ТУҒМА ЮРАК АНОМАЛИЯЛАРИ БЎЛГАН БЕМОРЛАРДА КТ ТЕКШИРУВЛАРИНИ ЎТКАЗИШНИНГ ТЕХНИК ПРИНЦИПЛАРИ ВА ЎЗИГА ХОС ХУСУСИЯТЛАРИ
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кардиак КТ; янги туғилган чақалоқлар; туғма юрак нуқсонлари; нурланиш дозаси; протоколни оптималлаштириш; болус-трекинг; тест-болус; операциягача баҳолаш; юрак-қон томир анатомияси##article.abstract##
Юрак МРТ ва эхокардиография туғма юрак нуқсонлари (ТЮН) бўлган беморларни тасвирлашнинг анъанавий асосий усуллари ҳисобланади. Бироқ замонавий КТ сканерлари фазовий ва вақтинчалик аниқликнинг сезиларли яхшиланиши туфайли ушбу соҳада КТ диагностикасининг имкониятларини кенгайтирди. Тадқиқот протоколи тахмин қилинаётган нуқсон турига, аввал бажарилган жарроҳлик аралашувларига, беморнинг ёши ва ҳамкорлик даражасига боғлиқ бўлиб, айниқса педиатрия беморларида нурланиш юкламасини камайтириш стратегияларини қўллаш жуда муҳимдир. ТЮНни баҳолашда кетма-кет сегментар ёндашув кенг қўлланилади, ҳамда тўғри талқин қилиш учун радиолог махсус КТ протоколлари, ТЮНнинг мураккаб анатомияси ва морфологияси, шунингдек туғма нуқсонларни тўғрилашга оид жарроҳлик усулларини чуқур билиши лозим.
Библиографические ссылки
Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol. 2002;39:1890–1900.
Moller JH, Taubert KA, Allen HD, Clark EB, Lauer RM. Cardiovascular health and disease in children: current status. A Special Writing Group from the Task Force on Children and Youth, American Heart Association. Circulation. 1994;89:923–930.
Wren C, O'Sullivan JJ. Survival with congenital heart disease and need for follow up in adult life. Heart. 2001;85:438–443.
Goo HW, Park IS, Ko JK, Kim YH, Seo DM et al. CT of congenital heart disease: normal anatomy and typical pathologic conditions. Radiographics. 2003;23:S147–S165.
Goo HW. State-of-the-art CT imaging techniques for congenital heart disease. Korean J Radiol. 2010;11:4–18.
Kacmaz F, Ozbulbul NI, Alyan O, Maden O, Demir AD et al. Imaging of coronary artery anomalies: the role of multi-detector computed tomography. Coron Artery Dis. 2008;19:203–209.
Leschka S, Oechslin E, Husmann L, Desbiolles L, Marincek B et al. Pre- and postoperative evaluation of congenital heart disease in children and adults with 64-section CT. Radiographics. 2007;27:829–846.
Goo HW, Yang DH. Coronary artery visibility in free-breathing young children with congenital heart disease on cardiac 64-slice CT: dual-source ECG-triggered sequential scan vs. single-source non-ECG-synchronized spiral scan. Pediatr Radiol. 2010;40:1670–1680.
Yang DH, Goo HW, Seo DM, Yun TJ, Park JJ et al. Multislice CT angiography of interrupted aortic arch. Pediatr Radiol. 2008;38:89–100.
Leschka S, Alkadhi H, Stolzmann P, Schmid FT, Leschka SC et al. Mono- versus bisegment reconstruction algorithms for dual-source computed tomography coronary angiography. Invest Radiol. 2008;43:703–711.
Goo HW, Seo DM, Yun TJ, Park JJ, Park IS et al. Coronary artery anomalies and clinically important anatomy in patients with congenital heart disease: multislice CT findings. Pediatr Radiol. 2009;39:265–273.
Stolzmann P, Leschka S, Scheffel H, Krauss T, Desbiolles L et al. Dual-source CT in step-and-shoot mode: noninvasive coronary angiography with low radiation dose. Radiology. 2008;249:71–80.
Feuchtner G, Gotti R, Plass A, Baumueller S, Stolzmann P et al. Dual-step prospective ECG-triggered 128-slice dual-source CT for evaluation of coronary arteries and cardiac function without heart rate control: a technical note. Eur Radiol. 2010;20:2092–2099.
Achenbach S, Marwan M, Schepis T, Pflederer T, Bruder H et al. High-pitch spiral acquisition: a new scan mode for coronary CT angiography. J Cardiovasc Comput Tomogr. 2009;3:117–121.
Goetti R, Baumuller S, Feuchtner G, Stolzmann P, Karlo C et al. High-pitch dual-source CT angiography of the thoracic and abdominal aorta: is simultaneous coronary artery assessment possible? AJR Am J Roentgenol. 2010;194:938–944.
Karlo C, Leschka S, Goetti RP, Feuchtner G, Desbiolles L et al. High-pitch dual-source CT angiography of the aortic valve–aortic root complex without ECG-synchronization. Eur Radiol. 2011;21:205–212.
Leschka S, Stolzmann P, Desbiolles L, Baumueller S, Goetti R et al. Diagnostic accuracy of high-pitch dual-source CT for the assessment of coronary stenoses: first experience. Eur Radiol. 2009;19:2896–2903.
Leschka S, Kim CH, Baumueller S, Stolzmann P, Scheffel H et al. Scan length adjustment of CT coronary angiography using the calcium scoring scan: effect on radiation dose. AJR Am J Roentgenol. 2010;194:W272–277.
Stolzmann P, Scheffel H, Schertler T, Frauenfelder T, Leschka S et al. Radiation dose estimates in dual-source computed tomography coronary angiography. Eur Radiol. 2008;18:592–599.
Leschka S, Scheffel H, Desbiolles L, Plass A, Gaemperli O et al. Image quality and reconstruction intervals of dual-source CT coronary angiography: recommendations for ECG-pulsing windowing. Invest Radiol. 2007;42:543–549.
Weustink AC, Mollet NR, Pugliese F, Meijboom WB, Nieman K et al. Optimal electrocardiographic pulsing windows and heart rate: effect on image quality and radiation exposure at dual-source coronary CT angiography. Radiology. 2008;248:792–798.
Abada HT, Larchez C, Daoud B, Sigal-Cinqualbre A, Paul JF. MDCT of the coronary arteries: feasibility of low-dose CT with ECG-pulsed tube current modulation to reduce radiation dose. AJR Am J Roentgenol. 2006;186:S387–390.
Van Praagh R. The segmental approach to diagnosis in congenital heart disease. In: Bergsama D (ed). Birth defects: original article series. Vol VIII, No 5. Williams & Wilkins, Baltimore; 1972.
Shinebourne EA, Macartney FJ, Anderson RH. Sequential chamber localization—logical approach to diagnosis in congenital heart disease. Br Heart J. 1976;38:327–340.
Anderson RH, Becker AE, Freedom RM, Macartney FJ, Quero-Jimenez M et al. Sequential segmental analysis of congenital heart disease. Pediatr Cardiol. 1984;5:281–287.