2010年冠状动脉ct血管造影专家共识解读_刘斌.pdf

2011 1 32 1 Adv Cardiovasc D is, J anuary 2011, Vo .l 32, N o. 1 39 2010 CT 1 2* 刘 斌 赵世华 ( 1. 安徽医科大学附属第一医院放射科, 安徽 合肥 230022; 2. 中国医学科学院 阜外心血管病医院放射科, 北京 100037) Interpretation of 2010 Expert Consen su s Docum ent on Coronary Com pu ted Tom ograph ic Angiography 1 2* LIU Bin , ZHAO Sh ihua ( 1. D eap r tm ent of Rad io logy, F irstAff iliated H osp ital of A nhu iM ed ical University, H ef ei 230022, China; 2. D ep artm ent of Radio logy, Card io vascu lar nstitute and FuwaiH osp ital, Chinese A cad em y of M ed ical S cience, B eij ing 100037, China) : 2011) : R 16. 2 : A DO I: 10. 3969/ .j issn. 2011. 01. 013 : 专 共识旨在陈述冠状动脉 CT血管造影( coronary com puted tom ographic angiography, CCTA) 对于疑似或确诊冠状动脉 疾病的临床应用现状鉴于目前还没有足够的循证医学证据确立 CCTA 的临床实践指南, 故该共识未提供 CCTA 应用的明确推荐 意见共识的内容旨在根据业已出版的同行评议文献并经专 委员会讨论, 总结出CCTA 目前在临床应用中的长处和短处因此 既不是一个全面的综述, 也不是对 CCTA 技术进行指导, 并且也没有专门陈述 CCTA 检查的适应证因为有关心脏 CT 和磁共振成 像的适应证标准以及冠状动脉钙化CT 检测的临床意义此前业已发表 : CT ; CT; ; A bstrac t: Th is docum ent presents an expert consensus overview of the current and em erging clin ical uses of coronary CTA in patients w ith suspected or known coronary artery d isease ( CAD). The intention of th is document is to summ arize the strengths andw eaknesses of cur rent clinical uses of coronary CTA as reflected in the published peerreview ed literature and as interpreted by thew riting comm ittee. The doc um ent is not intended prmi arily as either a com prehensive literature review or as an instruction guide for those in terested in perform ing or in terpreting coronary com puted tom ography ( CT) angiogram s. The docum en t also does not offer specific statem ents rating the appropriateness of various potential clin ical uses of coronary CTA, as th is has been dealtw ith in the ACCF/ACR /S