医学类64排CT与冠状动脉造ppt课件.pptVIP

MDCT对冠状动脉斑块的评估 冠状动脉斑块的部位、范围 冠状动脉斑块的性质 冠状动脉病变部位的形态学改变，包括狭窄程度、重塑情况。 冠状动脉粥样硬化斑块的MDCT分类标准 AHA type Plaque entity Calcification Non calcified component Angiography Ⅳ Atheroma No ≈40HU Vessel-wall irregularities Ⅴ Fibroatheroma May be present ≈70HU Vessel-wall irregularities Ⅵ Thrombus May be present ≈40HU High-grade stenosis or occlusion Ⅶ Fibrocalcified plaque Extenxive calcification ≈100HU or absent Significant stenosis likely Ⅶ-Ⅷ Cacified nodule Small round nodule Absent Vessel-wall changes Ⅷ Fibrotic plaque No ≈100HU Vessel-wall changes or stenosis possible Type Ⅰ-Ⅲ are early atherosclerosi