[1]庞智英 杨飞 苏亚英 宋德领 崔书君.基于CCTA的不同影像学参数在CAD患者预后评估中的研究进展[J].心血管病学进展,2021,(11):1012-1015,1035.[doi:10.16806/j.cnki.issn.1004-3934.2021.11.000]
 PANG Zhiying,YANG Fei,SU Yaying,et al.Different Imaging Parameters Based on CCTA in Evaluating Prognosis of Patients with CAD[J].Advances in Cardiovascular Diseases,2021,(11):1012-1015,1035.[doi:10.16806/j.cnki.issn.1004-3934.2021.11.000]
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基于CCTA的不同影像学参数在CAD患者预后评估中的研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年11期
页码:
1012-1015,1035
栏目:
综述
出版日期:
2021-11-25

文章信息/Info

Title:
Different Imaging Parameters Based on CCTA in Evaluating Prognosis of Patients with CAD
文章编号:
202104145
作者:
庞智英1 杨飞2 苏亚英1 宋德领1 崔书君2
(1.河北北方学院研究生院,河北 张家口 075000;2.河北北方学院附属第一医院放射科,河北 张家口 075000)
Author(s):
PANG ZhiyingYANG Fei2SU Yaying1SONG Deling1CUI Shujun2
(1.Graduate FacultyHebei North University,Zhangjiakou 075000,Hebei,China2.Department of Radiology,The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,Hebei,China)
关键词:
冠状动脉CT血管成像斑块负荷高危斑块容积指数心肌CT灌注成像基于CT的血流储备分数
Keywords:
Coronary artery computed tomography angiography Plaque burden High-risk plaque Volume index CT myocardial perfusion CT derived fractional flow reserve
DOI:
10.16806/j.cnki.issn.1004-3934.2021.11.000
摘要:
近年来,冠状动脉CT血管成像已成为诊断冠状动脉疾病最常用的无创影像检查技术。冠状动脉CT血管成像通过提供关于冠状动脉斑块成分和形态的详细信息,可准确地评估冠状动脉斑块负荷和容积指数,并有效识别高危斑块特征,从而进一步改善冠状动脉狭窄评估之外的风险分层。此外,无创CT心脏功能学成像的应用可能会进一步改善对未来主要不良心血管事件的风险评估。现就基于冠状动脉CT血管成像的不同影像学参数在评估冠状动脉疾病患者预后方面的研究进展做一综述。
Abstract:
In recent years, coronary artery computed tomography angiography(CCTA) has become the most commonly used non-invasive imaging technique in the diagnosis of coronary artery disease(CAD). By providing detailed information about the composition and morphology of coronary artery plaques,CCTA can accurately evaluate coronary plaque burden and volume index,and effectively identify the characteristics of high-risk plaque,thus further improving the risk stratification beyond the assessment of coronary artery stenosis. In addition,the application of non-invasive computed tomography cardiac functional imaging may further improve the risk assessment of future major adverse cardiovascular events. This article reviews the research progress of different imaging parameters based on CCTA in evaluating the prognosis of patients with CAD

参考文献/References:

[1]Chen MY,Rochitte CE,Arbab-Zadeh A,et al. Prognostic value of combined CT angiography and myocardial perfusion imaging versus invasive coronary angiography and nuclear stress perfusion imaging in the prediction of major adverse cardiovascular events: the CORE320 multicenter study[J]. Radiology,2017,284(1):55-65.
[2]Nakamura S,Kitagawa K,Goto Y,et al. Incremental prognostic value of myocardial blood flow quantified with?stress dynamic computed tomography perfusion imaging[J]. JACC Cardiovasc Imaging,2019,12(7 Pt 2):1379-1387.
[3]van Assen M,de Cecco CN,Eid M,et al. Prognostic value of CT myocardial perfusion imaging and CT-derived fractional flow reserve for major adverse cardiac events in patients with coronary artery disease[J]. J Cardiovasc Comput Tomogr,2019,13(3):26-33.
[4]Ihdayhid AR,Norgaard BL,Gaur S,et al. Prognostic value and risk continuum of noninvasive fractional flow reserve derived from coronary CT angiography[J]. Radiology,2019,292(2):343-351.
[5]Patel MR,N?rgaard BL,Fairbairn TA,et al. 1Year impact on medical practice and clinical outcomes of FFRCT:the ADVANCE registry[J]. JACC Cardiovasc Imaging,2020,13(1 Pt 1):97-105.
[6] von Knebel Doeberitz PL,de Cecco CN,Schoepf UJ,et al. Impact of coronary computerized tomography angiographyderived plaque quantification and machinelearning computerized tomography fractional flow reserve on adverse cardiac outcome[J]. Am J Cardiol,2019,124(9):1340-1348.
[7] van Assen M,Varga-Szemes A,Schoepf UJ,et al. Automated plaque analysis for the prognostication of major adverse cardiac events[J]. Eur J Radiol,2019,116:76-83.
[8]Dahal S,Budoff MJ. Implications of serial coronary computed tomography angiography in the evaluation of coronary plaque progression[J]. Curr Opin Lipidol,2019,30(6):446-451.
[9]Matsumoto H,Watanabe S,Kyo E,et al. Standardized volumetric plaque quantification and characterization from coronary CT angiography:a head-to-head comparison with invasive intravascular ultrasound[J]. Eur Radiol,2019,29(11):6129-6139.
[10]Gu H,Gao Y,Hou Z,et al. Prognostic value of coronary atherosclerosis progression evaluated by coronary CT angiography in patients with stable angina[J]. Eur Radiol,2018,28(3):1066-1076.
[11]Mortensen MB,Dzaye O,Steffensen FH,et al. Impact of plaque burden versus stenosis on ischemic events in patients with coronary atherosclerosis[J]. J Am Coll Cardiol,2020,76(24):2803-2813.
[12] 陆晓晨,耿海华,陆德明. 冠状动脉斑块负荷对急性ST段抬高型心肌梗死老年患者预后的预测价值[J]. 中国老年学杂志,2020,40(6):1121-1125.
[13]Clemente A,Traghella I,Mazzone A,et al. Vascular and valvular calcification biomarkers[J]. Adv Clin Chem,2020,95:73-103.
[14]Grandhi GR,Mirbolouk M,Dardari ZA,et al. Interplay of coronary artery calcium and?risk factors for predicting CVD/CHD?mortality:the CAC consortium[J]. JACC Cardiovasc Imaging,2020,13(5):1175-1186.
[15]Takamura K,Fujimoto S,Kondo T,et al. Incremental prognostic value of coronary computed tomography angiography:high-risk plaque characteristics in asymptomatic patients[J]. J Atheroscler Thromb,2017,24(11):1174-1185.
[16]Wang X,Le EPV,Rajani NK,et al. A zero coronary artery calcium score in patients with stable chest pain is associated with a good prognosis,despite risk of non-calcified plaques[J]. Open Heart,2019,6(1):e000945.
[17]Uddin SMI,Mirbolouk M,Kianoush S,et al. Role of coronary artery calcium for stratifying cardiovascular risk in adults with hypertension[J]. Hypertension,2019,73(5):983-989.
[18]Liu S,Zheng X,Xu J,et al. Predictive value of coronary artery calcium score in cardiovascular disease[J]. Front Biosci(Elite Ed),2020,12:113-125.
[19]Arnett DK,Blumenthal RS,Albert MA,et al. 2019 ACC/AHA Guideline on the primary prevention of cardiovascular disease:a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines[J]. Circulation,2019,140(11):e596-e646.
[20]Mach F,Baigent C,Catapano AL,et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias:lipid modification to reduce cardiovascular risk[J]. Eur Heart J,2020,41(1):111-188.
[21]Al-Mallah MH,Qureshi W,Lin FY,et al. Does coronary CT angiography improve risk stratification over coronary calcium scoring in symptomatic patients with suspected coronary artery disease? Results from the prospective multicenter international CONFIRM registry[J]. Eur Heart J Cardiovasc Imaging,2014,15(3):267-274.
[22]van Rosendael AR,Shaw LJ,Xie JX,et al. Superior risk stratification with coronary computed tomography angiography using a comprehensive atherosclerotic risk score[J]. JACC Cardiovasc Imaging,2019,12(10):1987-1997.
[23]Andreini D,Pontone G,Mushtaq S,et al. Long-term prognostic impact of CT-Leaman score in patients with non-obstructive CAD:results from the cOronary CT angiography evaluation for clinical outcomes international multicenter (CONFIRM) study[J]. Int J Cardiol,2017,231:18-25.
[24]van Rosendael AR,Bax AM,Smit JM,et al. Clinical risk factors and atherosclerotic plaque extent to define risk for major events in patients without obstructive coronary artery disease:the long-term coronary computed tomography angiography CONFIRM registry[J]. Eur Heart J Cardiovasc Imaging,2020,21(5):479-488.
[25]Hideo-Kajita A,Garcia-Garcia HM,Rubarth R,et al. Natural history of adapted Leaman score assessing coronary artery disease progression by computed tomography angiography:a 7?year follow-up report[J]. Cardiovasc Revasc Med,2021,27:38-44
[26]Senoner T,Plank F,Barbieri F,et al. Added value of high-risk plaque criteria by coronary CTA for prediction of long-term outcomes[J]. Atherosclerosis,2020,300:26-33.
[27]Finck T,Stojanovic A,Will A,et al. Long-term prognostic value of morphological plaque features on coronary computed tomography angiography[J]. Eur Heart J Cardiovasc Imaging,2020,21(3):237-248.
[28]Feuchtner G,Kerber J,Burghard P,et al. The high-risk criteria low-attenuation plaque<60 HU and the napkin-ring sign are the most powerful predictors of MACE:a long-term follow-up study[J]. Eur Heart J Cardiovasc Imaging,2017,18(7):772-779.
[29]Ferencik M,Mayrhofer T,Bittner DO,et al. Use of high-risk coronary atherosclerotic plaque detection for risk stratification of patients with stable chest pain:a secondary analysis of the PROMISE randomized clinical trial[J]. JAMA Cardiol,2018,3(2):144-152.
[30]Conte E,Annoni A,Pontone G,et al. Evaluation of coronary plaque characteristics with coronary computed tomography angiography in patients with non-obstructive coronary artery disease:a long-term follow-up study[J]. Eur Heart J Cardiovasc Imaging,2017,18(10):1170-1178.
[31]Taylor CA,Gaur S,Leipsic J,et al. Effect of the ratio of coronary arterial lumen volume to left ventricle myocardial mass derived from coronary CT angiography on fractional flow reserve[J]. J Cardiovasc Comput Tomogr,2017,11(6):429-436.
[32]Benetos G,Buechel RR,Gon?alves M,et al. Coronary artery volume index:a novel CCTA-derived predictor for cardiovascular events[J]. Int J Cardiovasc Imaging,2020,36(4):713-722.
[33]Seitun S,Clemente A,de Lorenzi C,et al . Cardiac CT perfusion and FFRCTA:pathophysiological features in ischemic heart disease[J]. Cardiovasc Diagn Ther,2020,10(6):1954-1978.
[34]乔红艳,许棚棚,卢佳庆,等. 基于冠状动脉CT血管成像的斑块定量分析及血流储备分数预测斑块进展的研究[J]. 中华放射学杂志,2020,54(10):934-940.
[35]Fairbairn TA,Nieman K,Akasaka T,et al. Real-world clinical utility and impact on clinical decision-making of coronary computed tomography angiography-derived fractional flow reserve:lessons from the ADVANCE Registry[J]. Eur Heart J,2018,39(41):3701-3711.
[36]Duguay TM,Tesche C,Vliegenthart R,et al. Coronary computed tomographic angiography-derived fractional flow reserve based on machine learning for risk stratification of nonculprit coronary narrowings in patients with acute coronary syndrome[J]. Am J Cardiol,2017,120(8):1260-1266.
[37]Lee JM,Choi G,Koo BK,et al. Identification of highrisk plaques destined to cause acute coronary syndrome using coronary computed tomographic angiography and computational fluid dynamics[J]. JACC Cardiovasc Imaging,2019,12(6): 1032-1043.
[38]Qiao HY,Li JH,Schoepf UJ,et al. Prognostic implication of CT-FFR based functional SYNTAX score in patients with de novo three-vessel disease[J]. Eur Heart J Cardiovasc Imaging,2020,jeaa256.DOI:10.1093/ehjci/jeaa256.
[39]Kolossváry M,de Cecco CN,Feuchtner G,et al. Advanced atherosclerosis imaging by CT:radiomics,machine learning and deep learning[J]. J Cardiovasc Comput Tomogr,2019,13(5):274-280.

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备注/Memo

备注/Memo:

基金项目: 张家口市重点研发计划项目( 2 021030D

通信作者 :崔书君,E - mail : hbzjkcsj@126.co

收稿日期:2021-04-28

更新日期/Last Update: 2021-12-06