Becher H, Schlüter M, Mathey D G, Bleifeld W, Klotz E, Haaker P, Linde R, Weiss H
Eur Heart J. 1985 May;6(5):399-408. doi: 10.1093/oxfordjournals.eurheartj.a061878.
Thirty-four patients with coronary artery disease were studied with standard 35 mm coronary cineangiography and flashing tomosynthesis, to assess the value of the latter technique to detect stenotic coronary arteries. All occluded vessels and all coronary stenoses seen by cineangiography were also found by flashing tomosynthesis. A correlation coefficient of r = 0.85 (P less than 0.001) was determined between the degrees of stenosis obtained by the two techniques. With flashing tomosynthesis, less contrast medium was needed, the investigation time was shorter, and the radiation exposure markedly reduced. At present, dynamic events, such as collateral blood flow, cannot be evaluated. We conclude that coronary arterial stenoses and occlusions can be reliably evaluated by flashing tomosynthesis. Further technological developments are necessary for the technique to gain clinical acceptance.
对34例冠心病患者进行了标准的35毫米冠状动脉电影血管造影和闪光断层合成检查，以评估后一种技术检测冠状动脉狭窄的价值。电影血管造影所见的所有闭塞血管和所有冠状动脉狭窄也都能被闪光断层合成检测到。两种技术所测狭窄程度之间的相关系数r = 0.85（P<0.001）。使用闪光断层合成时，所需造影剂较少，检查时间较短，辐射暴露明显减少。目前，诸如侧支血流等动态情况尚无法评估。我们得出结论，闪光断层合成能够可靠地评估冠状动脉狭窄和闭塞情况。该技术要获得临床认可，还需要进一步的技术发展。
