320层容积CT无心率(律)控制的冠状动脉血管成像在冠心病高危人群中的初步应用.pdfVIP

. 1142. ·胸部放射学- 320 层容积 CT 元心率(律)控制的冠状动脉 血管成像在冠心病商危人群中的初步应用 孙钢李阁英李敏丁崎李胜辉李理来仕芳林长锁邹晓风 {摘要1 目的 探讨在无心率(律)控制条件下，320 居容帜CT 崩状动脉血管成像(VCTA) 诊断 措心病高危人群冠状动脉狭窄的准确性。方法 对 30 例有冠心病高危因素的患者，以冠状动脉导管 谴影(ICA) 为金标准，评价 VCTA 除断冠状动脉节段狭窄率注50% 的敏感腹、特异度、阳性预测值 (PPV) 、阴性预测值(NPV) 及 Youden 指数;同时采用卡方检验分析心率快慢及钙化程度对2 种检查 方法语断→致率的影响。结果 30 例患者平均心率(73.7 士 15.4) 次/min( bpr川，420 个可分析节段 的平均Agatston 钙化积分中位数为45.6 分(OR::: 18 1) 。心率 70 和注70 bpm 分别、昏示 242 和 169 段， 战断一致学羔异:t统计学意义( p O. 05 ) ; Agatston 钙化积分;::， 1ω 分的阁像质量和战断一致率低于 Agatston 钙化积分1∞分的节段，但 VCTA 与 JCA 结果仍具有良好吻合性(P 0. 05) 。结论在无 心率(律)控制情况r， VCTA 对冠心病商危人群的冠状动脉狭窄诊断具有很高的准确性。 [关键诩] 冠状功脉疾病; 体居摄影术，X 钱计算机; 对状血管选影术 Initial expe时ence of evalua创on of coronary arteηwith 320-slice row CT system in high pre响st probability population without heart rate( rhythm) control SUN Gang. Ll Guo尹呀， LI Min , DlNG Juan , Ll Sheng-hω，Ll μ， ZHU Shi长àng ， L1N Chang-ling , ZOU Xi (UJjeng. Departmerú 01 Med，时d lmaging , Jinan Military General Hospítal , Jinan 25003 J , China (Abstract] Objective To investigate the accuracy of 320-sliωrow CT system for the detection of coronary artery disease ( CAD) in high pre-test probability population witbout heart rate/rhythm control. Methods Thirty patients with a high pre-test probability of CAD underwent 320-slice row CT without preceding heart rate/rhythm control. Invasive coronaηangigraphy( ICA) served as the standard reference. Data sets were evaluated by 2 observer日 in consensus with respect to stenoses ;::, 50% decreased diameter. 啊le sensitivity , specificity , positive predictive value (PPV) , negative predictive value ( NPV) and Youden index were analyzed; the impact of heart rate and calcification on image quali句 as well as diagnostic accuracy were also analyzed by Chi-square tesL Results Mean heart rate du时ng scanmng wω73.7 士 15.4