冠状动脉狭窄的电子束CT诊断-放射学实践.PDFVIP

4 6 20036 18 6 Radiol Practice, Jun 2003, Vol 18, No.6 CT ## 郑敏文 孙立军 宦怡 赵宏亮 葛雅丽 白桂琴 李剑 = : 评价电子束CT( EBCT) 及其三维血管成 对冠状动脉狭窄诊断的准确性及局限性: 37 例经E- BCT 冠状动脉增强扫描和三维重建的患者,均又经常规心血管造影检查(CAG) 由两名不知其它检查结果的放射科医师 将冠状动脉左主干(LM) 和左前降支(LAD) 左回旋支(LCX) 右冠状动脉( RCA) 的近中段评价后与造影结果逐段对照, 并 作统计学分析:在CAG 结果\2mm 的249 个冠状动脉节段中, EBCT 可评价的有228(91.6%) 个, 无法评价的 21( 8. 4%) 个, 影响因素最主要为广泛钙化遮蔽管腔EBCT 诊断冠状动脉各主干近中段\50% 狭窄总的敏感性特异性和阳性 预测值阴性预测值分别为80. 1% 91. 3% 72.4% 92.5% 其中左主干均为100% , 前降支分别为90. 4% 94.2% 84.5% 和96. 1% : EBCT 是较好的无创性冠状动脉成 技术, 对冠状动脉左主干和前降支近中段狭窄的评价具有极高的 准确性,虽然无法替代CAG,但极具临床应用潜力局限性是空间分辨率低,价格昂贵 = 冠状血管造影术; 体层摄影术, X 线计算机; 冠状动脉狭窄 = R814.42; R815; R543. 3 = A = 1000-0313(2003) 06-0406-04 Electron beam computed tomographic coronary angiography for evaluation of coronary artery stenosis HENG Minwen, SUN L-i jun, HUAN Yi, et al. Department of Radiology, Xijing Hospital,the Fourth Military Medical University,Xican 710032 = Abstract Objective:To evaluate the accuracy of electron beam computed tomographic angiography ( EBA) with three-dimension- al reconstruction in diagnosing stenosis of coronary artery. Methods:37 patients underwent both EBA and conventional coronary angiogra- phy ( CAG) . EBA three dimensional images were analyzed by two observersblindedto the results of CAG, and all datawere statistically an- alyzed.Results:Of a total of 249 coronary artery segments 2mm in CAG, 228 (91.6%) were analyzable and 21( 8.4%) were unevalu- able in EBT images.The chief reasons of unevaluability were extensive calcification covering lumen of vessels. Overall sensitivity, specificity and positive andnegative predictive value to detect a 50% diameter stenosis were 80. 1% ,91. 3% ,72.4% ,92.5% respectively.These in left main cor