冠状动脉CT血管成像扫描与报告书写专家共识Expert Consensus on the Scan and Report of Coronary Computed Tomography Angiography
王怡宁;吕滨;曹剑;
Working Group on Cardiovascular Imaging Quality Control,National Center for Cardiovascular Quality Improvement,China;
摘要(Abstract):
冠状动脉CT血管成像(coronary computed tomography angiography,CCTA)检查已成为临床筛查冠状动脉疾病安全、可靠的首选技术之一。随着技术发展,后64排高端CT设备近年已有大量装机,但在扫描适应证、扫描方式及对比剂使用等方面仍存在大量不合理、不规范的现象,CCTA扫描与报告书写的规范化、标准化应用水平亟待提高。制定本共识的目的即是建立可共同遵循的扫描适应证及规范化扫描方案和影像报告等指导原则,以便在全国范围内进行规范化推广应用。
Coronary computed tomography angiography( CCTA) has become one of the safe and reliable techniques for clinical screening of coronary artery disease. With the development of technology,a large number of upscale CT scanners have been in clinical application in recent years. However,there are still a lot of unreasonable and non-standardized phenomena in scanning indications,scanning methods,and the use of contrast agents. The standardization of CCTA scan and report needs to be improved urgently. The purpose of this consensus is to establish the common guidelines for standardization of indications,scan,and report,so that to promote standardized application nationwide.
关键词(KeyWords):
冠状动脉;CT血管成像;适应证;碘对比剂;冠状动脉疾病报告与数据系统
coronary artery;computed tomography angiography;indication;iodinated contrast agent;coronary artery disease-reporting and data system
基金项目(Foundation): 科技部“十三五”国家重点研发计划(2016YFC1300402)
作者(Author):
王怡宁;吕滨;曹剑;
Working Group on Cardiovascular Imaging Quality Control,National Center for Cardiovascular Quality Improvement,China;
Email:
DOI:
参考文献(References):
- [1] Vanhoenacker PK,Heijenbrok-Kal MH,Van Heste R,et al.Diagnostic performance of multidetector CT angiography for assessment of coronary artery disease:meta-analysis[J].Radiology,2007,244:419-428.
- [2] Sabarudin A,Sun Z,Ng KH. Coronary computed tomography angiography with prospective electrocardiography triggering:a systematic review of image quality and radiation dose[J].Singapore Med J,2013,54:15-23.
- [3] Chen YD,Fang WY,Chen JY,et al. Chinese expert consensus on the non-invasive imaging examination pathways of stable coronary artery disease[J]. J Geriatr Cardiol,2018,15:30-40.
- [4] Kramer CM,Budoff MJ,Fayad ZA,et al. ACCF/AHA 2007clinical competence statement on vascular imaging with computed tomography and magnetic resonance. A report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training[J]. J Am Coll Cardiol,2007,50:1097-1114.
- [5] Thomas JD,Zoghbi WA,Beller GA,et al. ACCF 2008 training statement on multimodality noninvasive cardiovascular imaging. A Report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training Developed in Collaboration With the American Society of Ech-ocardiography,the American Society of Nuclear Cardiology,the Society of Cardiovascular Computed Tomography, the Society for Cardiovascular Magnetic Resonance, and the Society for Vascular Medicine[J]. J Am Coll Cardiol,2009,53:125-146.
- [6] Jacobs JE,Boxt LM,Desjardins B,et al. ACR practice guideline for the performance and interpretation of cardiac computed tomography(CT)[J]. J Am Coll Radiol,2006,3:677-685.
- [7] Abbara S,Blanke P,Maroules CD,et al. SCCT guidelines for the performance and acquisition of coronary computed tomographic angiography:a report of the society of Cardiovascular Computed Tomography Guidelines Committee:Endorsed by the North American Society for Cardiovascular Imaging(NASCI)[J]. Ovasc Comput Tomogr,2016,10:435-449.
- [8] Budoff MJ,Achenbach S,Berman DS,et al. Task force13:training in advanced cardiovascular imaging(computed tomography)endorsed by the American Society of Nuclear Cardiology,Society of Atherosclerosis Imaging and Prevention,Society for Cardiovascular Angiography and Interventions,and Society of Cardiovascular Computed Tomography[J]. J Am Coil Cardiol,2008,51:409-414.
- [9] Mark DB,Berman DS,Budoff MJ,et al. ACCF/ACR/AHA/NASCI/SAIP/SCAI/SCCT 2010 expert consensus document on coronary computed tomographic angiography:a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents[J]. Circulation,2010,121:2509-2543.
- [10] Abbara S,Arbab-Zadeh A,Callister TQ,et al. SCCT guidelines for performance of coronary computed tomographic angiography:a report of the Society of Cardiovascular Computed Tomography Guidelines Committee[J]. J Cardiovasc Comput Tomogr,2009,3:190-204.
- [11]中华放射学杂志心脏冠状动脉多排CT临床应用协作组.心脏冠状动脉多排CT临床应用专家共识[J].中华放射学杂志,2011,45:9-17.
- [12]中华医学会放射学分会心胸学组.心脏冠状动脉CT血管成像技术规范化应用中国指南[J].中华放射学杂志,2017,51:732:742.
- [13] Yin WH,Lu B,Hou ZH,et al. Detection of coronary artery stenosis with sub-milli Sievert radiation dose by prospectively ECG-triggered high-pitch spiral CT angiography and iterative reconstruction[J]. Eur Radiol,2013,23:2927-2933.
- [14]曹剑,王怡宁,易妍,等. 70KV超低管电压低对比剂用量冠状动脉CTA研究[J].放射学实践,2014,29:589-592.
- [15] Zhang L,Wang YN,Schoepf U,et al. Image quality,radiation dose,and diagnostic accuracy of prospectively ECG-triggered high-pitch coronary CT angiography at 70 k Vp in a clinical setting:comparison with invasive coronary angio-graphy[J]. Eur Radiol,2016,26:797-806.
- [16] Yi Y,Jin ZY,Wang YN,et al. A preliminary study on a 70k V high-pitch dual-source CT coronary angiography using an ultra-low contrast media[J]. Int J Clin Exp Med,2017,10:6237-6249.
- [17]易妍,曹剑,林路,等.第3代双源CT 70 k V大螺距扫描冠状动脉CT血管成像在不同体质量指数患者中的应用[J].中国医学科学院学报,2017,39:42-48.
- [18]林路,王怡宁,易妍,等.第3代双源CT低剂量心脏一站式成像的可行性[J].中国医学科学院学报,2017,39:34-41.
- [19] Liu K,Hsieh C,Zhuang N,et al. Current utilization of cardiac computed tomography in mainland China:A national survey[J]. Cardiovasc Comput Tomogr,2016,10:76-81.
- [20] Taylor AJ,Cerqueira M,Hodgson JM,et al. ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 Appropriate Use Criteria for Cardiac Computed Tomography[J]. J Cardiovasc Comput Tomogr,2010,4:407. e1-e33.
- [21]北京市医学影像质量控制与改进中心专家组.北京市“对比剂使用知情同意书”推荐模板[J].中华医学影像技术,2016,32:1143-1145.
- [22] Joseph U Schoeph. CT of the heart:principles and applications[M]. New York:Humana Presss,2005:377-380.
- [23] Fleischmann D. How to design injection protocols for multiple detector-row CT angiography(MDCTA)[J]. Eur Radiol,2005,15:E60-E65.
- [24] Cury RC,Abbara S,Achenbach S,et al. An expert consensus document of the Society of Cardiovascular Computed Tomography(SCCT), the American College of Radiology(ACR)and the North American Society for Cardiovascular Imaging(NASCI). Endorsed by the American College of Cardiology[J]. J Cardiovasc Comput Tomogr,2016,10:269-281.
- [25] Leipsic J,Abbara S,Achenbach S,et al. SCCT guidelines for the interpretation and reporting of coronary CT angio-graphy:A report of the Society of Cardiovascular Computed Tomography Guidelines Committee[J]. J Cardiovasc Comput Tomogr,2014,8:342-358.
- 冠状动脉
- CT血管成像
- 适应证
- 碘对比剂
- 冠状动脉疾病报告与数据系统
coronary artery - computed tomography angiography
- indication
- iodinated contrast agent
- coronary artery disease-reporting and data system
- 王怡宁
- 吕滨
- 曹剑
Working Group on Cardiovascular Imaging Quality Control- National Center for Cardiovascular Quality Improvement
- China
- 王怡宁
- 吕滨
- 曹剑
Working Group on Cardiovascular Imaging Quality Control- National Center for Cardiovascular Quality Improvement
- China