History of cardiac computed tomography: single to 320-detector row multislice computed tomography

History of cardiac computed tomography: single to 320-detector row multislice computed tomography
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DOI:
10.1007/s10554-008-9408-z
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发表时间:
2009-01-01
影响因子:
2.1
通讯作者:
Mochizuki, Teruhito
Mochizuki, Teruhito
中科院分区:
医学4区
文献类型:
--
作者:
Hurlock, Gregory S.;Higashino, Hiroshi;Mochizuki, Teruhito

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自30多年前计算机断层扫描(CT)问世以来,心脏跳动的成像挑战一直是心脏CT创新的驱动力。心脏的解剖和生理成像需要时间、空间和对比分辨率,可以说比体内任何其他器官系统都要高。CT在评价冠状动脉狭窄程度和斑块成分方面取得了很大进展。此外,作为有创冠状动脉造影术、心脏单光子发射CT(SPECT)成像、超声和磁共振成像(MRI)的补充或替代,评价心脏功能的技术,包括心肌灌注、局部室壁运动、收缩期厚、射血分数、瓣膜功能和先天性心脏异常,也正在临床实践中站稳脚跟。本文总结了这一领域的主要成就和未来发展方向,重点介绍了过去10年的发展。
Since the introduction of computed tomography (CT) over 30 years ago, the challenge of imaging the beating heart has been a driving force in the innovation of cardiac CT. Imaging the anatomy and physiology of the heart demands temporal, spatial and contrast resolution is arguably greater than for any other organ system in the body. Great progress has been achieved in using CT to evaluate coronary artery stenosis and plaque composition. In addition, techniques to evaluate cardiac function, including myocardial perfusion, regional ventricular wall motion, systolic thickening, ejection fraction, valve function, and congenital cardiac abnormalities are also gaining a foothold in clinical practice as adjuncts to or replacements for invasive coronary angiography, cardiac single photon emission CT (SPECT) imaging, ultrasound and magnetic resonance imaging (MRI). This review summarizes the major accomplishments and future directions in this field, with emphasis on developments over the past 10 years.