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速度向量成像技术对冠心病患者颈总动脉弹性和运动同步性的评价
引用本文:陈璐,陈悦,陈林,朱隽,詹嘉.速度向量成像技术对冠心病患者颈总动脉弹性和运动同步性的评价[J].中国医学影像技术,2011,27(10):2040-2044.
作者姓名:陈璐  陈悦  陈林  朱隽  詹嘉
作者单位:复旦大学附属华东医院超声科,上海,200040
摘    要:目的 应用速度向量成像技术(VVI)评价颈动脉形态学正常的冠心病患者颈总动脉弹性及运动同步性。 方法 选择颈动脉形态学正常的疑似冠心病患者90例,根据CAG结果分为正常组(30例)、CAG阳性组 。采集右侧颈总动脉短轴二维图像,运用VVI脱机软件分析,测得血管短轴6个壁最大运动速度(Vmax)、最大应变(Smax)、最大应变率(SRmax)及最大位移(Dmax),并测量血管各壁的径向速度(Tvr)、环向应变(Tsc)、环向应变率(Tsrc)、径向位移(Tdr)达峰时间的标准差(Tvr-SD、Tsc-SD、Tsrc-SD、Tdr-SD)及最大差值(Tvr-max、Tsc-max、Tsrc-max、Tdr-max)。 结果 ①多支病变亚组颈总动脉各壁Vmax、Smax、SRmax、Dmax均小于正常组及单支病变亚组(P<0.05);②单支及多支病变亚组Tvr-SD、Tsc-SD、Tsrc-SD、Tdr-SD、Tvr-max、Tsc-max、Tsrc-max及Tdr-max均大于正常组(P<0.05)。 结论 VVI技术是检测颈总动脉弹性和运动同步性的可靠方法,可评价冠心病患者颈总动脉硬化的早期改变。

关 键 词:速度向量成像  颈动脉  冠状血管疾病
收稿时间:4/6/2011 12:00:00 AM
修稿时间:2011/6/15 0:00:00

Assessment of carotid elasticity and dyssynchrony in patients with coronary heart disease with velocity vector imaging
CHEN Lu,CHEN Yue,CHEN Lin,ZHU Jun and ZHAN Jia.Assessment of carotid elasticity and dyssynchrony in patients with coronary heart disease with velocity vector imaging[J].Chinese Journal of Medical Imaging Technology,2011,27(10):2040-2044.
Authors:CHEN Lu  CHEN Yue  CHEN Lin  ZHU Jun and ZHAN Jia
Institution:Department of Ultrasound, Huadong Hospital, Fudan University, Shanghai 200040, China;Department of Ultrasound, Huadong Hospital, Fudan University, Shanghai 200040, China;Department of Ultrasound, Huadong Hospital, Fudan University, Shanghai 200040, China;Department of Ultrasound, Huadong Hospital, Fudan University, Shanghai 200040, China;Department of Ultrasound, Huadong Hospital, Fudan University, Shanghai 200040, China
Abstract:Objective To assess the alteration of carotid elastic properties and dyssynchronous arterial expansion during systole in coronary heart disease(CHD) without carotid atherosclerotic plaque.Methods Totally 90 patients with suspected coronary artery disease were divided into normal group(n=30) and CAG positive group included single lesion subgroup(n=27) and multivessel lesions subgroup(n=33) respectively,according to the results of CAG.Transverse images of right common carotid arteries were obtained and divide...
Keywords:Velocity vector imaging  Carotid artery  Coronary disease
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