[1]穆 玥 洪 叶 韩婷婷 黄明刚.冠状动脉CT血管造影评估冠状动脉功能性狭窄的研究进展[J].心血管病学进展,2021,(3):211-215.[doi:10.16806/j.cnki.issn.1004-3934.2021.03.005]
 (.Xian Medical College,Xian 7008,Shaanxi,et al.Coronary Computed Tomography Angiography in Evaluation on Coronary Artery Functional Stenosis[J].Advances in Cardiovascular Diseases,2021,(3):211-215.[doi:10.16806/j.cnki.issn.1004-3934.2021.03.005]
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冠状动脉CT血管造影评估冠状动脉功能性狭窄的研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年3期
页码:
211-215
栏目:
出版日期:
2021-03-25

文章信息/Info

Title:
Coronary Computed Tomography Angiography in Evaluation on Coronary Artery Functional Stenosis
作者:
穆 玥1 洪 叶1 韩婷婷1 黄明刚2
(1 西安医学院,陕西 西安 710068;2 陕西省人民医院CT室,陕西 西安 710068)
Author(s):
(1.Xian Medical CollegeXian 710068ShaanxiChina;2.Department of CT Shaanxi Provincial Peoples HospitalXian 710068ShaanxiChina)
关键词:
冠状动脉CT血管成像血流储备分数管腔内密度衰减梯度定量
Keywords:
Coronary computed tomography angiographyFractional flow reserveTransluminal attenuation gradientQuantification
DOI:
10.16806/j.cnki.issn.1004-3934.2021.03.005
摘要:
冠状动脉CT血管造影可评估冠状动脉解剖学狭窄程度,但不能准确地判断冠状动脉狭窄是否引起功能性心肌缺血。血流储备分数是评估功能性狭窄的金标准,但有创且费用昂贵,限制了其临床应用。近年来,用于评价冠状动脉功能性狭窄的冠状动脉CT血管造影分析技术包括:冠状动脉CT血流储备分数、生物力学特征、基于管腔内密度衰减的参数、冠状动脉CT血管造影定量指标及泊肃叶冠状动脉指数等,这类技术无需额外的药物或图像采集即可实现解剖学狭窄程度与功能学缺血程度的一站式评估,对冠心病的诊断具有重要意义。现就这类技术在评估冠状动脉功能性狭窄方面的研究进展展开综述。
Abstract:
Coronary computed tomography(CT) angiography can evaluate the degree of coronary artery anatomical stenosis,but it cannot accurately determine whether the stenosis causes functional myocardial ischemia.Fractional flow reserve is the gold standard for evaluating the functional stenosis,but it’s invasive and expensive,which limits its clinical application.In recent years,coronary CT angiography analysis techniques used to evaluate coronary artery functional stenosis include coronary CT fractional flow reserve,biomechanical characteristics,parameters based on transluminal attenuation gradient,coronary CT angiography quantitative index and Poiseuille-based coronary angiographic index,etc.This kind of technology can achieve the one-stop evaluation of anatomical stenosis and functional ischemia without additional drugs or image acquisition, which is of great significance for the diagnosis of coronary heart disease.This article reviews the research progress of these techniques in the evaluation of coronary artery functional stenosis

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备注/Memo

备注/Memo:
收稿日期:2020-08-24基金项目:陕西省重点研发计划(2020ZDLSF04-02)
更新日期/Last Update: 2021-05-27