[1]王蓉,孙凯.冠状动脉CT诊断斑块性病变的无创影像学进展[J].国际放射医学核医学杂志,2017,41(6):448-451.[doi:10.3760/cma.j.issn.1673-4114.2017.06.012]
 Wang Rong,Sun Kai.Uninvasive imaging of coronary artery CT diagnosis of plaque lesions[J].International Journal of Radiation Medicine and Nuclear Medicine,2017,41(6):448-451.[doi:10.3760/cma.j.issn.1673-4114.2017.06.012]
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
41
期数:
2017年第6期
页码:
448-451
栏目:
综述
出版日期:
2017-12-05

文章信息/Info

Title:
Uninvasive imaging of coronary artery CT diagnosis of plaque lesions
作者:
王蓉 孙凯
014040, 内蒙古医科大学研究生学院, 内蒙古包头市中心医院影像科
Author(s):
Wang Rong Sun Kai
Graduate School of Inner Mongolia Medical University, Imaging Department, Baotou Central Hospital, Baotou 014040, China
关键词:
冠状动脉血管成像冠状动脉病变易损斑块体层摄影术X线计算机
Keywords:
Computed tomography angiographyCoronary heart diseaseVulnerable plaquesTomography X-ray computed
DOI:
10.3760/cma.j.issn.1673-4114.2017.06.012
摘要:
冠心病是由冠状动脉粥样硬化所引起的血管管腔狭窄及阻塞而诱发的缺氧性坏死与心肌缺血的心脏疾病,该疾病的发病率极高。对于冠状动脉粥样硬化斑块形成引发的冠心病有着多种诊断方法,但均存在明显局限性。伴随着CT技术的不断发展,冠状动脉CT血管成像成为关键的诊断与排查方法,对于易损斑块的识别和急性冠状动脉事件的防治具有较高的临床价值。
Abstract:
Coronary heart disease, which commonly threatens human health, refers to coronary atherosclerosis caused by vascular stenosis, obstruction-induced myocardial ischemia, and hypoxic necrosis of heart disease. Various diagnostic methods are available for detecting coronary atherosclerotic plaque formation. However, these strategies exhibit evident limitations. With the development of CT technology, coronary CT angiography has become an important diagnostic and troubleshooting means for easy identification of plaque loss in the prevention and treatment of acute coronary events. This technology offers a positive clinical value.

参考文献/References:

[1] 张华巍, 陈韵岱, 孙志军, 等. 冠脉CT评估不同性质斑块所致狭窄的准确性分析[J]. 解放军医学院学报, 2016, 37(10):1043-1045, 1049. DOI:10.3969/j.issn.2095-5227.2016.10.007. Zhang HW, Chen YD, Sun ZJ, et al. Accuracy of coronary computed tomographic angiography in evaluation of coronary stenosis caused by different plaque subtypes[J]. Acad J Chin PLA Med Sch, 2016, 37(10):1043-1045, 1049.
[2] 张宏, 余玉盛. 16层CT冠脉成像在诊断不稳定粥样硬化斑块中的临床价值[J]. 医学影像学杂志, 2011, 21(10):1579-1581. DOI:10.3969/j.issn.1006-9011.2011.10.046. Zhang H, Yu YS. 16 row spiral CT coronary artery imaging in the diagnosis of unstable atherosclerotic plaque clinical application study[J]. J Med Imaging, 2011, 21(10):1579-1581.
[3] Burke AP, Farb A, Malcom GT, et al. Coronary risk factors and plaque morphology in men with coronary disease who died suddenly[J]. N Engl J Med, 1997, 336(18):1276-1282. DOI:10.1056/NEJM199705013361802.
[4] Achenbach S, Friedrich MG, Nagel EA, et al. CV imaging:what was new in 2012?[J]. JACC Cardiovasc Imaging, 2013, 6(6):714-734. DOI:10.1016/j.jcmg.2013.04.005.
[5] Finn AV, Nakano M, Narula J, et al. Concept of vulnerable/unstable plaque[J]. Arterioscler Thromb Vasc Biol, 2010, 30(7):1282-1292. DOI:10.1161/ATVBAHA.108.179739.
[6] Ten Kate GL, Sijbrands EJ, Staub D, et al. Noninvasive imaging of the vulnerable atherosclerotic plaque[J]. Curr Probl Cardiol, 2010, 35(11):556-591. DOI:10.1016/j.cpcardiol.2010.09.002.
[7] Kwan AC, Cater G, Vargas J, et al. Beyond coronary stenosis:coronary computed tomographic angiography for the assessment of atherosclerotic plaque burden[J]. Curr Cardiovasc Imaging Rep, 2013, 6(2):89-101. DOI:10.1007/s12410-012-9183-z.
[8] Motoyama S, Sarai M, Harigaya H, et al. Computed tomographic angiography characteristics of atherosclerotic plaques subsequently resulting in acute coronary syndrome[J]. J Am Coll Cardiol, 2009, 54(1):49-57. DOI:10.1016/j.jacc.2009.02.068.
[9] Min JK, Edwardes M, Lin FY, et al. Relationship of coronary artery plaque composition to coronary artery stenosis severity:Results from the prospective multicenter ACCURACY trial[J]. Atherosclerosis, 2011, 219(2):573-578. DOI:10.1016/j.atherosclerosis.2011.05.032.
[10] Gauss S, Achenbach S, Pflederer T, et al. Assessment of coronary artery remodelling by dual-source CT:a head-to-head comparison with intravascular ultrasound[J]. Heart, 2011, 97(12):991-997. DOI:10.1136/hrt.2011.223024.
[11] Varnava AM, Mills PG, Davies MJ. Relationship between coronary artery remodeling and plaque vulnerability[J]. Circulation, 2002, 105(8):939-943. DOI:10.1161/hc0802.104327.
[12] Ferencik M, Schlett CL, Ghoshhajra BB, et al. A computed Tomography-Based coronary lesion score to predict acute coronary syndrome among patients with acute chest pain and significant coronary stenosis on coronary computed tomographic angiogram[J]. Am J Cardiol, 2012, 110(2):183-189. DOI:10.1016/j.amjcard.2012. 02.066.
[13] Maurovich-Horvat P, Ferencik M, Voros S, et al. Comprehensive plaque assessment by coronary CT angiography[J]. Nat Rev Cardiol, 2014, 11(7):390-402. DOI:10.1038/nrcardio.2014.60.
[14] Seifarth H, Schlett CL, Nakano M, et al. Histopathological correlates of the napkin-ring sign plaque in coronary CT angiography[J]. Atherosclerosis, 2012, 224(1):90-96. DOI:10.1016/j.atherosclerosis.2012.06.021.
[15] Otsuka K, Fukuda S, Tanaka A, et al. Napkin-Ring sign on coronary CT angiography for the prediction of acute coronary syndrome[J]. JACC Cardiovasc Imaging, 2013, 6(4):448-457. DOI:10.1016/j.jcmg.2012.12.016.
[16] Wykrzykowska JJ, Mintz GS, Garcia-Garcia HM, et al. Longitudinal distribution of plaque burden and necrotic Core-Rich plaques in nonculprit lesions of patients presenting with acute coronary syndromes[J]. JACC Cardiovasc Imaging, 2012, 5(3 Suppl):S10-18. DOI:10.1016/j.jcmg.2012.01.006.
[17] Kitagawa T, Yamamoto H, Horiguchi J, et al. Characterization of noncalcified coronary plaques and identification of culprit lesions in patients with acute coronary syndrome by 64-slice computed tomography[J]. JACC Cardiovasc Imaging, 2009, 2(2):153-160. DOI:10.1016/j.jcmg.2008.09.015.
[18] Hansen T, Ahlström H, Wikström J, et al. A total atherosclerotic score for whole-body MRA and its relation to traditional cardiovascular risk factors[J]. Eur Radiol, 2008, 18(6):1174-1180. DOI:10.1007/s00330-008-0864-6.
[19] Cademartiri F, Maffei E. Cardiac CT for the detection of vulnerable plaque[J]. Eur Heart J Cardiovasc Imaging, 2016, 17(3):260-261. DOI:10.1093/ehjci/jev307.
[20] 李妙, 张平洋. 易损斑块的影像诊断研究新进展[J]. 心血管病学进展, 2016, 37(6):633-639. DOI:10.16806/j.cnki.issn.1004-3934. 2016.06.013. Li M, Zhang PY. Progress of imaging methods in diagnosis of vulnerable plaques[J]. Adv Cardiovasc Dis, 2016, 37(6):633-639.
[21] Gogas BD, Samady H. Editorial Commentary:Atherogenesis[J]. Trends Cardiovasc Med, 2016, 26(6):548-549. DOI:10.1016/j.tcm. 2016.04.005.

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备注/Memo

备注/Memo:
收稿日期:2017-08-12。
通讯作者:孙凯,Email:Henrysk@163.com
更新日期/Last Update: 2017-12-05