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64层CT肺动脉与主动脉增强扫描TDC的对比研究 被引量:5

Comparative study on TDC of pulmonary artery and aorta with 64-slice enhanced CT scanning
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摘要 目的:比较肺动脉与主动脉强化峰值和峰值时间的不同,分析肺动脉强化的特点,为优化多层螺旋CT肺动脉成像提供理论基础。方法:50例行胸部CT增强检查的患者,以4ml/s的速率注入80ml对比剂(300mgI/ml),行肺动脉干层面连续动态扫描,分别绘制肺动脉与胸主动脉的时间-密度曲线(TDC)并计算二者的强化峰值、峰值时间、峰值时间差以及肺动脉强化CT值大于200HU起始时间(Tb200)和持续时间(T200)。结果:同层面肺动脉的强化峰值时间明显早于胸主动脉,肺动脉的强化峰值明显高于主动脉;肺动脉与胸主动脉峰值时间差为(8.2±3.1)s;肺动脉的Tb200和T200分别为(8.8±1.6)s和(19.95±4.65)s。结论:同层面肺动脉与胸主动脉的强化峰值和峰值时间均有显著性差别,肺动脉强化较胸主动脉强化峰值高并且时间早。 Objective:To comparative the differences of the peak value and peak time of pulmonary artery and aorta and analyze the characteristics of pulmonary artery, so as to provide theoretical basis for pulmonary angiography. Methods: Fifty patients underwent dynamic scanning at pulmonary trunk level with 64-slice computed tomography (CT). All were administrated intravenously 80ml of 300mg/ ml at a rate of 4ml/s. The peak time (PF), peak value (PV) of pulmonary artery and aorta, the beginning time of more than 200HU (Tb200) and duration time (T200) were analyzed. Results:The pulmonary arterial peak time was significantly earlier than that of aorta; The pulmonary arterial peak value was higher than that of aorta; the difference of the peak time of pulmonary artery and aorta was (8.2 ± 3.1 )s; Tb200 and T200 of the pulmonary artery were (8.8 ± 1.6 )s and ( 19.95 ± 4.65)s, respectively. Conclusion: There were significant differences of peak value and peak time between pulmonary artery and aorta; The characteristics of enhanced pulmonary artery were higher in peak value and earlier in peak time than those of aorta.
出处 《医学影像学杂志》 2009年第1期25-27,共3页 Journal of Medical Imaging
关键词 肺动脉 体层摄影术 X线计算机 Pulmonary artery Tomography, X-ray computed
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参考文献9

  • 1章作铨,张皓,高洁冰,秦培鑫,韩铭钧,刘小彬,何燕丽,钟国梅.MSCT肺动脉成像中对比剂优化剂量的初步研究[J].广东医学,2006,27(5):632-634. 被引量:11
  • 2Johnson PT, Fishman EK. IV contrast selection for MDCT: current thoughts and practice[J]. AJR, 2006,186:406 - 415.
  • 3Bae KT, Heiken JP, Brink JA. Aortic and hepatic peak enhancement at CT: effect of contrast medium injection rate-pharmacokinetic analysis and experimental porcine model [J]. Radiology, 1998,206: 455 - 464.
  • 4Bae KT, Heiken JP, Brink JA. Aortic and hepatic contrast medium enhancement at CT. Part Ⅱ. Effect of reduced cardiac output in a porcine model[J]. Radiology, 1998,207:657-662.
  • 5Awai K, Hiraishi K, Hod S. Effect of injection duration and rate on aortic peak time and peak enhancement at dynamic CT using contrast injection protocol with dose tailored to patient weight[J]. Radiology, 2004,230:142 - 150.
  • 6张皓,韩铭钧,章作铨,王颖,秦培鑫,刘小彬,何燕丽,钟国梅.MDCT肺动脉成像:不同注射速率对周围肺动脉显示的影响[J].实用放射学杂志,2007,23(6):824-827. 被引量:9
  • 7Yamashita Y, Komohara Y, Takahashim, et al. Abdominal helical CT: evaluation of optimal doses of intravenous contrast material-a prospective randomized study[J]. Radiology, 2000,216:718- 723.
  • 8Awai K, Hiraishi K, Hori S, et al. Effect of contrast material injection duration and rate on aortic peak time and peak enhancement at dynamic CT involving injection protocol with dose tailored to patient weight[J]. Radiology, 2004, 230:142 - 150.
  • 9张秀丽,吕申,郭冬梅,于晓艳,郑洪生.多层螺旋CT三期动态增强扫描对肺栓塞病理及病理生理诊断意义[J].实用放射学杂志,2007,23(1):46-50. 被引量:8

二级参考文献25

  • 1马大庆.多排螺旋CT对于肺栓塞的诊断[J].中国介入影像与治疗学,2005,2(3):161-165. 被引量:24
  • 2杨光华.病理学[M](第5版)[M].北京:人民卫生出版社,2002.96.
  • 3REMY - JARDIN M, REMY J, ARTAUD D, et al. Peripheral pulmonary arteries: optimization of the spiral CT acquisition protocol[J]. Radiology, 1997, 204:157 - 163.
  • 4RUBIN G D. Three - dimensional spiral CT angiography of the aorta and its branches[M]//FISHMAN E K, JEFFREY R B J. Spiral CT.2nd ed. Philadelphia, Pa: Lippincott- Raven, 1998:361-402.
  • 5REMY- JARDIN M, REMY J. Spiral CT angiography of the pulmonary circulation[J]. Radiology, 1999,212(3): 615 - 636.
  • 6REMY- JARDIN M. Spiral CT of the chest[J]. Springer Verlag Inc,2001,58 - 68.
  • 7MITSUZAKI K, YAMASHITA Y, OGATA I, et al. Multiple - phase helical CT of the liver for detecting small hepatomas in patients with liver cirrhosis: contrast- injection protocol and optimal timing[J]. AJR Am J Roentgenol, 1996,167:753 - 757.
  • 8KIM T, MURAKAMI T, TAKAHASHI S, et al. Effect of injection rates of contrast material on arterial phase hepatic CT[J]. AJR Am J Roentgenol, 1998,171(2):429 - 432.
  • 9YAMASHITA Y, KOMOHARA Y, TAKAHASHI M, et al. Abdominal helical CT: evaluation of optimal doses of intravenous contrast material-a prospective randomized study[J]. Radiology, 2000,216:718-723.
  • 10AWAI K, HIRAISHI K ,HORI S, et al. Effect of contrast material injection duration and rate on aortic peak time and peak enhancement at dynamic CT involving injection protocol with dose tailored to patient weight[J]. Radiology,2004,230:142 - 150.

共引文献24

同被引文献28

  • 1邱建国,孙益芳,李坤林,薛京利,聂建新.多层螺旋CT在诊断肺动脉栓塞中的应用[J].实用放射学杂志,2004,20(10):902-904. 被引量:16
  • 2陈广,马大庆,贺文,何青.多层螺旋CT肺动脉栓塞直接征象与溶栓效果的对照[J].中华放射学杂志,2004,38(10):1069-1071. 被引量:63
  • 3章作铨,张皓,高洁冰,秦培鑫,韩铭钧,刘小彬,何燕丽,钟国梅.MSCT肺动脉成像中对比剂优化剂量的初步研究[J].广东医学,2006,27(5):632-634. 被引量:11
  • 4Wittram C, Maher MM, Yoo A J, et al. CT angiography of pulmonary embolism : diagnostic criteria and causes of misdiagnosis. Radiographics, 2004, 24:1219-1238.
  • 5Wittram C. How I do it: CT pulmonary angiography. A JR,2007, 188 : 1255-1261.
  • 6Roggenland D, Peters SA, Lemburg SP, et al. CT angiography in suspected pulmonary embolism: impact of patient characteristics and different venous lines on vessel enhancement and image quality. AJR ,2008,190 : W351 -W359.
  • 7Ghuysen A, Ghaye B, Willems V, et al. Computed tomographic pulmonary angiography and prognostic significance in patients with acute pulmonary embolism. Thorax,2005,60:956-961.
  • 8Cottin V,Chinet T, Lavole A,et al, Ptnlmonary arteriovenous mal- formations in hereditary hemorrhagic telangieetasia: a series of 126 patients[J]. Medicine( Baltimore), 2007,86 ( 1 ) : 1 - 17.
  • 9Takahama M,Yamamoto R,Nakajima R,et al. Surgery for multi pie and diffuse pulmonary arteriovenous fistulas during childhood [J].Gen'I'horacCardiovase Surg,2009,57(7):385 -388.
  • 10Prasad V,Chan R P,Faughnan M E. Embolotherapy of pulmonary arteriovenous malformations:efficacy of platinum versus stainless steel coils[J]. J Vasc Interv Radiol,2004,15(2 Pt 1) :153- 160.

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