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用于肺栓塞评估的计算机断层扫描血管造影术的进展

Advancements in Computed Tomography Angiography for Pulmonary Embolism Assessment.

作者信息

Lanzafame Ludovica R M, Gulli Claudia, Booz Christian, Vogl Thomas J, Saba Luca, Cau Riccardo, Toia Patrizia, Ascenti Giorgio, Gaeta Michele, Mazziotti Silvio, D'Angelo Tommaso

机构信息

Diagnostic and Interventional Radiology Unit, BIOMORF Department, University Hospital Messina, Messina, Italy.

Division of Experimental Imaging, Department of Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt, Germany.

出版信息

Echocardiography. 2025 Mar;42(3):e70116. doi: 10.1111/echo.70116.

Abstract

Pulmonary embolism (PE) is a critical condition stemming from venous thromboembolism, with potentially fatal outcomes. Computed tomography pulmonary angiography (CTPA) serves as the gold standard for diagnosing PE, offering unparalleled diagnostic accuracy, accessibility, and speed. Recent innovations, such as spectral CT systems and artificial intelligence (AI)-driven algorithms, have enhanced the diagnostic and prognostic capabilities of CTPA, enabling precise anatomical and functional assessments. This review highlights these technological advancements and their clinical implications.

摘要

肺栓塞(PE)是一种源于静脉血栓栓塞的危急病症,可能导致致命后果。计算机断层扫描肺动脉造影(CTPA)是诊断PE的金标准,具有无与伦比的诊断准确性、可及性和速度。近期的创新技术,如光谱CT系统和人工智能(AI)驱动的算法,增强了CTPA的诊断和预后评估能力,能够进行精确的解剖和功能评估。本综述重点介绍了这些技术进步及其临床意义。

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