双源CT在复杂性先天性心脏病诊断中的临床价值
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摘要
复杂性先天性心脏病(CCHD)是婴幼儿心血管疾病常见的死亡原因,外科手术是其主要治疗手段,故手术前影像学检查具有重要指导意义。本文就双源CT(DSCT)在评价CCHD中的技术优势和临床价值进行综述。
Complex congenital heart disease(CCHD) is the common cause of death in pediatric patients with cardiovascular diseases. Surgical intervention remains the main way for treatment. Hence, appropriate imaging modality is of vital importance in surgical decision-making. This review summarized the advantages of dual-source computed tomography(DSCT) in assessing CCHD.
Complex congenital heart disease(CCHD) is the common cause of death in pediatric patients with cardiovascular diseases. Surgical intervention remains the main way for treatment. Hence, appropriate imaging modality is of vital importance in surgical decision-making. This review summarized the advantages of dual-source computed tomography(DSCT) in assessing CCHD.
引文
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[3] van der Linde D, Konings EE, Slager MA, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis [J]. J Am Coll Cardiol,2011,58(21):2241-2247.
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[5] Leschka S, Oechslin E, Husmann L, et al. Pre- and postoperative evaluation of congenital heart disease in children and adults with 64-section CT [J]. Radiographics, 2007,27(3):829-846.
[6] Young C, Taylor AM, Owens CM. Paediatric cardiac computed tomography: a review of imaging techniques and radiation dose consideration [J]. Eur Radiol, 2011,21(3):518-529.
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[8] Han BK, Rigsby CK, Hlavacek A, et al. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT): endorsed by the Society of Pediatric Radiology (SPR) and the North American Society of Cardiac Imaging (NASCI) [J]. J Cardiovasc Comput Tomogr,2015,9(6):475-492.
[9] Han BK, Hlavacek AM, Kay WA, et al. Multi-institutional evaluation of the indications and radiation dose of functional cardiovascular computed tomography (CCT) imaging in congenital heart disease [J]. Int J Cardiovasc Imaging,2016,32(2):339-346.
[10] Li X, Samei E, Segars WP, et al. Patient-specific radiation dose and cancer risk for pediatric chest CT [J]. Radiology,2011,259(3):862-874.
[11] Yamasaki Y, Kawanami S, Kamitani T, et al. Free-breathing 320-row computed tomographic angiography with low-tube voltage and hybrid iterative reconstruction in infants with complex congenital heart disease [J]. Clin Imaging,2018,50:147-156.
[12] Klink T, Müller G, Weil J, et al. Cardiovascular computed tomography angiography in newborns and infants with suspected congenital heart disease: retrospective evaluation of low-dose scan protocols [J]. Clin Imaging, 2012,36(6):746-753.
[13] Stolzmann P, Goetti R, Baumueller S, et al. Prospective and retrospective ECG-gating for CT coronary angiography perform similarly accurate at low heart rates [J]. Eur J Radiol, 2011, 79(1):85-91.
[14] Groves DW, Olivieri LJ, Shanbhag SM, et al. Feasibility of low radiation dose retrospectively-gated cardiac CT for functional analysis in adult congenital heart disease [J]. Int J Cardiol,2017,228:180-183.
[15] Raimondi F, Warin-Fresse K. Computed tomography imaging in children with congenital heart disease: Indications and radiation dose optimization [J]. Arch Cardiovasc Dis, 2016,109(2):150-7.
[16] Shi K, Yang ZG, Chen J, et al. Assessment of double outlet right ventricle associated with multiple malformations in pediatric patients using retrospective ECG-gated dual-source computed tomography [J]. PLoS One,2015,10(6):e0130987.
[17] Brady SL, Mirro AE, Moore BM, et al. How to appropriately calculate effective dose for ct using either size-specific dose estimates or dose-length product [J]. AJR Am J Roentgenol, 2015,204(5):953-958.
[18] Khawaja RD, Singh S, Vettiyil B, et al. Simplifying size-specific radiation dose estimates in pediatric CT [J]. AJR Am J Roentgenol,2015,204(1):167-176.
[19] Shi K, Gao HL, Yang ZG, et al. Dual-source computed tomography for quantitative assessment of tracheobronchial anomaly from type IIA pulmonary artery sling in pediatric patients [J]. Eur J Radiol,2018,102:30-35.
[20] 龙启华,杨志刚,邓雯,等. 先天性心脏病法洛四联症合并心血管畸形的双源CT血管成像评价 [J]. 生物医学工程学杂志,2015,32(2):418-22.
[21] Apitz C, Webb GD, Redington AN. Tetralogy of Fallot [J]. Lancet, 2009,374(9699):1462-1471.
[22] Gao Y, Yang ZG, Shi K, et al. Computed tomography for evaluating right ventricle and pulmonary artery in pediatric tetralogy of Fallot: correlation with post-operative pulmonary regurgitation [J]. Sci Rep,2018,8(1):7515.
[23] Bu G, Miao Y, Bin J, et al. Comparison of 128-slice low-dose prospective ecg-gated ct scanning and trans-thoracic echocardiography for the diagnosis of complex congenital heart disease [J]. PLoS One,2016,11(10):e0165617.
[24] Zhang Y, Yang ZG, Yang MX, et al. Common atrium and the associated malformations: Evaluation by low-dose dual-source computed tomography [J]. Medicine (Baltimore),2018,97(46):e12983.
[25] Hu BY, Shi K, Deng YP, et al. Assessment of tetralogy of Fallot-associated congenital extracardiac vascular anomalies in pediatric patients using low-dose dual-source computed tomography [J]. BMC Cardiovasc Disord,2017,17(1):285.
[26] Shi K, Yang ZG, Xu HY, et al. Dual-source computed tomography for evaluating pulmonary artery in pediatric patients with cyanotic congenital heart disease: Comparison with transthoracic echocardiography [J]. Eur J Radiol,2016,85(1):187-192.
[27] Jiang L, Xie LJ, Yang ZG, et al. Preoperative evaluation of anomalous pulmonary venous connection using dual-source computed tomography: Comparison with echocardiography [J]. Eur J Radiol,2017,94:107-114.
[28] Yang MX, Yang ZG, Zhang Y, et al. Dual-source computed tomography for evaluating pulmonary artery and aorta in pediatric patients with single ventricle [J]. Sci Rep, 2017,7(1):13398.
[29] Xie LJ, Jiang L, Yang ZG, et al. Assessment of transposition of the great arteries associated with multiple malformations using dual-source computed tomography [J]. PLoS One, 2017,12(11):e0187578.
[30] Xie M, Li L, Cheng TO, et al. Coronary artery fistula: comparison of diagnostic accuracy by echocardiography versus coronary arteriography and surgery in 63 patients studied between 2002 and 2012 in a single medical center in China [J]. Int J Cardiol,2014,176(2):470-477.
[31] Labombarda F, Coutance G, Pellissier A, et al. Major congenital coronary artery anomalies in a paediatric and adult population: a prospective echocardiographic study [J]. Eur Heart J Cardiovasc Imaging, 2014,15(7):761-768.
[32] Shi K, Gao HL, Yang ZG, et al. Preoperative evaluation of coronary artery fistula using dual-source computed tomography [J]. Int J Cardiol,2017,228:80-85.
[33] Zhou K, Kong L, Wang Y, et al. Coronary artery fistula in adults: evaluation with dual-source CT coronary angiography[J]. Br J Radiol,2015,88(1049):20140754.
[34] Baden W, Schaefer J, Kumpf M, et al. Comparison of imaging techniques in the diagnosis of bridging bronchus [J]. Eur Respir J, 2008,31(5):1125-1131.
[35] Hofferberth SC, Watters K, Rahbar R, et al. Management of congenital tracheal stenosis [J]. Pediatrics, 2015,136(3):e660-669.
[36] Rosenbaum DG, Kasdorf E, Renjen P, et al. Sling left pulmonary artery with patent type IIA tracheobronchial anomaly and imperforate anus [J]. Clin Imaging, 2014,38(5):743-746.
[37] Xu R, Shi K, Yang ZG, et al. Quantified evaluation of tracheal compression in pediatric complex congenital vascular ring by computed tomography [J]. Sci Rep,2018,8(1):11183.
[38] Malik A, Hellinger JC, Servaes S, et al. Prevalence of non-cardiovascular findings on CT angiography in children with congenital heart disease [J]. Pediatr Radiol,2017,47(3):267-279.
[39] Heyer CM, Nuesslein TG, Jung D, et al. Tracheobronchial anomalies and stenoses: detection with low-dose multidetector CT with virtual tracheobronchoscopy-comparison with flexible tracheobronchoscopy [J]. Radiology, 2007,242(2):542-549.
[40] Newman B, Cho Y. Left pulmonary artery sling-anatomy and imaging. Semin Ultrasound CT MR [J]. 2010,31(2):158-170.
[41] Zhong YM, Jaffe RB, Zhu M, et al. CT assessment of tracheobronchial anomaly in left pulmonary artery sling [J]. Pediatr Radiol,2010,40(11):1755-1762.
[2] Dolk H, Loane M, Garne E, et al. Congenital heart defects in Europe: prevalence and perinatal mortality, 2000 to 2005 [J]. Circulation,2011,123(8):841-849.
[3] van der Linde D, Konings EE, Slager MA, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis [J]. J Am Coll Cardiol,2011,58(21):2241-2247.
[4] Miller R, Tumin D, Tobias JD, et al. Estimating surgical risk in younger and older children with congenital heart disease [J]. J Surg Res,2018,232:298-307.
[5] Leschka S, Oechslin E, Husmann L, et al. Pre- and postoperative evaluation of congenital heart disease in children and adults with 64-section CT [J]. Radiographics, 2007,27(3):829-846.
[6] Young C, Taylor AM, Owens CM. Paediatric cardiac computed tomography: a review of imaging techniques and radiation dose consideration [J]. Eur Radiol, 2011,21(3):518-529.
[7] Li T, Zhao S, Liu J, et al. Feasibility of high-pitch spiral dual-source CT angiography in children with complex congenital heart disease compared to retrospective-gated spiral acquisition [J]. Clin Radiol,2017,72(10):864-870.
[8] Han BK, Rigsby CK, Hlavacek A, et al. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT): endorsed by the Society of Pediatric Radiology (SPR) and the North American Society of Cardiac Imaging (NASCI) [J]. J Cardiovasc Comput Tomogr,2015,9(6):475-492.
[9] Han BK, Hlavacek AM, Kay WA, et al. Multi-institutional evaluation of the indications and radiation dose of functional cardiovascular computed tomography (CCT) imaging in congenital heart disease [J]. Int J Cardiovasc Imaging,2016,32(2):339-346.
[10] Li X, Samei E, Segars WP, et al. Patient-specific radiation dose and cancer risk for pediatric chest CT [J]. Radiology,2011,259(3):862-874.
[11] Yamasaki Y, Kawanami S, Kamitani T, et al. Free-breathing 320-row computed tomographic angiography with low-tube voltage and hybrid iterative reconstruction in infants with complex congenital heart disease [J]. Clin Imaging,2018,50:147-156.
[12] Klink T, Müller G, Weil J, et al. Cardiovascular computed tomography angiography in newborns and infants with suspected congenital heart disease: retrospective evaluation of low-dose scan protocols [J]. Clin Imaging, 2012,36(6):746-753.
[13] Stolzmann P, Goetti R, Baumueller S, et al. Prospective and retrospective ECG-gating for CT coronary angiography perform similarly accurate at low heart rates [J]. Eur J Radiol, 2011, 79(1):85-91.
[14] Groves DW, Olivieri LJ, Shanbhag SM, et al. Feasibility of low radiation dose retrospectively-gated cardiac CT for functional analysis in adult congenital heart disease [J]. Int J Cardiol,2017,228:180-183.
[15] Raimondi F, Warin-Fresse K. Computed tomography imaging in children with congenital heart disease: Indications and radiation dose optimization [J]. Arch Cardiovasc Dis, 2016,109(2):150-7.
[16] Shi K, Yang ZG, Chen J, et al. Assessment of double outlet right ventricle associated with multiple malformations in pediatric patients using retrospective ECG-gated dual-source computed tomography [J]. PLoS One,2015,10(6):e0130987.
[17] Brady SL, Mirro AE, Moore BM, et al. How to appropriately calculate effective dose for ct using either size-specific dose estimates or dose-length product [J]. AJR Am J Roentgenol, 2015,204(5):953-958.
[18] Khawaja RD, Singh S, Vettiyil B, et al. Simplifying size-specific radiation dose estimates in pediatric CT [J]. AJR Am J Roentgenol,2015,204(1):167-176.
[19] Shi K, Gao HL, Yang ZG, et al. Dual-source computed tomography for quantitative assessment of tracheobronchial anomaly from type IIA pulmonary artery sling in pediatric patients [J]. Eur J Radiol,2018,102:30-35.
[20] 龙启华,杨志刚,邓雯,等. 先天性心脏病法洛四联症合并心血管畸形的双源CT血管成像评价 [J]. 生物医学工程学杂志,2015,32(2):418-22.
[21] Apitz C, Webb GD, Redington AN. Tetralogy of Fallot [J]. Lancet, 2009,374(9699):1462-1471.
[22] Gao Y, Yang ZG, Shi K, et al. Computed tomography for evaluating right ventricle and pulmonary artery in pediatric tetralogy of Fallot: correlation with post-operative pulmonary regurgitation [J]. Sci Rep,2018,8(1):7515.
[23] Bu G, Miao Y, Bin J, et al. Comparison of 128-slice low-dose prospective ecg-gated ct scanning and trans-thoracic echocardiography for the diagnosis of complex congenital heart disease [J]. PLoS One,2016,11(10):e0165617.
[24] Zhang Y, Yang ZG, Yang MX, et al. Common atrium and the associated malformations: Evaluation by low-dose dual-source computed tomography [J]. Medicine (Baltimore),2018,97(46):e12983.
[25] Hu BY, Shi K, Deng YP, et al. Assessment of tetralogy of Fallot-associated congenital extracardiac vascular anomalies in pediatric patients using low-dose dual-source computed tomography [J]. BMC Cardiovasc Disord,2017,17(1):285.
[26] Shi K, Yang ZG, Xu HY, et al. Dual-source computed tomography for evaluating pulmonary artery in pediatric patients with cyanotic congenital heart disease: Comparison with transthoracic echocardiography [J]. Eur J Radiol,2016,85(1):187-192.
[27] Jiang L, Xie LJ, Yang ZG, et al. Preoperative evaluation of anomalous pulmonary venous connection using dual-source computed tomography: Comparison with echocardiography [J]. Eur J Radiol,2017,94:107-114.
[28] Yang MX, Yang ZG, Zhang Y, et al. Dual-source computed tomography for evaluating pulmonary artery and aorta in pediatric patients with single ventricle [J]. Sci Rep, 2017,7(1):13398.
[29] Xie LJ, Jiang L, Yang ZG, et al. Assessment of transposition of the great arteries associated with multiple malformations using dual-source computed tomography [J]. PLoS One, 2017,12(11):e0187578.
[30] Xie M, Li L, Cheng TO, et al. Coronary artery fistula: comparison of diagnostic accuracy by echocardiography versus coronary arteriography and surgery in 63 patients studied between 2002 and 2012 in a single medical center in China [J]. Int J Cardiol,2014,176(2):470-477.
[31] Labombarda F, Coutance G, Pellissier A, et al. Major congenital coronary artery anomalies in a paediatric and adult population: a prospective echocardiographic study [J]. Eur Heart J Cardiovasc Imaging, 2014,15(7):761-768.
[32] Shi K, Gao HL, Yang ZG, et al. Preoperative evaluation of coronary artery fistula using dual-source computed tomography [J]. Int J Cardiol,2017,228:80-85.
[33] Zhou K, Kong L, Wang Y, et al. Coronary artery fistula in adults: evaluation with dual-source CT coronary angiography[J]. Br J Radiol,2015,88(1049):20140754.
[34] Baden W, Schaefer J, Kumpf M, et al. Comparison of imaging techniques in the diagnosis of bridging bronchus [J]. Eur Respir J, 2008,31(5):1125-1131.
[35] Hofferberth SC, Watters K, Rahbar R, et al. Management of congenital tracheal stenosis [J]. Pediatrics, 2015,136(3):e660-669.
[36] Rosenbaum DG, Kasdorf E, Renjen P, et al. Sling left pulmonary artery with patent type IIA tracheobronchial anomaly and imperforate anus [J]. Clin Imaging, 2014,38(5):743-746.
[37] Xu R, Shi K, Yang ZG, et al. Quantified evaluation of tracheal compression in pediatric complex congenital vascular ring by computed tomography [J]. Sci Rep,2018,8(1):11183.
[38] Malik A, Hellinger JC, Servaes S, et al. Prevalence of non-cardiovascular findings on CT angiography in children with congenital heart disease [J]. Pediatr Radiol,2017,47(3):267-279.
[39] Heyer CM, Nuesslein TG, Jung D, et al. Tracheobronchial anomalies and stenoses: detection with low-dose multidetector CT with virtual tracheobronchoscopy-comparison with flexible tracheobronchoscopy [J]. Radiology, 2007,242(2):542-549.
[40] Newman B, Cho Y. Left pulmonary artery sling-anatomy and imaging. Semin Ultrasound CT MR [J]. 2010,31(2):158-170.
[41] Zhong YM, Jaffe RB, Zhu M, et al. CT assessment of tracheobronchial anomaly in left pulmonary artery sling [J]. Pediatr Radiol,2010,40(11):1755-1762.
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