CT心脏断面解剖课件

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1、先天性心脏病及CT影像诊断小儿综合内科张伟CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPAscendingAorta升主动脉DescendingAorta降主动脉PulmonaryArtery肺动脉SuperiorVenaCava上腔静脉LeftCoronaryArtery(LCA)左冠状动脉LeftMainArtery(LMA)左主干LeftAnteriorDescending(LAD)左前降支LeftMarginalBranch(LMB)左边缘支LeftCircumflex(LCX)左回旋支RightCoronaryArtery(RCA)右冠状动

2、脉PosteriorDescendingArtery(PDA)后降支ConusBranch动脉圆锥支LeftAtrium左心房RightAtrium右心房LeftVentricle左心室RightVentricle右心室CardiacVein心脏静脉MitralValv二尖瓣CoronarySinus冠状窦CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiP传统的影像学诊断方法有胸部X线、超声心动图、MRI、心导管造影检查CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPCardiacAnatomyCardiacAn

3、atomyMDCT的优势扫描时间短扫描时间短空间分辨力较高空间分辨力较高三维后处三维后处理重组理重组GEMSC CT APPL TiPAscendingAortaPulmonaryArteryDescendingAortaAscendingAortaPulmonaryArteryDescendingAortaCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPAscendingAortaPulmonaryArteryDescendingAortaSuperiorVenaCavaAscendingAortaPulmonaryArter

4、yDescendingAortaSuperiorVenaCavaCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPSuperiorVenaCavaSuperiorVenaCavaLMALMAAscendingAortaAscendingAortaDescendingAortaDescendingAortaLADLeftMarginalBranchLADLeftMarginalBranchCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPSuperiorVenaCava

5、AscendingAortaDescendingAortaLADLeftMarginalBranchLMALCXSuperiorVenaCavaAscendingAortaDescendingAortaLADLeftMarginalBranchLMALCXPulmonaryArteryPulmonaryArteryCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPSuperiorVenaCavaSuperiorVenaCavaDescendingAortaDescendingAortaPulmonaryArteryPulmonar

6、yArteryLADLCxLCxLMBLMBLADLeftAtriumLeftAtriumCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPSuperiorVenaCavaSuperiorVenaCavaDescendingAortaDescendingAortaPulmonaryArteryPulmonaryArteryLADLCxLCxLMBLMBLADLeftAtriumLeftAtriumCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPDescendingA

7、ortaLCxLMBLADLeftAtriumDescendingAortaLCxLMBLADLeftAtriumRightAtriumLeftVentricleLeftVentricleAscendingAortaAscendingAortaRightAtriumCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPRCARCALeftVentricleLeftVentricleRightVentricleRightVentricleLeftAtriumLeftAtriumRightAtriumRightAtriumLCxLMBLC

8、xLMBCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPRCALeftVentricleRightVentricleLeftAtriumRightAtriumLCxLMBRCALeftVentricleRightVentricleLeftAtriumRightAtriumLCxLMBDescendingAortaDescendingAortaCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPRCARCALeftVentricleLeftVentricleRightV

9、entricleRightVentricleLeftAtriumLeftAtriumRightAtriumRightAtriumLCxLMBLCxCardiacVeinLMBCardiacVeinCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPRCALeftVentricleRightVentricleLeftAtriumRightAtriumLCxLMBRCALeftVentricleRightVentricleLeftAtriumRightAtriumLCxLMBAorticValveDescendingAortaDesce

10、ndingAortaCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPRCALeftVentricleRightVentricleLeftAtriumRightAtriumLCxLMBRCALeftVentricleRightVentricleLeftAtriumRightAtriumLCxLMBAorticValveCardiacVeinCardiacVeinCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPRCALeftVentricleRightVentricl

11、eLeftAtriumRightAtriumLCxLMBRCALeftVentricleRightVentricleLeftAtriumRightAtriumLMBDescendingAortaDescendingAortaCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPConusBranchConusBranchMitralValveRCALeftVentricleRightVentricleLeftAtriumRightAtriumLMBRCALeftVentricleRightVentricleLeftAtriumRigh

12、tAtriumLMBCardiacVeinCardiacVeinCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPRCALeftVentricleRightVentricleLeftAtriumRightAtriumLMBRCARightVentricleLeftAtriumRightAtriumLeftVentricleMitralValveDescendingAortaDescendingAortaCardiacVeinCardiacVeinCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEM

13、SC CT APPL TiPRCALeftVentricleRightVentricleLeftAtriumRightAtriumRCALeftVentricleRightVentricleLeftAtriumRightAtriumDescendingAortaDescendingAortaCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPDescendingAortaDescendingAortaRCALeftVentricleRightVentricleRightAtriumRCALeftVentricleRightVentr

14、icleRightAtriumCoronarySinusCoronarySinusCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPRCALeftVentricleRightVentricleRightAtriumRCALeftVentricleRightVentricleRightAtriumDescendingAortaDescendingAortaCoronarySinusCoronarySinusCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPRCALeft

15、VentricleRightVentricleRightAtriumRCALeftVentricleRightVentricleRightAtriumDescendingAortaDescendingAortaCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPRCALeftVentricleRightVentricleRCALeftVentricleRightVentricleDescendingAortaDescendingAortaCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT

16、 APPL TiPRCALeftVentricleRightVentricleRCALeftVentricleRightVentricleDescendingAortaDescendingAortaCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPRCALeftVentricleRightVentricleRCALeftVentricleRightVentricleDescendingAortaDescendingAortaLiverStomachLiverStomachCT平扫图象CT增强图象CardiacAnatomyCard

17、iacAnatomyGEMSC CT APPL TiPRCALeftVentricleRightVentricleRCALeftVentricleRightVentricleDescendingAortaDescendingAortaCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPRCALeftVentricleRightVentricleRCALeftVentricleRightVentricleDescendingAortaDescendingAortaLiverStomachLiverStomachCT平扫图象CT增强图象

18、CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPPDALeftVentricleRightVentriclePDARightVentricleLiverStomachLiverStomachCT平扫图象CT增强图象CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiP房间隔缺损AtrialSeptalDefect,ASDCardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPCT表现房间隔连续性中断。需两个层面以上可显示房；可直接测量缺损大小右心房、室增大肺动脉增宽伴肺动脉高压，主肺

19、动脉横径超过同水平主动脉，右心室壁增厚，右室扩大CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiP继发孔型房间隔缺损CT增强：房间隔连续中断CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiP室间隔缺损VentricalSeptalDefect，VSDCardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPCT表现nEBCT薄层扫描，显示室间隔中断、不连续n心室不同程度增大，肺血管增多、增粗n血流序列扫描，观察分流，定量计算CardiacAnatomyCardiacAnatomyGE

20、MSC CT APPL TiP室间隔缺损（圆锥部）GEMSC CT APPL TiP室间隔缺损（肌部）室间隔缺损（肌部）室间隔缺损（膜周部）CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiP动脉导管未闭PatentDuctusArteriosus,PDACardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPCT表现nEBCT或螺旋CT增强扫描可显示PDAn较大的动脉导管，可见左心室增大n肺动脉高压时，主肺动脉、左右肺动脉增宽，右心室增大CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiP降主动脉呈一大漏斗状，导管与主肺动脉相连通CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPCTn瓣膜增厚，开放受限n主肺动脉干狭窄后扩张n左肺动脉右肺动脉CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiP肺动脉瓣狭窄肺动脉瓣下狭窄CardiacAnatomyCardiacAnatomyGEMSC CT APPL TiPCardiacAnatomyCardiacAnatomyGEMSC CT APPL TiP/10/2943.