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CT A 靶重建技术在30 例颈动脉斑块诊断中的应用.pdf

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CT A 靶重建技术在30 例颈动脉斑块诊断中的应用.pdf

NULLNULLYT€,13527547568;ENULLMAILYANGNULLHNULLUNULLA163COMB‚NULLNULLCTAY/Œ30V‹吴晓莉1,饶NULL刚1,杨NULL华2NULL,何晓荣1,张知贵11重庆市巴南区人民医院放射科NULL401320;2第三军医大学新桥医院放射科,重庆400037NULLNULLKNULL1NULL探讨16层螺旋CT靶重建技术在颈动脉斑块诊断中的应用价值BZENULL对30例行颈动脉CT血管造影CTA患者双侧颈动脉窦部进行靶重建,由2名有经验的放射科医生对图像进行独立分析,并与常规重建方法比较;计算软斑块A硬斑块及混合性斑块的数量;以靶重建为标准,计算常规重建对3种斑块检出的敏感度A准确度A特异度A阳性预测值及阴性预测值BTNULL靶重建图像的空间分辨率及密度分辨率均优于常规重建,能更敏感地检出颈动脉窦部斑块P005,能更清楚地显示细小钙化及混合性斑块的内部情况B‚NULL靶重建技术可以作为颈动脉CTA检查的必要补充B1OM体层摄影术;X线计算机;颈部动脉;血管造影;重建DOI103969/JISSN1671NULL8348201019016MS|R81442;R74333DSM’ACI|1671NULL8348201019NULL2586NULL02THECLINICALAPPLICATIONOFTARGETRECONSTRUCTIONTECHNIQUEINCAROTIDARTERYPLAQUEWUXIAONULLLI1,RAOGANG1,YANGHUA2NULL,ETAL1DEPARTMENTOFRADIOLOGY,BANANREGIONPEOPLESHOSPITALOFCHONGQING,CHONGQING401320,CHINA;2DEPARTMENTOFRADIOLOGY,XINQIAOHOSPITAL,THIRDMILITARYMEDICALUNIVERSITY,CHONGQING400037,CHINAABSTRACTOBJECTIVENULLTOEXPLORETHECLINICALVALUEOF16NULLSLICECTTARGETRECONSTRUCTIONINCAROTIDARTERYPLAQUEMETHODSNULLTARGETRECONSTRUCTIONATBILATERALCAROTIDSINUSWEREPERFORMEDTO30PATIENTSWITHCAROTIDARTERYCTANGIOGRAPHYCTAALLIMAGESWEREANALYZEDBYTWOEXPERIENCEDRADIOLOGISTSINDEPENDENTLY,ANDCOMPAREDWITHTHEIMAGESOFCONVENTIONALRECONSTRUCTIONTHENUMBEROFSOFTPLAQUE,HARDPLAQUEANDMIXEDPLAQUEWERECALCULATEDRESPECTIVELYTHESENSITIVITY,ACCURACY,SPECIFICITY,POSITIVEPREDICTIVEVALUEANDNEGATIVEPREDICTIVEVALUEOFCONVENTIONALRECONSTRUCTIONWERECALCULATEDBYTHESTANDARDOFTARGETRECONSTRUCTIONRESULTSNULLTHESPATIALRESOLUTIONANDDENSITYRESOLUTIONOFTARGETRECONSTRUCTIONWERESUPERIORTOCONVENTIONALRECONSTRUCTION,ITWASMORESENNULLSITIVEINTHEDETECTIONOFCAROTIDSINUSPLAQUETHANCONVENTIONALRECONSTRUCTIONP005,ANDITWASMORECLEARLYINTHEDISPLAYOFSMALLCALCIFICATIONANDMIXEDPLAQUECONCLUSIONNULLTARGETRECONSTRUCTIONCANBEUSEDASANECESSARYCOMPLEMENTTECHNIQUETOCTAEXAMINATIONOFCAROTIDARTERYKEYWORDSTOMOGRAPHY;XNULLRAYCOMPUTED;CERVICALARTERY;ANGIOGRAPHY;RECONSTRUCTIONNULLNULLVS—VAV†ŸV,’AUVVŸN41IL1NULL2B„CTY/Œ„”–U›LJ7AY,4LHMBWSOQ„SOQ,9KXžW‹3NULL4BY/ŒŸAUV†,IM›1,Y/ŒV5‹NB1NULLZE11NULLBNULL30›†CT5/•CTNULLANGIOGRANULLPHY,CTA€CT›S,319,O11;M4082,593B€HAHEAIMPA8H†Œ7B12NULL_ZENULLSGE3LIGHTSPEED16„CTBCTA•”120KV,300MA,PITCH13751,125MM,W0625MM,VHTTB,D014A300100120ML,335ML/SB,520ML14SK,›,HWNULLWL’‚HW,‚HWTHWSCTAB,†›Y,0625MM,03MM,J796CM∀96CM,/|5CMSY,YTSTBMADW43T_BYZEKVG•MAXIMUMINTENSITYPROJECTION,MIPAYMULTIPLANARRECONSTRUCTION,MPRB13NULLMSNULL30€,60YMYM›1SB2BSD3S,IN‚BM2D3XRBBSY9—VAV†ŸV”,IM›;9YZE†V_ŸQB14NULLD9ZENULLSPSS130D9Q,9”›NULL2_,P005SD9ILBYD9TS,9Y3V_A’ASAŸ|ŸB2NULLNULLNULLT21NULLZE†HM_Q1SD9IL2586重庆医学2010年10月第39卷第19期P005,Y_QYV1;H,YBWSOQSOQY,_†V,OVSHAUB,V†AUBBV1NULLNULLY„Y_†VNULLNULLNULLNULLŸ”1_TŸ|ŸNULL2PYY43521784093004322NULLY_V28,—V7,†ŸV17;Y_V20,—V8,†ŸV15BY•IS,Y_3VA’ASAŸ|ŸSYV643A600A938A900„750;—V857A950A962A750„981;†ŸV882A967A100A100„956BVN,Y_VŸ„’Ÿ,OY|Ÿ,{VM1;Y—VŸ,{†ŸVS7P‘—VM2;H,YŒCAUBNULLNULLAY,†VAU‚B;BAB†Y,†“CVAUB;CYMPRM,VSAUBPBM1NULLNULLYYVM1NULLNULLAYAUCV;BYVBAUV„S;CYMPRMN™†V,VAUBBM2NULLNULLYY—VM13NULLNULLNULL‚†HM7ŒT731YBB’AU†HMH„94,†HDSA_,–7,55/•BSŸZEBC14DSA_€C‚I,B5BY7,14B;’H7ZEŸ9}5/•›HBMŸ,7Ÿ5/ŒZ“Y,USACTAAH’5/•,ƒT/ŒX„‹†5HM6B„CT/ŒZ„‚„,CTA†HMNB„4BM7Ÿ5_ZE,CTAŸSŸ,1Q›YAU,VV‚˜A‚Z_AU†,5XžW‹BVCTA—V™ŽAUDSA7B5CTA“SOQ,ŒTCAUVHV†–Sž“VKB1YV58/•4VHL,CTA4NHV†SR‹•Y7EAU,|Vž58B†S7LP58N8B–7,5VM1V†Fƒ›,5TWHM5†›BV,Q|”›0BV,IVMVL„ZE,,SOQI4,OBV”V,B9BY/Œ‹VA4’QBYŒS”B–UT†LJ7AMYB/Œ,PLJ7,”‚M,ML,”9,4HMSOQ;H5L__,LL8,4BWSOQ,LH14„,HH•,4˜†Q9BTAUY/Œ‹A4V_Q,Y‚AUBAU,I’VSFƒBH,YLAUV†AUAY,Y†SR‹•Y,PLAU‚B,†ŸV,3•7VSAU10,Y/ŒYT‹†•3Q,HSOQ4,P†VBAUBY/Œ4V_Ÿ„SŸZ“,/B1‚19F;Q”,‚9F€BLV4,€†;2‚165„5,‚9FO5;3S,V14YU,HVYT‚ŸHM›SŸAU,M,B’–,Y1Y/Œ9F”,FVM{„I,H,‚UY9FD3TBŒ,T€€HM†AU,1|M€V†FƒAU,Y/ŒVTBA1€B•ID1VERTINSKYAT,SCHWARTZNE,FISCHBEINNJ,ETALCOMPARNULLISONOFMULTIDETECTORCTANGIOGRAPHYANDMRIMAGINGOFCERVICALARTERYDISSECTIONJAMJNEURORADIOL,2008,29917532璟洁,关正,张桂莲,等颈动脉粥样下转第2590页2587重庆医学2010年10月第39卷第19期CD40L†73Y0TNFNULLNULLAILNULL6AMCPNULL1,YVCNULLJUNJNKA‘CPKC„IBIKKAY0|‘SOCS4/V7O›S8/|YIR16B8,3H€BSCD40L6O›FII,€3HAUH3„ZBT,YN,EBSCD40LV3HAUH}†8†˜BZEB•ID1LYODCJ,LAWRE,HSUEHWAMINIREVIEWADIPOSITY,INNULLFLAMMATION,ANDTHEROGENESISJENDOCRINOLOGY,2003,144421592,,†’,BYO›F15JID,2006,3597803BANKSWA,WILLOUGHHBYLM,THOMASDR,ETA1INSULINRESISTANCESYNDROMEINTHEELDERLYASSESSMENTOFFUNCNULLTIONAL,BIOCHEMICIAL,METABOLIC,ANDILFLAMMATORYSTATUSJDIABETESCARE,2007,30923694JAINA,MACA,LIUS,ETALSPECIFICMISSENSEMUTATIONSINNEMORESULTINHYPERNULLIGMSYNDROMEWITHHYPOHYDROTICECTODERMALDYSPLASIAJNATIMMUNOL,2001,232235FL}†8†˜MJZ2D,2005,16101566KUPPANG,RAJD,MYRONDG,ETALSOLUBLEPNULLSELECTINANDCD40LLEVELSINSUBJECTSDIABETESMELLITUS,ANDMETABOLICSYNDROMENULLURBANRURALEPIDENULLMIOLOGYSTUDYJMETABONULLLISMCLINICALANDEXPERIMENTAL,2006,552377BR—€}HSNULLCRPANO•YJD0‚,2007,2822248ƒ,G,;VŸCD40LN3—VILJSH3,2008,241019489;š,ZŸ38†˜€BSCD40L„}SICAMNULL1ASENULLSLECTION1JD,2004,2611159110DANESES,SCALDAFERRIF,VETRANES,ETALCRUCIALROLEOFTHEPROTEINCPATHWAYINGOVERNINGMICROVASCULARINFLAMNULLMATIONININFLAMMATORYBOWELDISEASEJGUT,2007,569124811VERMAGM,BERCIKP,MOTOMURAY,ETALCD4CELLMODULATIONOFVISCERALNOCICEPTIONINMICEJGASTROEN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