[1]耿欣,宋其韬,肖世骞,等.CT技术诊断下肢动脉硬化闭塞症的应用进展[J].国际放射医学核医学杂志,2015,39(6):501-504.[doi:10.3760/cma.j.issn.1673-4114.2015.06.014]
 Geng Xin,Song Qitao,Xiao Shiqian,et al.Technology progress of computed tomography in the diagnosis for lower extremity arteriosclerosis obliterans[J].International Journal of Radiation Medicine and Nuclear Medicine,2015,39(6):501-504.[doi:10.3760/cma.j.issn.1673-4114.2015.06.014]
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CT技术诊断下肢动脉硬化闭塞症的应用进展(/HTML)
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
39
期数:
2015年第6期
页码:
501-504
栏目:
出版日期:
2015-11-25

文章信息/Info

Title:
Technology progress of computed tomography in the diagnosis for lower extremity arteriosclerosis obliterans
作者:
耿欣 宋其韬 肖世骞 周鑫 付琳琳
300211, 天津市天津医院数字减影室
Author(s):
Geng Xin Song Qitao Xiao Shiqian Zhou Xin Fu Linlin
Department of DSA, Tianjin Hospital, Tianjin 300211, China
关键词:
体层摄影术X线计算机血管造影术动脉硬化闭塞性诊断
Keywords:
Tomography X-ray computedAngiographyArteriosclerosis obliteransDiagnosis
DOI:
10.3760/cma.j.issn.1673-4114.2015.06.014
摘要:
CT血管成像技术(CTA)在下肢动脉硬化闭塞症诊断中的应用日益广泛。该技术相对其他方法来说具有无创、简便等明显优势。数字减影血管造影以往被认为是诊断动脉硬化性疾病的唯一可靠方法,而目前CTA技术对这个老的“金标准”提出了挑战。多源CT的应用使全动脉树形结构的无创成像成为可能,该技术的优化令动脉硬化性疾病的诊断更加精准。对比剂的应用和仪器参数的优化,使CTA检查的照射剂量明显降低。今后,随着CT技术的快速发展,CTA技术必将成为诊断下肢动脉闭塞疾病的理想方法。
Abstract:
Computed tomography angiography(CTA)is an increasingly attractive imaging modality for assessing lower extremity arteriosclerosis obliterans. This technique has obvious advantage because it is a non-invasive and simple and convenient method than other ways. Previously, digital subtraction angiography was the only established reliable imaging technique to quantify atherosclerotic disease; however, CTA may now challenge this old "gold standard" . Multidetector computed tomography enables imaging of the entire arterial tree non-invasively. Optimal technical considerations for performing Multidetector CTA are essential for accurate diagnosis of atherosclerotic diseases. The essential issue of radiation dose reduction during the processing of CTA is solved by the optimization of contrast agent and instrument parameter. CTA will certainly be a perfect technique for the diagnosis of lower extremity arteriosclerosis obliterans along with the rapid progress of Computed tomography.

参考文献/References:

[1] Voyt NT, Wolfson SK, Kuller LH. Lower extremity arterial disease and the aging process:a review[J]. J Clin Epodemiol, 1992, 45(5):529-542.
[2] Ota H, Takase K, Igarashi K, et al. MDCT compared with digital subtraction angiography for assessment of lower extremity arterial occlusive disease:importance of reviewing cross-sectional images[J]. AJR Am J Roentgenol, 2004, 182(1):201-209.
[3] 石佳滨, 曹晓红, 姜飚, 等. 16层螺旋CT对下肢动脉阻塞性病变的诊断价值[J]. 实用放射学杂志, 2006, 22(12):1551-1552.
[4] 罗琳, 李光海, 邱立军, 等. 64层螺旋CT血管成像在下肢动脉硬化闭塞症中的应用[J]. 实用放射学杂志, 2013, 29(3):373-376.
[5] Johnson TR, Krauss B, Sedlmair M, et al. Material differentiation by dual energy CT:initial experience[J]. Eur Radiol, 2007, 17(6):1510-1517.
[6] Flohr TG, Mccollough CH, Bruder H, et al. First performance evaluation of a dual-source CT(DSCT)system[J]. Eur Radiol, 2006, 16(2):256-268.
[7] Mccollough CH, Leng S, Yu L, et al. Dual- and Multi-Energy CT:principles, technical approaches, and clinical applications[J]. Radiology, 2015, 276(3):637-653.
[8] 李道伟, 郭文力, 卢再鸣, 等. 双源CT双能量减影诊断下肢血管疾病[J]. 中国医学影像技术, 2009, 25(10):1806-1809.
[9] 贾虹玉, 杨青, 唐萍萍, 等. 双源CT下肢动脉扫描技术优化的比较[J]. 中国医刊, 2015, 50(2):106-107.
[10] Werncke T, Ringe KI, von Falck C, et al. Diagnostic confidence of run-off CT-angiography as the primary diagnostic imaging modality in patients presenting with acute or chronic peripheral arterial disease[J/OL]. PLoS One, 2015, 10(3):e0119900[2015-06-07]. http://www. ncbi. nlm. nih. gov/pubmed/25835948.
[11] 易文芳, 武志峰, 鄂林宁, 等. 双源CT直接法下肢静脉成像对深静脉血栓的诊断价值[J]. 中国临床医学影像杂志, 2015, 26(7):518-522.
[12] 林晓珠, 沈云, 陈克敏. CT能谱成像的基本原理与临床应用研究进展[J]. 中华放射学杂志, 2011, 45(8):798-800.
[13] 李铭, 郑向鹏, 李剑颖, 等. 甲状腺结节的能谱CT研究[J]. 中华放射学杂志, 2011, 45:780-781.
[14] 孙奕波, 李铭, 毛定飚, 等. 下肢动脉病变能谱CT血管成像图像后处理中最佳单能量图像的选择[J]. 中华放射学杂志, 2013, 47(3):269-272.
[15] 汪洁, 王万勤, 刘斌, 等. 体外实验中宝石CT能谱成像技术血管成像最佳单能量图像的选择[J]. 中国医学影像技术, 2011, 27(11):2340-2343.
[16] Romano L, Grazioli L, Bonomo L, et al. Enhancement and safety of iomeprol-400 and iodixanol-320 in patients undergoing abdominal multidetector CT[J]. Br J Radiol, 2009, 82(975):204-211.
[17] Watanabe H, Kanematsu M, Miyoshi T, et al. Improvement of image quality of low radiation dose abdominal CT by increasing contrast enhancement[J]. AJR Am J Roentgenol, 2010, 195(4):986-992.
[18] Kayhan A, Palab?y?k F, Serins?z S, et al. Multidetector CT angiography versus arterial duplex USG in diagnosis of mild lower extremity peripheral arterial disease:is multidetector CT a valuable screening tool?[J]. Eur J Radiol, 2012, 81(3):542-546.
[19] 铁萍, 徐香玖, 王治民, 等. MSCT下肢动脉血管成像扫描方案优化[J]. 中国介入影像与治疗学, 2013, 10(7):426-429.
[20] Meyer BC, Klein S, Krix M, et al. Comparison of a standard and a high-concentration contrast medium protocol for MDCT angiography of the lower limb arteries[J]. Rofo, 2012, 184(6):527-534.
[21] Rhee SY, Kim YS. Peripheral arterial disease in patients with type 2 diabetes mellitus[J]. Diabetes Metab J, 2015, 39(4):283-290.
[22] 李桂杰, 李彩霞. MSCTA和DSA诊断下肢动脉硬化闭塞症比较[J]. 山东医药, 2007, 43(13):40.
[23] Xia W, Wu JT, Yin XR, et al. CT angiography of the neck:value of contrast medium dose reduction with low tube voltage and high tube current in a 64-detector row CT[J/OL]. Clin Radiol, 2014, 69(4):e183-189[2015-06-07]. http://www. ncbi. nlm. nih. gov/pubmed/24503560.
[24] Zhang WL, Li M, Zhang B, et al. CT angiography of the head-and-neck vessels acquired with low tube voltage, low Iodine, and iterative image Reconstruction:clinical evaluation of radiation dose and image quality[J/OL]. PLoS One, 2013, 8(12):e81486[2015-06-07]. http://www. ncbi. nlm. nih. gov/pubmed/24339936.
[25] 富青, 余建明, 孔祥闯, 等. 128层螺旋CT肺动脉低管电压成像的临床可行性研究[J]. 中华放射医学与防护杂志, 2014, 34(1):62-66.
[26] 赵小英, 赵金影, 吴兴旺, 等. 能谱CT低管电压对下肢血管成像图像质量及辐射剂量影响[J]. 放射学实践, 2015, 1(1):71-74.
[27] 仲海, 徐卓东, 柳澄, 等. 64层螺旋CT下肢动脉血管成像的注射速率与重建矩阵的选择[J]. 中国医学影像技术, 2005, 21(10):1569-1571.
[28] Albrecht T, Meyer BC. MDCT angiography of peripheral arteries:technical considerations and impact on patient management[J]. Eur Radiol, 2007, 17(Suppl 6):S5-15.
[29] 宋照亮, 王锡明, 纪晓鹏, 等. 128层螺旋CT低管电压联合低对比剂技术在下肢动脉疾病中的临床应用价值[J]. 医学影像学杂志, 2014, 224(4):595-598.
[30] 吕仁锋, 刘婷婷, 李超, 等. 能谱CT双低剂量在下肢动脉CTA中的应用研究[J]. 放射学实践, 2014, 29(4):378-381.

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备注/Memo

备注/Memo:
收稿日期:2015-6-8。
通讯作者:宋其韬,Email:15922234084@163.com
更新日期/Last Update: 1900-01-01