| CT 冠状动脉造影结合心肌灌注显像检测血流受阻型冠状动脉病变 |
| |
| 引用本文： | 汪奇,秦静,王志国,关志伟,董蔚,孙志军,盖鲁粤,陈韵岱,田嘉禾,杨立.CT 冠状动脉造影结合心肌灌注显像检测血流受阻型冠状动脉病变[J].南方医科大学学报,2011,31(2):210-215. |
| |
| 作者姓名： | 汪奇 秦静 王志国 关志伟 董蔚 孙志军 盖鲁粤 陈韵岱 田嘉禾 杨立 |
| |
| 作者单位： | 汪奇,王志国,董蔚,孙志军,盖鲁粤,陈韵岱,WANG Qi,WANG Zhi-guo,DONG Wei,SUN Zhi-jun,GAI Lu-yue,CHEN Yun-dai(解放军总医院心内科,北京,100853);秦静,QIN Jing(武警总医院超声科,北京,100039);关志伟,田嘉禾,GUAN Zhi-wei,TIAN Jia-he(解放军总医院核医学科,北京,100853);杨立,YANG Li(解放军总医院放射科,北京,100853) |
| |
| 基金项目： | 国家"十一五"科技支撑计划 |
| |
| 摘 要： | 目的探讨CT冠状动脉造影(CTCA)结合腺苷负荷核素心肌灌注显像(MPS)无创地检测血流受阻型冠脉阻塞性病变的可行性与准确性。方法 105例怀疑或诊断为冠心病的患者,有创性冠状动脉造影检查前4周内完成CTCA与腺苷负荷MPS检查。以定量冠状动脉造影结合MPS的结果为参照,评价CTCA结合MPS诊断血流受阻型冠脉阻塞性病变的准确性及作为再血管化治疗"看门人"的可行性。结果对比定量冠状动脉造影结合MPS结果,CTCA结合MPS诊断血流受阻型冠脉阻塞性病变的敏感性、特异性、阳性预测值及阴性预测值均为100%。16%的再血管化治疗患者中并未发现血流受阻型冠脉阻塞性病变。结论对比定量冠状动脉造影结合MPS的结果,CTCA结合腺苷负荷MPS可以准确地检测血流受阻型的冠脉阻塞性病变,可以充当再血管化治疗的"看门人"。
|
| 关 键 词： | CT冠状动脉造影 心肌灌注显像 冠状动脉造影 冠心病 |
CT coronary angiography combined with adenosine stress myocardial perfusion scintigraphy for detecting flow-limiting coronary stenoses |
| |
| WANG Qi,QIN Jing,WANG Zhi-guo,GUAN Zhi-wei,DONG Wei,SUN Zhi-jun,GAI Lu-yue,CHEN Yun-dai,TIAN Jia-he,YANG Li.CT coronary angiography combined with adenosine stress myocardial perfusion scintigraphy for detecting flow-limiting coronary stenoses[J].Journal of Southern Medical University,2011,31(2):210-215. |
| |
| Authors: | WANG Qi QIN Jing WANG Zhi-guo GUAN Zhi-wei DONG Wei SUN Zhi-jun GAI Lu-yue CHEN Yun-dai TIAN Jia-he YANG Li |
| |
| Institution: | WANG Qi1,QIN Jing2,WANG Zhi-guo1,GUAN Zhi-wei3,DONG Wei1,SUN Zhi-jun1,GAI Lu-yue1,CHEN Yun-dai1,TIAN Jia-he3,YANG Li4 1Department of Cardiology,3Department of Nuclear Medicine,4Department of Radiology,General Hospital of PLA,Beijing 100853,China,2Department of Ultrasound,General Hospital of Armed Police Forces,Beijing 100039 |
| |
| Abstract: | Objective To assess the feasibility and accuracy of CT coronary angiography(CTCA) combined with adenosine stress myocardial perfusion scintigraphy(MPS) for diagnosis of flow-limiting coronary stenosis.Methods A total of 105 patients with suspected or established coronary artery disease(CAD) underwent CTCA and MPS within 4 weeks before invasive coronary angiography.The accuracy of CTCA/MPS in the diagnosis of flow-limiting coronary stenosis was evaluated in comparison with the results of quantitative coronar... |
| |
| Keywords: | computed tomography coronary angiography myocardial perfusion imaging coronary angiography coronary artery disease |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
| 点击此处可从《南方医科大学学报》浏览原始摘要信息 |
| 点击此处可从《南方医科大学学报》下载免费的PDF全文 |
|
