Congenital Heart Disease: Evaluation with Three Dimensional 64Multidetector Computed Tomography_West China Medical Journal

Authors：

CHU Zhigang ,  YU Jianqun , YUAN Hongmei.

Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

YU Jianqun, Email: cjr.yujianqun@vip.163.com

Keywords：

体层摄影术; X线计算机; 心脏; 先天性心脏病

Video：

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目的:评价先天性心脏病（CHD）不同病变类型在64层螺旋CT（64-MDCT）三维重建图像上的表现及显示效果。方法:回顾性分析36例CHD患者的64-MDCT资料,分别在轴位、冠状、矢状位及容积再现（VR）重组图像上观察病变,统计分析不同重组图像显示总体病变及房、室间隔缺损效果有无差异。结果:36例患者共有病变59处,轴位、冠状及矢状位图像在发现病变（59处,100.0%；57处,96.6%；53处,89.8%）及室间隔缺损显示（显示效果评分:41、38及39分）方面无明显差异（P＞0.05）,但轴位图像显示房间隔缺损明显优于冠、矢状位图像（显示效果评分:19、13及12分）（P＜0.05）。VR图像与轴位及冠、矢状位图像显示心外大血管病变效果无差异P＞0.05）。不同类型病变在轴位,冠、矢状位及VR图像上表现特征不尽相同,而不同重组图像有各自优势显示的病变类型。结论:64-DCT三维重建图像能够很好地显示先心病各种类型病变,了解不同重建图像上病变表现特征及显示效果有利于做出准确、全面的诊断。

Citation： CHU Zhigang,YU Jianqun,YUAN Hongmei.. Congenital Heart Disease: Evaluation with Three Dimensional 64Multidetector Computed Tomography. West China Medical Journal, 2009, 24(3): 693-697. doi: Copy

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11.	周阳泱,韩萍,冯敢生,等.多层螺旋CT血管造影在小儿复杂先天性心脏病中的临床应用价值[J].中华小儿外科杂志,2005,26（11）:579-582..
12.	KAEMMERER H, STERN H, FRATZ M, et al. Imaging in adults with congenital cardiac disease （ACCD） [J]. Thorac Cardiovasc Surg,2000,48（6）: 328-335..
13.	HARAMATI L B,GLICKSTEIN J S,ISSENBERG H J,et al.MR imaging and CT of vascular anomalies and connections in patients with congenital heart disease: significance in surgical planning [J].Radiographics,2002,22（2）: 337-349..
14.	TSAI S K,CHANG C I,WANG M J,et al.The assessment of the proximal left pulmonary artery by transesophageal echocardiography and computed tomography in neonates and infants: a case series [J].Anesth Analg,2001,93 （3）: 594-597..

1. SAMYN M M. A review of the complementary information available with cardiac magnetic resonance imaging and multislice computed tomography （CT） during the study of congenital heart disease [J]. Int J Cardiovasc Imaging, 2004, 20:569-578..
2. GOO H W, PARK I S, KO J K, et al. CT of congenital heart disease: normal anatomy and typical pathologic conditions [J]. Radiographics,2003,23:S147-S165..
3. OU P, CELERMAJER D S, CALCAGNI G, et al. Threedimensional CT scanning: a new diagnostic modality in congenital heart disease [J]. Heart,2007,93: 908-913..
4. VAN PRAAGH R. The segmental approach to diagnosis in congenital heart disease. In: Bergsma D. Birth defects original article series, Vol Ⅷ, No 5. The National Foundation–March of Dimes[M]. Baltimore: Williams and Wilkins, 1972:4-23..
5. KLINGERBECKREGN K, SCHALLER S, FHLOR T,et al. Subsecond multislice computed tomography: basis and applications [J].Eur J Radiol,1999,31:110-124..
6. CARRASCOSA P M, CAPUAY C M, PARODI J C,et al. General utilities of multislice tomography in the cardiac field [J]. Herz,2003,28（1）:44-51..
7. 程召平,武乐斌,王锡明,等.64层螺旋CT在先天性心脏病诊断中的价值[J].实用放射学杂志,2008,24（2）:190-192..
8. 陈艳,韩萍,周阳泱,等.复杂型先天性心脏病多层螺旋CT血管成像与超声心动图对比研究[J].临床放射学杂志,2008,27（8）:1103-1106..
9. 杨有优,王思云,周旭辉,等.64层螺旋CT诊断复杂先天性心脏病及与超声心动图和手术对照[J].临床放射学杂志,2007,26（10）:1029-1032.
10. 美萍,梁长虹,曾辉,等.多层螺旋CT在小儿肺静脉畸形引流诊断中的价值[J].中华放射学杂志,2005,39(5):520-523..
11. 周阳泱,韩萍,冯敢生,等.多层螺旋CT血管造影在小儿复杂先天性心脏病中的临床应用价值[J].中华小儿外科杂志,2005,26（11）:579-582..
12. KAEMMERER H, STERN H, FRATZ M, et al. Imaging in adults with congenital cardiac disease （ACCD） [J]. Thorac Cardiovasc Surg,2000,48（6）: 328-335..
13. HARAMATI L B,GLICKSTEIN J S,ISSENBERG H J,et al.MR imaging and CT of vascular anomalies and connections in patients with congenital heart disease: significance in surgical planning [J].Radiographics,2002,22（2）: 337-349..
14. TSAI S K,CHANG C I,WANG M J,et al.The assessment of the proximal left pulmonary artery by transesophageal echocardiography and computed tomography in neonates and infants: a case series [J].Anesth Analg,2001,93 （3）: 594-597..

West China Medical Journal

Congenital Heart Disease: Evaluation with Three Dimensional 64Multidetector Computed Tomography

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