国际医学放射学杂志
國際醫學放射學雜誌
국제의학방사학잡지
INTERNATIONAL JOURNAL OF MEDICAL RADIOLOGY
2014年
6期
532-535,563
,共5页
袁涛%赵大伟%全冠民%高云云
袁濤%趙大偉%全冠民%高雲雲
원도%조대위%전관민%고운운
左心室%心功能%评估%对照%体层摄影术,X线计算机
左心室%心功能%評估%對照%體層攝影術,X線計算機
좌심실%심공능%평고%대조%체층섭영술,X선계산궤
Left ventricule%Cardiac function%Evaluation%Comparison%Tomography,X-ray computed
精确并可重复性评估左心室功能(LVF)对于心脏疾病早期诊断、风险评估及预后判断具有重要意义。随着CT技术的迅速发展,多层螺旋CT(MSCT)成为了有潜力的无创性心血管检查方法之一,可一站式评估冠状动脉、心脏结构及心功能。对心脏进行扫描,重建心动周期10个时相左心室短轴位,用心功能软件勾画心内外膜边界,计算和分析左心室局部收缩功能。就MSCT评估LVF及其与心脏造影、超声、MRI及单光子发射体层成像对照研究的现状进行综述。
精確併可重複性評估左心室功能(LVF)對于心髒疾病早期診斷、風險評估及預後判斷具有重要意義。隨著CT技術的迅速髮展,多層螺鏇CT(MSCT)成為瞭有潛力的無創性心血管檢查方法之一,可一站式評估冠狀動脈、心髒結構及心功能。對心髒進行掃描,重建心動週期10箇時相左心室短軸位,用心功能軟件勾畫心內外膜邊界,計算和分析左心室跼部收縮功能。就MSCT評估LVF及其與心髒造影、超聲、MRI及單光子髮射體層成像對照研究的現狀進行綜述。
정학병가중복성평고좌심실공능(LVF)대우심장질병조기진단、풍험평고급예후판단구유중요의의。수착CT기술적신속발전,다층라선CT(MSCT)성위료유잠력적무창성심혈관검사방법지일,가일참식평고관상동맥、심장결구급심공능。대심장진행소묘,중건심동주기10개시상좌심실단축위,용심공능연건구화심내외막변계,계산화분석좌심실국부수축공능。취MSCT평고LVF급기여심장조영、초성、MRI급단광자발사체층성상대조연구적현상진행종술。
Accurate and reproducible assessment of left ventricular function (LVF) is critical for diagnosis, risk assessment, and prognosis evaluation in patients with heart diseases. With the rapid development of the software and equipment, MSCT is becoming one of the most potential noninvasive modalities for cardiovascular examination. MSCT can evaluate coronary artery, cardiac structures and function in one-stop-shop manner. To evaluate the regional LVF, the following steps commonly are included:short axis images of the left ventricular are firstly acquired, and ten phases in the cardiac cycle are reconstructed,then using cardiac analysis software to delineate endo-cardium and epi-cardium, and finally to calculate function parameters. In this review, we summarized state of the art MSCT on LVF evaluation, and compared with cardiography, ultrasound, MR and SPECT.