Comparative Study of 64-slice VCT Coronary Angiography and Catheter Coronary Angiography in Diagnosing Coronary Artery Disease
10.3969/j.issn.1002-1671.2009.12.015
- VernacularTitle:64排VCT冠状动脉成像与冠脉造影对冠心病诊断的对比研究
- Author:
Jianping GUO
;
Xingli ZHU
;
Siyuan YAO
;
Pengyi XING
;
Jing HUANG
- Publication Type:Journal Article
- Keywords:
coronary angiography;
coronary artery disease;
tomography;
X-ray computed
- From:
Journal of Practical Radiology
2009;25(12):1745-1747,1764
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnostic value of 64-row VCT coronary angiography(CTA) in diagnosing coronary artery disease.Methods 64-row VCT coronary angiography(CTA) and cathter coronary angiography(CAG) were performed in 173 patients with suspected coronary artery disease.All images were analysed at GE AW4.3 workstation,the constructed images included maximum intensity projection(MIP),mlti-planar reconstruction(MPR) and volume rendering(VR).The results were compared with that of CAG.Results 746 segments of coronary artery with diameter ＞1.5 mm were showed by CTA in 173 patients.The sensitivity,specificity,positive predictive value and negative predictive value of the CTA in detecting coronary arterial stenosis were 94.15%(193/203),95.90% and 89.77% and 97.90% respectively.Statistical analysis using a 2-related χ~2 test showed that there were no obvious differences in diagnosing coronary arterial stenosis between CTA and CAG(χ~2=1.58,P＞0.05) and in evaluating the stenosis degree of coronary artery(Kappa=0.890,P＜0.001).Conclusion 64-row VCT has important clinical value in screening coronary arterial disease and in following-up post operational effectiveness of coronary stent implantation and vascular bypass.
