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急性心电门控胸部CT中心脏病变的诊断:面向普通放射科医生的指南

Diagnosis of cardiac pathology on acute electrocardiographic-gated thoracic computed tomography: guidance for the general radiologist.
PubMed 文献 · Clin Radiol · 2026-04-29

本文针对普通放射科医生,提供急性心电门控胸部CT主动脉成像中心脏病变的采集与判读指导。文章指出,尽管急性主动脉综合征患病率较低,但同一数据集可识别冠心病及其后果等心脏病理,而潜在致命心脏病变仍被放射科医生忽视或误判,本文旨在减少可避免的错误。

要点

  • 心电门控胸部CT主动脉成像可同时评估冠状动脉粥样硬化等心脏病变。
  • 潜在致命心脏病变在普通放射科阅片中易被忽视或误判,需提高警惕。
  • 本文为普通放射科医生提供图像采集与判读的实用指导。
英文原文(摘要)· 点击展开

The use of electrocardiographic-gated thoracic aortic computed tomographic angiography has become a routine clinico-radiological tool and has subsequently been incorporated into subspeciality national recommendations. Whilst the prevalence of acute aortic syndrome is relatively low, the same dataset provides the opportunity to identify the cause of the acute presentation, including coronary artery atheromatous disease and its consequences. Potentially life-threatening cardiac pathology continues to be overlooked and/or misinterpreted by radiologists despite being a required core competency. In the interest of minimising avoidable error and learning from previous errors, we aim to present some guidance for the general radiologist to assist in the image acquisition and interpretation of acute electrocardiographic -gated thoracic imaging.

来源:Clin Radiol,查看原文。版权归原作者所有。

引用

  1. Manghat NE, Greco F, Harries I, et al. Diagnosis of cardiac pathology on acute electrocardiographic-gated thoracic computed tomography: guidance for the general radiologist. Clin Radiol. 2026. PMID: 42208403. doi:10.1016/j.crad.2026.107367

供执业医师工作参考,不替代临床判断;数值与分级以指南原文为准。