[1]朱晓珉.CTA在冠状动脉钙化斑块管腔狭窄诊断中的研究进展[J].医学信息,2019,32(04):50-53.[doi:10.3969/j.issn.1006-1959.2019.04.018]
　ZHU Xiao-min.Progress of CTA in Diagnosis of Coronary Artery Calcified Plaque Stenosis[J].Journal of Medical Information,2019,32(04):50-53.[doi:10.3969/j.issn.1006-1959.2019.04.018]
点击复制

CTA在冠状动脉钙化斑块管腔狭窄诊断中的研究进展()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年04期
页码:
50-53
栏目:
综述
出版日期:
2019-02-15

文章信息/Info

Title:
Progress of CTA in Diagnosis of Coronary Artery Calcified Plaque Stenosis
文章编号:
1006-1959（2019）04-0050-04
作者:
朱晓珉
（天津中医药大学第一附属医院CT室，天津 300193）
Author(s):
ZHU Xiao-min
(CT Room,the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193,China)
关键词:
CTA; 冠状动脉钙化斑块管腔狭窄; CT; 诊断价值
Keywords:
CTA; Coronary calcified plaque stenosis; CT; Diagnostic value
分类号:
R541.4；R816.2
DOI:
10.3969/j.issn.1006-1959.2019.04.018
文献标志码:
A
摘要:
随着我国人口老龄化趋势不断上升，冠心病患病率随之提升，好发于60周岁以上老年患者。冠心病又称为冠状动脉粥样硬化性心脏病，具有较高的致残率、致死率。随着医学影像技术不断成熟，CT因无创、扫描快的优势已经在临床中得到广泛推广应用，成为了诊断疾病的主要方法之一。CT可分为64排螺旋CT、DSCT、320DVCT，使得正确诊断冠状动脉疾病率得到很大的提升，为无创性检查和评估冠心病提供有效的依据。据有关研究报道，冠状动脉血管成像（CTA）假阳性、假阴性提升的主要原因为患者心率不齐、心率过速造成为心脏运动轨迹伪影；冠状动脉壁管存在钙化伪影均是其主要原因。因此临床常重点关注钙化伪影、心脏运动轨迹伪影对诊断准确性的影响。本文主要就CTA在冠状动脉钙化斑块管腔狭窄诊断中的价值进行综述。
Abstract:
As the trend of population aging in China continues to rise, the prevalence of coronary heart disease increases, and it occurs in elderly patients over 60 years of age. Coronary heart disease, also known as coronary atherosclerotic heart disease, has a high rate of disability and mortality. With the continuous maturity of medical imaging technology, CT has been widely used in clinical practice because of its advantages of non-invasive and rapid scanning, and has become one of the main methods for diagnosing diseases. CT can be divided into 64-row spiral CT, DSCT, 320DVCT, which makes the diagnosis of coronary artery disease rate greatly improved, and provides an effective basis for non-invasive examination and evaluation of coronary heart disease. According to relevant research reports, the main reason for the increase of false positive and false negative in coronary angiography (CTA) is the heart motion trajectory caused by abnormal heart rate and heart rate tachycardia; calcification artifacts in coronary artery wall are the main reasons. Therefore, the clinical focus is often on the impact of calcification artifacts and cardiac motion trajectory artifacts on diagnostic accuracy. This article reviews the value of CTA in the diagnosis of coronary calcification plaque stenosis.

参考文献/References:


[1]李平,徐磊,范占明.冠状动脉CTA钙化斑块成像的研究进展[J].心肺血管病杂志,2018,37(1):83-86.
[2]郑园园,郑晓杰,楚坤义.冠状动脉CT造影图像中钙化伪影对管腔狭窄评估的影响[J].山东医药,2016,56(11):104-105.
[3]李书忠.多层螺旋CT冠状动脉钙化积分在冠心病诊断中的临床应用[J].中国实用医药,2016,11(15):89-90.
[4]夏骏,吴鹏程,张弢,等.电子束CT扫描模式下低剂量128层螺旋CT冠状动脉成像对冠心病筛查价值[J].当代医学,2013,19(5):94-95.
[5]关强.冠状动脉钙化斑块对CTA诊断冠状动脉狭窄准确性的作用分析[J].中国医药指南,2018,16(27):117-118.
[6]姜巧生,傅洁婷,舒锦尔.256层螺旋CTA诊断冠状动脉斑块及管腔狭窄的临床价值探讨[J].影像研究与医学应用,2017,1(13):113-114.
[7]Hulten EA,Cheezum M,Fischer C.The Prognostic Value of Coronary CT Angiography[J].JACC Cardiovasc Imaging,2012,30(1):77-91.
[8]徐彧,陈正光,赵天佐.冠状动脉CTA钙化斑块与冠心病中医证候要素的相关性研究[J].中国中西医结合影像学杂志,2016,14(4):383-386.
[9]王安明,赵汉青,史跃,等.双源CTA与DSA评价冠状动脉钙化性斑块管腔狭窄对比研究[J].中国医疗器械信息,2013,19(2):1-4.
[10]王安明,赵汉青,史跃.双源CT血管成像评价冠状动脉钙化性斑块血管腔狭窄程度准确性的研究[J].中西医结合心脑血管病杂志,2013,11(2):233-234.
[11]Kaster TS,Dwivedi G,Susser L.Single low-dose CT scan optimized for rest-stress PET attenuation correction and quantification of coronary artery calcium[J].Journal of Nuclear Cardiology,2015,22(3):419-428.
[12]赵倩,刘莉,李莹.64排螺旋CT血管成像评价冠状动脉狭窄与斑块类型的相关性[J].医学影像学杂志,2017,27(12):2280-2283.
[13]Engbers EM,Timmer JR,Ottervanger JP.Sequential SPECT/CT imaging for detection of coronary artery disease in a large cohort: evaluation of the need for additional imaging and radiation exposure[J].Journal of Nuclear Cardiology,2017,24(1):212-223.
[14]潘春燕,崔进国,崔豹,等.CTA对冠状动脉钙化斑块管腔狭窄准确性评价的研究进展[J].解放军医药杂志,2016,28(3):104-108.
[15]王刚,张镇滔,郑晓林.多层螺旋CT结合iDose4迭代算法在冠状动脉低剂量成像中的应用价值[J].广东医学,2016,37(3):400-403.
[16]梁健华,宋国军,林永开.BMI指导下改变对比剂流速对冠脉CTA图像质量的影响[J].现代医用影像学,2017,26(4):881-886.
[17]王刚,张镇滔,郑晓林.个性化低剂量冠状动脉成像诊断冠心病：CTA与DSA对照分析[J].中国临床医学影像杂志,2014,25(7):477-481.
[18]童浩宇.64排128层螺旋CT冠状动脉成像临床诊断冠心病的价值探索[J].医学信息,2016,29(1):315-316.
[19]张智屏.128层螺旋CT冠脉成像在冠心病患者中的临床诊断价值分析[J].中国医疗器械信息,2017,23(22):73-74.
[20]王亚利.低剂量对比剂联合生理盐水在64层螺旋CT头颈部CTA的应用价值[J].医药前沿,2016,6(6):228-229.
[21]林涛,王伟,周华,等.冠脉CTA与血管内超声对冠脉临界病变血管狭窄程度诊断价值对比研究[J].CT理论与应用研究,2017,26(5):619-626.
[22]梁奕,杜柏林,汪汉林.320排冠状动脉CTA中等渗低浓度对比剂用量的合理选择[J].实用放射学杂志,2016,32(3):414-418.
[23]陈伟彬,冯莉,张伟杰.对比剂不同注射方案对冠状动脉CTA图像质量的影响[J].医学研究杂志,2017,46(5):171-174.
[24]余美,马跃,王玉科.不同低对比剂注射方案对冠状动脉CTA图像质量影响的初步研究[J].中国临床医学影像杂志,2015,26(11):779-783.
[25]卜雪峰,张庆华,姜雪琴.低千伏、低剂量对比剂在冠状动脉CTA后门控扫描中的应用价值[J].内蒙古中医药,2017,36(17):120-121.
[26]戴小毛.冠心病应用64排128层螺旋CT冠状动脉成像的诊断分析[J].影像技术,2017,29(5):12-13.
[27]陈宝锦,陈宝锦,王锡明.光子探测器双源CT70kV联合低对比剂在冠状动脉CTA中的应用[J].实用放射学杂志,2016,32(3):432-436.
[28]王帅,石磊,郑敏文.双低剂量对比剂和最佳单能谱成像在头颈部CTA中的应用价值[J].中国医疗设备,2016,31(7):9-11.

更新日期/Last Update: 2019-03-07