多层螺旋CT在复杂先天性心脏病临床诊断应用的可行性.pptVIP

多层螺旋CT在复杂先天性心脏病临床诊断应用的可行性放射影像科陈正光ZG。Chen，Ph.D.,MD

ZGCHEN,MD,PhD目的尽可能的用标准体位来显示心脏的解剖和畸形之所在。横轴位－其他轴位形成的基础长轴位－RV，orLV平行于室间隔四腔像短轴像RVOT和LVOT（所谓三腔像）尽可能地去认识畸形所致的血流动力学所致的改变。ZGCHEN,MD,PhD

ZGCHEN,MD,PhD多排螺旋CTZGCHEN,MD,PhD

08’RSNAPulmonaryAtresia:AssessmentofPulmonaryArteryandPulmonaryBloodSupplywithMDCTEvaluationofAnomalousPulmonaryVenousDrainageinPatientswithComplexCongenitalHeartDiseasesUsingMultidetectorComputedTomography(MDCT)TheValueofMDCTforPredictionofPostoperationLowCardiacOutputSyndromeinPatientswithCyanoticCongenitalHeartDiseaseEvaluationonTetralogyofFallot(TOF)UsingMultidetectorComputedTomography(MDCTTheIncrementalDiagnosticYieldofMDCTinPatientswithComplexCongenitalHeartDisease?afterEchocardiographyEvaluationofPulmonaryVascularDevelopmentintheInfantswithCyanoticCongenitalHeartDiseaseUsingMDCTEvaluationofAortopulmonaryCollateralArteries(APCAs)UsingMultidetectorComputedTomography?(MDCT)ZGCHEN,MD,PhD

PulmonaryatresiaCase2Female16

Case3Male18yraortopulmonarycollateralarteriesPDA

Totalanomalouspulmonaryvenousdrainage（Supracardiactype）Case1Female4yr肺静脉畸形引流

TotalanomalouspulmonaryvenousdrainageCase2Male10yr肺静脉畸形引流MDCT》DSA

ZGCHEN,MD,PhD测量肺内肺血管的分布平均比例的测量肺内血管占全肺CT值的比例（去掉心脏大血管,应包括段以下肺血管的发育）

ZGCHEN,MD,PhD

ComparisonofAgroupandBgroupwithLCOS(0.26±0.06)vs.withoutLCOS(0.34±0.04);p0.05ZGCHEN,MD,PhD

Withthecut-offvalueofPPVsetat0.275,thesensitivityforpredictingpost-operationLCOSis84.2%,thespecificityis75.0%.ZGCHEN,MD,PhD

试图解决的问题？ZGCHEN,MD,PhD

ZGCHEN,MD,PhDTOF常规重建图象

MDCT》DSA

评语超声心动图实时快捷，能够从任意角度观察心内畸形，是心脏疾患首选的一线检查方法MDCT能较好显示心外畸形、心脏大血管的连接关系，在解剖细节上予以补充，并可弥补解剖结构重叠UCG和CT结合极大提高了本病的无创诊断水平ZGCHEN,MD,PhD

CT在先心病最大应用价值在于评估心外大血管的形态结构。ZGCHEN,MD,PhD结语