期刊文献+

成人冠状动脉解剖的三维CT研究 被引量:2

Study on adult coronary artery anatomy and its clinical correlation with 3D CT
原文传递
导出
摘要 目的用多层螺旋CT(MSCT)扫描三维重建方法探讨成人冠状动脉的形态、结构、变异及其与临床冠心病(CAD)发生的相关性。方法用Toshiba Aquilion16层螺旋CT行冠状动脉造影,通过工作站Vitrea2软件三维重建,观察、测量成人冠状动脉的分支、位置、形态及其变异,并分析其临床意义。结果成功行MSCT冠状动脉造影的患者1057例,其中以右优势型为主,共793例;左优势型126例;其他(包括均衡型和变异)138例。MSCT能够发现冠状动脉起源和走行的多种变异,但对冠状动脉瘘的特征未能准确表现。左优势型的冠心病发病数似相对较少;但左冠状动脉主干发出角度较大,主干较短,冠状动脉开口于冠状动脉窦之外的变异与冠心病发生有正相关性。结论MSCT能够大体准确地显示冠状动脉三维形态结构,但尚不能完全取代基础解剖学;冠状动脉的某些形态、结构变异可能造成血液动力学改变,促进临床动脉粥样硬化病变发生。 Objective To study three-dimensional anatomy of adult coronary artery and its variations with spiral CT,and to research possible relationships of three variations to coronary artery disease(CAD). Methods Applying multi-slice spiral computized tomography(MSCT) of Toshiba Aquilion,by means of the software Vitrea 2 at a workstation to 3D reconstructions of the arteries,we carefully observed and measured adult coronary arterial branches,location,figures and its variation,and then analyzed some relationships of them with the occurrence of CAD. Results There were 1057 cases of coronary arteries checked with MSCT angiography,and among them 793 cases of right dominant,126 of left dominant and 138 of other types(including balancing type). This technique could illustrate the most originations and courses of coronary arteries but coronary arterial fistula. The data indicated that the left coronary dominant type has less occurrence of CAD,whereas a larger angles of emergence of the left coronary artery,a very short main stem of the artery and a variation of the arterial debouchement were factors that have a marked positive correlativity with CAD. Conclusions MSCT could stereoscopically illustrate coronary arteries but it can not yet replace its true anatomy. Interestingly,some types or structural variations of coronary arteries might cause changes in its haemodynamics,and thus could promote the clinical occurrence of CAD.
出处 《解剖学报》 CAS CSCD 北大核心 2009年第2期332-336,共5页 Acta Anatomica Sinica
基金 深圳市科委资助项目(200802011)
关键词 冠状动脉 变异 冠心病 断层影像 MSCT Coronary artery Variation Coronary artery disease Cross-sectional imaging Multi-slice spiral computed tomography Human
  • 相关文献

参考文献9

  • 1毕莉珠.先天性冠状动脉畸形的临床研究[J].心血管病学进展,2003,24(2):144-148. 被引量:15
  • 2Szymczak A, Stilhnan A, Tannenb aum A, et al. Coronary vessel trees from 3 D imagery : a topological approach [ J ]. Med Image Anal, 2006,10 (4) : 548-549.
  • 3Schnaid M, Achenbach S, Ludwig J, et al. Visualization of coronary artery anomalies by contrast-enhanced muti-detector row spiral computed tomography [ J ]. Int J Cardiol, 2006,111 (3) :430-435.
  • 4Escolar E, Weigold G, Fuisz A, et al. New imaging techniques for diagnosing coronary artery disease[J]. CMAJ,2006,174(4):487-495.
  • 5Nakanishi T, Kayashima Y, Inoue R, et al. Pitfalls in 16-detector row CT of the coronary arteries[J]. Radiographics,2005,25(2):435-438 .
  • 6黄美萍,刘其顺,刘辉,梁长虹,张绍斌.多层螺旋CT冠状动脉成像质量及对冠状动脉病变诊断准确性的评价[J].中华放射学杂志,2006,40(9):984-987. 被引量:83
  • 7Hoffmann U, Ferencik M, Cury RC, et al. Coronary CT angiography[ J]. J Nucl Med,2006,47(9):797-806.
  • 8Yamanaka O,Hobbs RE. Coronary artery- anomalies in 126595 patients undergoing coronary arteriography[ J]. Cathet Cardiovasc Diagn, 1990, 21(1) :28-40.
  • 9刘远健,郭昌宇,袁知东,罗丽莉,言伟强,刘鹏程.肾与脊柱位置关系的影像学研究[J].解剖与临床,2007,12(1):18-20. 被引量:4

二级参考文献42

共引文献98

同被引文献29

  • 1王学礼.医用CT图像常见伪影成因及矫正分析[J].CT理论与应用研究(中英文),2004,13(3):1-8. 被引量:22
  • 2赵军,林祥通.关于PET/CT临床应用的若干问题[J].中华核医学杂志,2005,25(2):69-71. 被引量:17
  • 3张东铭.盆底形态学新概念及其临床意义[J].大肠肛门病外科杂志,2005,11(4):307-309. 被引量:4
  • 4刘远健,郭昌宇,袁知东,罗丽莉,言伟强,刘鹏程.肾与脊柱位置关系的影像学研究[J].解剖与临床,2007,12(1):18-20. 被引量:4
  • 5李松年,唐光健.现代全身CT诊断学[M].第2版.北京:中国医药科技出版社,2007.887.
  • 6Tanaka M, Tomiyasu K, Fukui M, et al. Evaluation of characteris- tics and degree of remodeling in coronary atherosclerotic lesions by 64 - detector multislice computed tomography (MSCT). Atheroscle- rosis,2009, 203(2) :436 -441.
  • 7Kollmann C. New sonographic techniques for harmonic imaging-- Underlying physical principles. European Journal of Radiology 2007, 64(2) : 164 -172.
  • 8Angelini ED, Homma S, Pearson G, et al. Segmentation of real - time three - dimensional ultrasound for quantification of ventricular function : A clinical study 6n right and left ventricles. Ultrasound in Medicine & Biology,2005, 3! (9) :1143 - 1158.
  • 9Parthipun A, Pilcher J. Renal Transplant Assessment: Sonographic Imaging Ultrasound Clinics ,2010, 5 (3 i :379 - 399.
  • 10Wozniak JR, Lira KO. Advances in white matter imaging: A review of in vivo magnetic resonance methodologies and their applicability to the study of development and aging. Neuroscience & Biobehavioral Reviews,2006,30(6) :762 -774.

引证文献2

二级引证文献9

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部