1、2011-08-12冠状动脉CTA图像判读胜利油田中心医院CT检查科 宋殿行2011-08-12 Ao, aorta, 主动脉; LM, left main coronary artery,左主干; LCX, left circumflex artery,左旋支; RCA, right coronary artery右冠; RVOT, right ventricular outflow tract,右室流出道; D1, first diagonal branch,第一对角支; MO, marginal obtuse branch,钝缘支; LA, left atrium.左房2011-08-1
2、2RCA, right coronary artery,右冠状动脉LAD, left anterior descending,前降支LCX, left circumflex artery,回旋支PDA, posterior descending artery,后降支PL, posterolateral branch,后侧支D1, first diagonal branch,第一对角支D2, second diagonal branch,第二对角支2011-08-12CCTA常用图像重组方法及比较张兆琪,心血管疾病64排CT诊断学,人民卫生出版社,20082011-08-12VR图2011-08
3、-12右冠 RCA2011-08-12前降支 LAD2011-08-12回旋支 LCX2011-08-12平铺图及MIP 2011-08-12冠脉分段2011-08-12Raff et al. J of Cardiovas Comput Tomogr ,2009,3:122-1362011-08-12狭窄(直径)程度分级SCCT推荐正常:无斑块及狭窄 轻微狭窄:狭窄25%轻度狭窄:狭窄25-49%中度狭窄:狭窄50-69%重度狭窄:狭窄70-99%闭塞:狭窄100%正常:无斑块及狭窄 轻度:狭窄39%中度:狭窄40-69%重度:狭窄70-99%闭塞:狭窄100%Budoff et al. Ca
4、rdiac CT Imaging: Diagnosis of Cardiovascular Disease(2nd,2010),1072011-08-12斑块范围的描述n局限性,累及血管长轴范围1cmn节段性,累及血管长轴范围1cm3cmn弥漫性,累及血管长轴范围3cm2011-08-12斑块性质的界定n钙化性斑块钙化成分20%n非钙化斑块钙化成分20%n混合性斑块钙化成分20%80%Korosoglou G, et al. Eur Radiol (2010) 20: 184118502011-08-12钙化斑块,管腔无狭窄2011-08-12局限性轻度狭窄,混合斑块2011-08-12局限性约中度狭窄,非钙化斑块2011-08-12弥漫性非钙化斑块;局部重度狭窄,非钙化斑块2011-08-12弥漫性中度狭窄 混合性斑块2011-08-12弥漫性重度狭窄 混合性斑块2011-08-12局限性闭塞 非钙化斑块2011-08-12弥漫性闭塞 非钙化斑块RCA中段支架置入术后2011-08-12心脏搏动伪影2011-08-12呼吸伪影2011-08-12呼吸伪影2011-08-12