冠状动脉CT造影评估冠状动脉钙化进展及临床意义

冠状动脉粥样硬化是冠心病的病理学基础,而冠状动脉钙化是粥样硬化病变的重要标志。检测和评估冠状动脉钙化不仅对预测心血管事件有重要意义,还有助于了解疾病进展,从而更好地指导临床诊治。冠状动脉CT造影(CCTA)是对冠状动脉钙化斑块进行精确量化评估的无创检查手段,其对于定量冠状动脉钙化以及预后评估具有重要的临床价值。本文对冠状动脉钙化CCTA检测方法及其临床应用等进行综述。

Coronary computed tomography angiography for evaluation of coronary artery calcium and its clinical significance

Coronary atherosclerosis is the pathological basis of coronary heart disease, while coronary artery calcification is the major marker of coronary atherosclerotic lesions. Detection and evaluation of coronary artery calcification is of great significance for predicting cardiovascular events, and also contributes to understanding the progress of the plaques, so as to further guide clinical treatment. Coronary CT angiography (CCTA) is a non-invasive imaging technique to detect the presence, location and extent of calcified plaques in coronary arteries, and shows great clinical significance in quantitative evaluation of coronary artery calcium and estimation of prognosis. In this article, we reviewed the utilization and clinical application of CCTA in detection and measurement of coronary calcification.