Myocardial Perfusion Imaging with Cardiac Computed Tomography: State of the Art
Myocardial Perfusion Imaging with Cardiac Computed Tomography: State of the Art
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DOI：
10.1007/s12265-013-9499-3
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发表时间：
2013-10-01
影响因子：
3.4
通讯作者：
Mor-Avi, Victor
中科院分区：
文献类型：
--
作者：
Patel, Amit R.;Bhave, Nicole M.;Mor-Avi, Victor
心脏计算机断层扫描(CCT)已成为对可疑冠心病患者进行解剖评估的重要工具。它对检测潜在冠状动脉疾病的诊断准确性和对患者进行风险分层的能力都得到了很好的证明。然而，CCT在静息和应激状态下心肌血流灌注的生理学评估中的作用才刚刚出现。随着心肌灌注成像加入冠状动脉成像，CCT有可能通过单一的非侵入性测试来评估冠状动脉解剖及其功能意义。本文就CCT心肌灌注成像在检测心肌缺血和心肌梗死中的应用现状进行综述，并探讨其对CCT冠状动脉成像的补充作用。
Cardiac computed tomography (CCT) has become an important tool for the anatomic assessment of patients with suspected coronary disease. Its diagnostic accuracy for detecting the presence of underlying coronary artery disease and ability to risk stratify patients are well documented. However, the role of CCT for the physiologic assessment of myocardial perfusion during resting and stress conditions is only now emerging. With the addition of myocardial perfusion imaging to coronary imaging, CCT has the potential to assess both coronary anatomy and its functional significance with a single non-invasive test. In this review, we discuss the current state of CCT myocardial perfusion imaging for the detection of myocardial ischemia and myocardial infarction and examine its complementary role to CCT coronary imaging.