320排宽探测器CT评估儿童先天性心脏病术后心功能  

Feasibility of 320 row wide-detector CT in evaluation on cardiac function in postoperative congenital heart disease children

作　　者：谢玮慧 郭辰[1] 姚小芬 胡立伟[1] 孙爱敏[1] 王谦[1] 邱海嵊 钟玉敏[1] XIE Weihui;GUO Chen;YAO Xiaofen;HU Liwei;SUN Aimin;WANG Qian;QIU Haisheng;ZHONG Yumin(Diagnostic Imaging Center,Shanghai Children’s Medical Center,Shanghai Jiao Tong University,School of Medicine,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心影像诊断中心,上海200127

出　　处：《中国医学影像技术》2020年第9期1314-1318,共5页Chinese Journal of Medical Imaging Technology

基　　金：科技部重点研发计划(2018YFB1107100);上海市科学技术委员会“科技创新行动计划”(17411953300)。

摘　　要：目的探讨320排宽探测器CT评估儿童先天性心脏病(CHD)术后心功能的可行性。方法对25例CHD术后患儿以320排宽探测器CT和3.0T MR设备进行扫描,分别利用相应心功能分析软件测量左右心室射血分数(EF)、舒张末期容积指数(EDVI)、收缩末期容积指数(ESVI)、每搏输出量指数(SVI)和心指数(CI),分析320排宽探测器CT与MRI测量结果的相关性和可重复性。结果CT测得左右心室EF、EDVI、ESVI、SVI、CI与MRI相应指标差异均无统计学意义(P均>0.05)且均具有良好相关性(r=0.62~0.97,P均<0.05);CT所测各指标均值均高于MRI;CT各心功能测量值重复性良好(ICC=0.85~0.98,P均<0.05),左心室容量指标(EDVI、ESVI、SVI、CI)的重复性好于右心室。结论320排宽探测器CT可用于评价CHD术后患儿心功能,对无法接受MR检查者具有重要价值。Objective To explore the feasibility of 320 row wide-detector CT in evaluation on cardiac function in postoperative congenital heart disease(CHD)children.Methods Totally 25 postoperative CHD children underwent 320 row wide-detector CT and 3.0T MR cardiac scanning during following-up.The left and right ventricular ejection fraction(EF),end diastolic volume index(EDVI),end systolic volume index(ESVI),stroke volume index(SVI)and cardiac index(CI)were measured with corresponding cardiac function analysis software.The reproducibility of 320 row wide-detector results and their correlation with MRI results were compared and analyzed.Results No significant difference of EF,EDVI,ESVI,SVI and CI was found between 320 row wide-detector CT and MRI results(all P>0.05),and CT results had good correlation with MRI(r=0.62-0.97,all P<0.05).The mean values of all index measured with CT were higher than those with MRI.The reproducibility of CT for measuring cardiac function indexes were good(ICC=0.85-0.98,all P<0.05).The volume index(EDVI,ESVI,SVI,CI)of left ventricular showed better reproducibility than that of the right ventricular.Conclusion 320 row wide-detector CT could be used to evaluate cardiac function in postoperative CHD children,having a great value for those with contraindication for cardiac MR.

关 键 词：心脏缺损 先天性 心室功能 儿童 体层摄影术 X线计算机 

分 类 号：R725.4[医药卫生—儿科] R814.42[医药卫生—临床医学]