多層螺旋CT在復雜先天性心臟病臨床診斷應用的可行性

多層螺旋CT在復雜先天性心臟病臨床診斷應用的可行性

放射影像科陳正光ZG。Chen，Ph.D.,MDZGCHEN,MD,PhD目的盡可能的用標準體位來顯示心臟的解剖和畸形之所在。

橫軸位－其他軸位形成的基礎長軸位－RV，orLV平行于室間隔四腔像短軸像

RVOT和LVOT（所謂三腔像）盡可能地去認識畸形所致的血流動力學所致的改變。ZGCHEN,MD,PhDZGCHEN,MD,PhD多排螺旋CTZGCHEN,MD,PhD08’RSNAPulmonaryAtresia:AssessmentofPulmonaryArteryandPulmonaryBloodSupplywithMDCTEvaluationofAnomalousPulmonaryVenousDrainageinPatientswithComplexCongenitalHeartDiseasesUsingMultidetectorComputedTomography(MDCT)TheValueofMDCTforPredictionofPostoperationLowCardiacOutputSyndromeinPatientswithCyanoticCongenitalHeartDiseaseEvaluationonTetralogyofFallot(TOF)UsingMultidetectorComputedTomography(MDCTTheIncrementalDiagnosticYieldofMDCTinPatientswithComplexCongenitalHeartDisease

afterEchocardiographyEvaluationofPulmonaryVascularDevelopmentintheInfantswithCyanoticCongenitalHeartDiseaseUsingMDCTEvaluationofAortopulmonaryCollateralArteries(APCAs)UsingMultidetectorComputedTomography

(MDCT)ZGCHEN,MD,PhDPulmonaryatresiaCase2Female16Case3Male18yraortopulmonarycollateralarteries&PDATotalanomalouspulmonaryvenousdrainage（Supracardiactype）Case1Female4yr肺靜脈畸形引流TotalanomalouspulmonaryvenousdrainageCase2Male10yr肺靜脈畸形引流MDCT》DSAZGCHEN,MD,PhD測量肺內肺血管的分布平均比例的測量肺內血管占全肺CT值的比例（去掉心臟大血管,應包括段以下肺血管的發(fā)育）ZGCHEN,MD,PhDComparisonofAgroupandBgroupwithLCOS(0.26±0.06)vs.withoutLCOS(0.34±0.04);p<0.05ZGCHEN,MD,PhDWiththecut-offvalueofPPVsetat0.275,thesensitivityforpredictingpost-operationLCOSis84.2%,thespecificityis75.0%.

ZGCHEN,MD,PhD試圖解決的問題？ZGCHEN,MD,PhDZGCHEN,MD,PhDTOF常規(guī)重建圖象MDCT》DSA評語超聲心動圖實時快捷，能夠從任意角度觀察心內畸形，是心臟疾患首選的一線檢查方法MDCT能較好顯示心外畸形、心臟大血管的連接關系，在解剖細節(jié)上予以補充，并可