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如何通过计算机断层扫描进行和评估心肌灌注成像。

How to perform and evaluate a myocardial perfusion imaging by computed tomography.

作者信息

Mushtaq Saima, Baggiano Andrea, Cannata Francesco, Del Torto Alberico, Fazzari Fabio, Fusini Laura, Junod Daniele, Maragna Riccardo, Tassetti Luigi, Volpe Alessandra, Carrabba Nazario, Conte Edoardo, Guglielmo Marco, La Mura Lucia, Pergola Valeria, Pedrinelli Roberto, Perrone Filardi Pasquale, Guaricci Andrea Igoren, Pontone Gianluca

机构信息

Perioperative Cardiology and Cardiovascular Imaging Department, Centro Cardiologico Monzino IRCCS, Via C. Parea 4, Milan 20138, Italy.

Department of Cardiothoracovascular Medicine, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.

出版信息

Eur Heart J Imaging Methods Pract. 2025 Jan 8;3(1):qyaf001. doi: 10.1093/ehjimp/qyaf001. eCollection 2025 Jan.

Abstract

Stress computed tomography perfusion (CTP) delivers a comprehensive evaluation of both the anatomical and functional aspects in a single examination. It stands out as the only non-invasive technique capable of quantifying coronary stenosis and assessing its functional impact, offering a consolidated diagnostic and management approach for patients with confirmed or suspected coronary artery disease (CAD). This very practical review ('How to..' approach) provides guidance on conducting and interpreting static and dynamic CTP, along with an analysis of the strengths and limitations of these methodologies.

摘要

应力计算机断层扫描灌注(CTP)在一次检查中就能对解剖和功能方面进行全面评估。它是唯一能够量化冠状动脉狭窄并评估其功能影响的非侵入性技术,为确诊或疑似冠状动脉疾病(CAD)的患者提供了一种综合的诊断和管理方法。这篇非常实用的综述(“如何……”方法)提供了关于进行和解读静态及动态CTP的指导,同时分析了这些方法的优点和局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6803/11745902/45e12df97ae7/qyaf001_ga.jpg

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