and full-phase ECG-gated CTA in detecting the intimal tear (IT) in aortic dissection (AD) and ulcer-like projection (ULP) in intramural hematoma (IMH).

MATERIALS AND METHODS

A total of 81 consecutive patients with AD and IMH of the thoracic aorta were included in this single-center retrospective study. Non-ECG-gated CTA, single-diastolic-phase ECG-gated CTA, and full-phase ECG-gated CTA were used to detect the presence of the IT and ULP in thoracic aortic regions including the ascending aorta, aortic arch, and proximal and distal descending aorta.

RESULTS

The accuracy of detecting the IT and ULP was significantly greater using full-phase ECG-gated CTA (88% [95% CI: 100%, 75%]) than non-ECG-gated CTA (72% [95% CI: 90%, 54%], P = 0.001) and single-diastolic-phase ECG-gated CTA (76% [95% CI: 93%, 60%], P = 0.008).

CONCLUSION

Full-phase ECG-gated CTA is more accurate in detecting the IT in AD and ULP in IMH, than non-ECG-gated CTA and single-diastolic-phase ECG-gated CTA.

摘要

目的

比较非心电图门控 CT 血管造影（CTA）、单舒张期心电图门控 CTA 和全相位心电图门控 CTA 在检测主动脉夹层（AD）内膜撕裂（IT）和壁内血肿（IMH）中溃疡样突起（ULP）的准确性。

材料与方法

本单中心回顾性研究共纳入 81 例连续的胸主动脉 AD 和 IMH 患者。非心电图门控 CTA、单舒张期心电图门控 CTA 和全相位心电图门控 CTA 用于检测升主动脉、主动脉弓和近段及远段降主动脉等胸主动脉区域 IT 和 ULP 的存在。

结果

全相位心电图门控 CTA 检测 IT 和 ULP 的准确性明显高于非心电图门控 CTA（88% [95%CI：100%，75%]）和单舒张期心电图门控 CTA（76% [95%CI：93%，60%]，P = 0.001）。

结论

全相位心电图门控 CTA 检测 AD 的 IT 和 IMH 的 ULP 比非心电图门控 CTA 和单舒张期心电图门控 CTA 更准确。

相似文献

1
Detection of the intimal tear in aortic dissection and ulcer-like projection in intramural hematoma: usefulness of full-phase retrospective ECG-gated CT angiography.主动脉夹层内膜撕裂和壁内血肿溃疡样突起的检测：全相位回顾性 ECG 门控 CT 血管造影的应用价值。
Jpn J Radiol. 2020 Nov;38(11):1036-1045. doi: 10.1007/s11604-020-01008-1. Epub 2020 Jul 24.
2
Significance of systolic-phase imaging on full-phase ECG-gated CT angiography to detect intimal tears in aortic dissection.全相位心电图门控 CT 血管造影术收缩期成像对主动脉夹层内膜撕裂的检测意义。
Heart Vessels. 2022 Nov;37(11):1947-1956. doi: 10.1007/s00380-022-02093-0. Epub 2022 May 15.
3
A Comparison of Retrospective ECG-Gated CT and Surgical or Angiographical Findings in Acute Aortic Syndrome.急性主动脉综合征中回顾性心电图门控 CT 与手术或血管造影结果的比较。
Int Heart J. 2023 Sep 30;64(5):839-846. doi: 10.1536/ihj.23-002. Epub 2023 Sep 13.
4
Clinical and imaging differences between Stanford Type B intramural hematoma-like lesions and classic aortic dissection.斯坦福 B 型主动脉壁内血肿样病变与经典主动脉夹层的临床和影像学差异。
BMC Cardiovasc Disord. 2023 Jul 28;23(1):378. doi: 10.1186/s12872-023-03413-6.
5
Prevalence of aortic intimal defect in surgically treated acute type A intramural hematoma.手术治疗的急性A型主动脉壁内血肿中主动脉内膜缺损的患病率。
Ann Thorac Surg. 2008 Nov;86(5):1494-500. doi: 10.1016/j.athoracsur.2008.06.061.
6
Thoracic Endovascular Aortic Repair for Retrograde Type A Intramural Hematoma With Intimal Disruption in the Descending Aorta.经胸腔内血管主动脉修复术治疗降主动脉逆行性A型主动脉壁内血肿合并内膜破裂
J Endovasc Ther. 2022 Oct;29(5):724-730. doi: 10.1177/15266028211061268. Epub 2021 Dec 1.
7
An analysis of initial and follow-up CT findings in intramural hematoma, aortic double-lumen dissection, and mixed type lesions.壁内血肿、主动脉双腔夹层及混合型病变的初始及随访CT表现分析
Acta Radiol. 2015 Sep;56(9):1091-9. doi: 10.1177/0284185114549824. Epub 2014 Sep 26.
8
A single-center experience of type B aortic intramural hematoma.B型主动脉壁内血肿的单中心经验
J Vasc Surg. 2024 Mar;79(3):514-525. doi: 10.1016/j.jvs.2023.10.044. Epub 2023 Oct 29.
9
Comparing the Diagnostic Performance of ECG Gated versus Non-Gated CT Angiography in Ascending Aortic Dissection: A GRRAS Study.心电图门控与非门控 CT 血管造影在升主动脉夹层中的诊断性能比较：GRRAS 研究。
Tomography. 2022 Sep 28;8(5):2426-2434. doi: 10.3390/tomography8050201.
10
Penetrating Aortic Ulcer and Intramural Hematoma.穿透性主动脉溃疡和壁内血肿。
Cardiovasc Intervent Radiol. 2019 Mar;42(3):321-334. doi: 10.1007/s00270-018-2114-x. Epub 2018 Nov 9.

引用本文的文献

1
Biomechanical stress analysis of Type-A aortic dissection at pre-dissection, post-dissection, and post-repair states.A型主动脉夹层在夹层前、夹层后及修复后状态的生物力学应力分析。
Comput Biol Med. 2025 Jan;184:109310. doi: 10.1016/j.compbiomed.2024.109310. Epub 2024 Nov 7.
2
Type A aortic dissection identified by point-of-care ultrasound but missed by CT angiogram.床旁超声诊断为A型主动脉夹层，但CT血管造影漏诊。
BMJ Case Rep. 2023 Jan 19;16(1):e253577. doi: 10.1136/bcr-2022-253577.
3
Toward an Easily Obtainable Novel Biomarker for Type A Dissection?

本文引用的文献

1
A low threshold to ECG-gated repeat CTA reduces the risk of false-positive diagnosis of type A dissection in interhospital referrals: a case series study.对心电图门控重复CTA采用低阈值可降低院际转诊中A型主动脉夹层假阳性诊断的风险：一项病例系列研究。
Ther Clin Risk Manag. 2018 Oct 17;14:2019-2027. doi: 10.2147/TCRM.S166555. eCollection 2018.
2
Image Predictors of Treatment Outcome after Thoracic Aortic Dissection Repair.胸主动脉夹层修复术后治疗结果的影像学预测因素。
Radiographics. 2018 Nov-Dec;38(7):1949-1972. doi: 10.1148/rg.2018180025. Epub 2018 Oct 12.
3
Long-term behavior of aortic intramural hematomas and penetrating ulcers.
寻找一种易于获得的A型主动脉夹层新型生物标志物？
JACC Asia. 2022 Nov 15;2(6):777-779. doi: 10.1016/j.jacasi.2022.09.012. eCollection 2022 Nov.
4
Fast Approximate Quantification of Endovascular Stent Graft Displacement Forces in the Bovine Aortic Arch Variant.快速近似量化牛主动脉弓变异模型中血管内支架移植物的置换力。
J Endovasc Ther. 2023 Oct;30(5):756-768. doi: 10.1177/15266028221095403. Epub 2022 May 19.
5
Significance of systolic-phase imaging on full-phase ECG-gated CT angiography to detect intimal tears in aortic dissection.全相位心电图门控 CT 血管造影术收缩期成像对主动脉夹层内膜撕裂的检测意义。
Heart Vessels. 2022 Nov;37(11):1947-1956. doi: 10.1007/s00380-022-02093-0. Epub 2022 May 15.
6
False lumen being larger than true lumen is associated with late aortic events in uncomplicated type B aortic dissection.假腔大于真腔与非复杂性 B 型主动脉夹层的晚期主动脉事件相关。
Interact Cardiovasc Thorac Surg. 2022 Jun 1;34(6):1132-1140. doi: 10.1093/icvts/ivac003.
7
Note the descending aorta: predictors of postoperative major adverse aortic event in pure acute type A intramural hematoma.注意降主动脉：单纯急性A型主动脉壁内血肿术后主要不良主动脉事件的预测因素。
J Thorac Dis. 2021 Aug;13(8):4935-4946. doi: 10.21037/jtd-21-674.
主动脉壁内血肿和穿透性溃疡的长期行为
J Thorac Cardiovasc Surg. 2016 Feb;151(2):361-72, 373.e1. doi: 10.1016/j.jtcvs.2015.09.012. Epub 2015 Sep 16.
4
2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC).2014年欧洲心脏病学会（ESC）主动脉疾病诊断和治疗指南：涵盖成人胸主动脉和腹主动脉急慢性疾病的文件。欧洲心脏病学会（ESC）主动脉疾病诊断和治疗特别工作组。
Eur Heart J. 2014 Nov 1;35(41):2873-926. doi: 10.1093/eurheartj/ehu281. Epub 2014 Aug 29.
5
Abdominal aortic intimal flap motion characterization in acute aortic dissection: assessed with retrospective ECG-gated thoracoabdominal aorta dual-source CT angiography.急性主动脉夹层中腹主动脉内膜瓣运动特征：采用回顾性心电图门控胸腹主动脉双源CT血管造影评估
PLoS One. 2014 Feb 4;9(2):e87664. doi: 10.1371/journal.pone.0087664. eCollection 2014.
6
Coronary CT angiography with prospective ECG-triggering: an effective alternative to invasive coronary angiography.冠状动脉 CT 血管造影术与前瞻性心电图触发：一种替代有创性冠状动脉造影的有效方法。
Cardiovasc Diagn Ther. 2012 Mar;2(1):28-37. doi: 10.3978/j.issn.2223-3652.2012.02.04.
7
Importance of entry tears in Type B aortic dissection prognosis.入口撕裂在B型主动脉夹层预后中的重要性。
Ann Cardiothorac Surg. 2013 Sep;2(5):631-2. doi: 10.3978/j.issn.2225-319X.2013.09.05.
8
Endovascular repair of type B aortic dissection: long-term results of the randomized investigation of stent grafts in aortic dissection trial.血管内修复 B 型主动脉夹层：主动脉夹层支架置入治疗随机试验的长期结果。
Circ Cardiovasc Interv. 2013 Aug;6(4):407-16. doi: 10.1161/CIRCINTERVENTIONS.113.000463. Epub 2013 Aug 6.
9
CT and MRI assessment of the aortic root and ascending aorta.CT 和 MRI 评估主动脉根部和升主动脉。
AJR Am J Roentgenol. 2013 Jun;200(6):W581-92. doi: 10.2214/AJR.12.9531.
10
Population-based study of incidence and outcome of acute aortic dissection and premorbid risk factor control: 10-year results from the Oxford Vascular Study.基于人群的急性主动脉夹层发病率和转归及发病前危险因素控制的研究：牛津血管研究 10 年结果。
Circulation. 2013 May 21;127(20):2031-7. doi: 10.1161/CIRCULATIONAHA.112.000483. Epub 2013 Apr 18.