CT心臟斷面解剖課件

1、先天性心臟病及CT影像診斷小兒綜合內(nèi)科張偉Cardiac AnatomyAscending Aorta升主動(dòng)脈Descending Aorta降主動(dòng)脈Pulmonary Artery肺動(dòng)脈Superior Vena Cava上腔靜脈Left Coronary Artery(LCA)左冠狀動(dòng)脈Left Main Artery(LMA)左主干Left Anterior Descending(LAD)左前降支Left Marginal Branch(LMB)左邊緣支Left Circumflex(LCX)左回旋支Right Coronary Artery(RCA) 右冠狀動(dòng)脈Posterior De

2、scending Artery(PDA) 后降支Conus Branch 動(dòng)脈圓錐支Left Atrium 左心房Right Atrium 右心房Left Ventricle 左心室Right Ventricle 右心室Cardiac Vein 心臟靜脈Mitral Valv 二尖瓣Coronary Sinus 冠狀竇Cardiac Anatomy傳統(tǒng)的影像學(xué)診斷方法有胸部X線、超聲心動(dòng)圖、MRI、心導(dǎo)管造影檢查 Cardiac AnatomyCardiac AnatomyMDCT的優(yōu)勢(shì)掃描時(shí)間短空間分辨力較高三維后處理重組Ascending AortaPulmonary ArteryDesc

3、ending AortaAscending AortaPulmonary ArteryDescending Aorta CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomySuperior Vena CavaSuperior Vena CavaLMA LMA Ascending AortaAscending AortaDescending AortaDescending AortaLAD Left MarginalBranch LAD Left MarginalBranch CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomySuperior Vena CavaAscending Ao

4、rtaDescending AortaLAD Left MarginalBranch LMA LCX Superior Vena CavaAscending AortaDescending AortaLAD Left MarginalBranch LMA LCX Pulmonary ArteryPulmonary Artery CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomySuperior Vena CavaSuperior Vena CavaDescending AortaDescending AortaPulmonary ArteryPulmonary ArteryLAD LCx

5、 LCx LMB LMB LAD LeftAtriumLeftAtrium CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyDescending AortaLCx LMB LAD LeftAtriumDescending AortaLCx LMB LAD LeftAtriumRightAtriumLeftVentricleLeftVentricleAscending AortaAscending AortaRightAtrium CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyRCA RCA Left VentricleLeft VentricleRight Ventricle

6、Right VentricleLeft AtriumLeft AtriumRightAtriumRightAtriumLCx LMB LCx LMB CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyRCA RCA Left VentricleLeft VentricleRight VentricleRight VentricleLeft AtriumLeft AtriumRight AtriumRight AtriumLCx LMB LCx Cardiac Vein LMB Cardiac Vein CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyRCA Left Ventri

7、cleRight VentricleLeft AtriumRight AtriumLCx LMB RCA Left VentricleRight VentricleLeft AtriumRight AtriumLCx LMB Aortic ValveDescending AortaDescending Aorta CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyRCA Left VentricleRight VentricleLeft AtriumRight AtriumLCx LMB RCA Left VentricleRight VentricleLeft AtriumRight

8、AtriumLMB Descending AortaDescending Aorta CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyConus BranchConus BranchMitral ValveRCA Left VentricleRight VentricleLeft AtriumRight AtriumLMB RCA Left VentricleRight VentricleLeft AtriumRight AtriumLMB Cardiac Vein Cardiac Vein CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyRCA Left VentricleR

9、ight VentricleLeft AtriumRight AtriumLMB RCA Right VentricleLeft AtriumRight AtriumLeft VentricleMitral ValveDescending AortaDescending AortaCardiac Vein Cardiac Vein CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyRCA Left VentricleRight VentricleLeft AtriumRight AtriumRCA Left VentricleRight VentricleLeft AtriumRight

10、 AtriumDescending AortaDescending Aorta CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyDescending AortaDescending AortaRCA Left VentricleRight VentricleRight AtriumRCA Left VentricleRight VentricleRight AtriumCoronary Sinus Coronary Sinus CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyRCA Left VentricleRight VentricleRight AtriumRCA Lef

11、t VentricleRight VentricleRight AtriumDescending AortaDescending AortaCoronary Sinus Coronary Sinus CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyRCA Left VentricleRight VentricleRCA Left VentricleRight VentricleDescending AortaDescending Aorta CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyRCA Left VentricleRight VentricleRCA Left Ven

12、tricleRight VentricleDescending AortaDescending Aorta CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyRCA Left VentricleRight VentricleRCA Left VentricleRight VentricleDescending AortaDescending Aorta CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyRCA Left VentricleRight VentricleRCA Left VentricleRight VentricleDescending AortaDescendin

13、g AortaLiver Stomach Liver Stomach CT平掃圖象 CT增強(qiáng)圖象Cardiac AnatomyPDA Left VentricleRight VentriclePDA Right VentricleLiver Stomach Liver Stomach CT平掃圖象 CT增強(qiáng)圖象Cardiac Anatomy房間隔缺損Atrial Septal Defect, ASDCardiac AnatomyCT表現(xiàn)房間隔連續(xù)性中斷。需兩個(gè)層面以上可顯示房；可直接測(cè)量缺損大小 右心房、室增大 肺動(dòng)脈增寬 伴肺動(dòng)脈高壓，主肺動(dòng)脈橫徑超過(guò)同水平主動(dòng)脈，右心室壁增厚，右室擴(kuò)大 Cardiac Anatomy繼發(fā)孔型房間隔缺損CT增強(qiáng)：房間隔連續(xù)中斷 Cardiac Anatomy室間隔缺損Ventrical Septal Defect，VSD Cardiac AnatomyCT表現(xiàn)EBCT薄層掃描，顯示室間隔中斷、不連續(xù) 心室不同程度增大，肺血管增多、增粗 血流序列掃描，觀察分流，定量計(jì)算 Cardiac Anatomy室間隔缺損（圓錐部） 室間隔缺損（肌部） 室間隔缺損（膜周部） Cardiac Anatomy動(dòng)脈導(dǎo)管未閉 Patent Ductus Arteriosus, PDA Cardiac AnatomyCT 表現(xiàn)E