• 四川大學(xué)華西醫(yī)院放射科,四川成都 610041;

目的:評價先天性心臟?。–HD）不同病變類型在64層螺旋CT（64-MDCT）三維重建圖像上的表現(xiàn)及顯示效果。方法:回顧性分析36例CHD患者的64-MDCT資料,分別在軸位、冠狀、矢狀位及容積再現(xiàn)（VR）重組圖像上觀察病變,統(tǒng)計分析不同重組圖像顯示總體病變及房、室間隔缺損效果有無差異。結(jié)果:36例患者共有病變59處,軸位、冠狀及矢狀位圖像在發(fā)現(xiàn)病變（59處,100.0%；57處,96.6%；53處,89.8%）及室間隔缺損顯示（顯示效果評分:41、38及39分）方面無明顯差異（P＞0.05）,但軸位圖像顯示房間隔缺損明顯優(yōu)于冠、矢狀位圖像（顯示效果評分:19、13及12分）（P＜0.05）。VR圖像與軸位及冠、矢狀位圖像顯示心外大血管病變效果無差異P＞0.05）。不同類型病變在軸位,冠、矢狀位及VR圖像上表現(xiàn)特征不盡相同,而不同重組圖像有各自優(yōu)勢顯示的病變類型。結(jié)論:64-DCT三維重建圖像能夠很好地顯示先心病各種類型病變,了解不同重建圖像上病變表現(xiàn)特征及顯示效果有利于做出準(zhǔn)確、全面的診斷。

引用本文： 褚志剛,余建群,袁紅梅. 64層螺旋CT三維圖像對先天性心臟病的應(yīng)用價值. 華西醫(yī)學(xué), 2009, 24(3): 693-697. doi: 復(fù)制

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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..
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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,武樂斌,王錫明,等.64層螺旋CT在先天性心臟病診斷中的價值[J].實用放射學(xué)雜志,2008,24（2）:190-192..
8. 陳艷,韓萍,周陽泱,等.復(fù)雜型先天性心臟病多層螺旋CT血管成像與超聲心動圖對比研究[J].臨床放射學(xué)雜志,2008,27（8）:1103-1106..
9. 楊有優(yōu),王思云,周旭輝,等.64層螺旋CT診斷復(fù)雜先天性心臟病及與超聲心動圖和手術(shù)對照[J].臨床放射學(xué)雜志,2007,26（10）:1029-1032.
10. 美萍,梁長虹,曾輝,等.多層螺旋CT在小兒肺靜脈畸形引流診斷中的價值[J].中華放射學(xué)雜志,2005,39(5):520-523..
11. 周陽泱,韓萍,馮敢生,等.多層螺旋CT血管造影在小兒復(fù)雜先天性心臟病中的臨床應(yīng)用價值[J].中華小兒外科雜志,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. 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. 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. 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. 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. 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. 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. 7. 程召平,武樂斌,王錫明,等.64層螺旋CT在先天性心臟病診斷中的價值[J].實用放射學(xué)雜志,2008,24（2）:190-192..
  8. 8. 陳艷,韓萍,周陽泱,等.復(fù)雜型先天性心臟病多層螺旋CT血管成像與超聲心動圖對比研究[J].臨床放射學(xué)雜志,2008,27（8）:1103-1106..
  9. 9. 楊有優(yōu),王思云,周旭輝,等.64層螺旋CT診斷復(fù)雜先天性心臟病及與超聲心動圖和手術(shù)對照[J].臨床放射學(xué)雜志,2007,26（10）:1029-1032.
  10. 10. 美萍,梁長虹,曾輝,等.多層螺旋CT在小兒肺靜脈畸形引流診斷中的價值[J].中華放射學(xué)雜志,2005,39(5):520-523..
  11. 11. 周陽泱,韓萍,馮敢生,等.多層螺旋CT血管造影在小兒復(fù)雜先天性心臟病中的臨床應(yīng)用價值[J].中華小兒外科雜志,2005,26（11）:579-582..
  12. 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. 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. 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..