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|本期目录/Table of Contents|

复杂先天性心脏病双源螺旋CT诊断的标准化(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2012年第3期
页码:
385-387,390
栏目:
临床研究
出版日期:
2012-06-25

文章信息/Info

Title:
Effect of the standard sequence of dual-source computed tomography post-processing on diagnosis of complex congenital heart disease
作者:
于 浩12闫玉生1张卫达2乔国庆3董文鹏2万 军4
(1.南方医科大学附属珠江医院心胸外科,广东 广州 510282;广州军区广州总医院:2.心血管 外科,3.放射科,广东 广州 510010;4.解放军第458医院检验科,广东 广州 510610)
Author(s):
YU Hao12 YAN Yu-sheng1 ZHANG Wei-da2 QIAO Guo-qing3 DONG Wen-peng2 WAN Jun4
(1.Department of Cardiothoracic Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, Guangdong, China; 2.Department of Cardiovascular Surgery, 3.Department of Radiology, Liuhuaqiao Hospital, Guangzhou 510010, Guangdong, China; 4.Clinical Laboratory, PLA 458 Hospital, Guangzhou 510610, Guangdong, China)
关键词:
电子计算机X射线断层扫描技术双源心脏病先天性诊断图像处理
Keywords:
dual-source computed tomography congenital heart disease diagnosis image processing
分类号:
R541.1
DOI:
-
文献标识码:
A
摘要:
目的:探讨图像后处理标准切面重建序列能否提高双源螺旋CT对小儿复杂先天性心脏病的诊断准确性。方法: 经心腔开放性手术确诊的小儿复杂先天性心脏病患者38(男18,女20)例,月龄(15±6)月,体质量(10±5) kg。以手术结果为标准,对比传统经验法和标准切面重建序列法对复杂先天性心脏病心内结构性畸形的诊断准确率。结果: 标准切面重建序列法对于复杂先天性心脏病心内结构性畸形的诊断的灵敏度优于传统经验法(95% vs. 86%,P<0.05),而诊断的特异度和准确度无显著差异。结论: 标准切面重建序列的图像后处理技术可以提高双源螺旋CT对小儿复杂先天性心脏病心内结构性畸形诊断的灵敏度。
Abstract:
AIM:To explore the effect of the standard sequence of dual-source computed tomography (CT) imaging post-processing on the diagnostic accuracy of complex congenital heart disease (CCHD). METHODS: Imaging data of dual-source CT (DSCT) in 38 preoperative children with CCHD were obtained. Diagnoses were confirmed by surgery. Diagnostic accuracy was compared by surgical results between the standard sequence of post-processing method and the traditional experiential method. RESULTS: Accuracy of the standard sequence method is superior to the traditional experiential method in showing intracardiac structural malformation. CONCLUSION: The standard sequence of DSCT imaging post-processing technique improves the diagnostic sensitivity of intracardiac structural malformation in children with CCHD. Research on the diagnostic standardization of CCHD with DSCT is of high clinical significance.

参考文献/References

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[2]齐 燕,齐 双,欧陕兴.双源CT在心脏成像中的应用研究[J].心脏杂志,2010,22(2):302-304.

[3]Secchi F,Giardino A,Nardella VG,et al.[MRI and CT in the evaluation of congenital heart diseases][J].Pediatr Med Chir,2010,32(6):260-269.

[4]Jinzaki M,Yamada M,Sato K,et al. Overview image of the lumen and vessel wall in coronary CT angiography[J].Circ J,2008,72(4):671-673.

[5]Kalender WA.X-ray computed tomography[J].Phys Med Biol,2006,51(13):R29-R43.

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[7]吕建利,伊迎春,韩 波,等.双源螺旋CT在小儿先天性心脏病诊断中的应用价值[J].山东大学学报(医学版),2010,48(7):77-82.

[8]Hage FG,Raslan S,Dean P,et al.Real Time three-dimensional transthoracic echocardiography in congenital heart disease[J].Echocardiography,2012,29(2):220-231.

备注/Memo

备注/Memo:
收稿日期:2012-02-20.基金项目:广东省科技计划项目基金资助(2009B060700118) 通讯作者:闫玉生,教授,主要从事心胸外科疾病诊治研究 Email:yanys@fimmu.com 作者简介:于浩,主治医师,硕士生 Email:dtr_2002@hotmail.com
更新日期/Last Update: 2012-05-02