CT心脏断面解剖课件

1、先天性心脏病及CT影像诊断小儿综合内科张伟Cardiac AnatomyAscending Aorta升主动脉Descending Aorta降主动脉Pulmonary Artery肺动脉Superior Vena Cava上腔静脉Left Coronary Artery(LCA)左冠状动脉Left Main Artery(LMA)左主干Left Anterior Descending(LAD)左前降支Left Marginal Branch(LMB)左边缘支Left Circumflex(LCX)左回旋支Right Coronary Artery(RCA) 右冠状动脉Posterior De

2、scending Artery(PDA) 后降支Conus Branch 动脉圆锥支Left Atrium 左心房Right Atrium 右心房Left Ventricle 左心室Right Ventricle 右心室Cardiac Vein 心脏静脉Mitral Valv 二尖瓣Coronary Sinus 冠状窦Cardiac Anatomy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 Cardiac AnatomyCardiac AnatomyMDCT的优势扫描时间短空间分辨力较高三维后处理重组Ascending AortaPulmonary ArteryDesc

3、ending AortaAscending AortaPulmonary ArteryDescending Aorta CT平扫图象 CT增强图象Cardiac AnatomySuperior Vena CavaSuperior Vena CavaLMA LMA Ascending AortaAscending AortaDescending AortaDescending AortaLAD Left MarginalBranch LAD Left MarginalBranch CT平扫图象 CT增强图象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平扫图象 CT增强图象Cardiac AnatomySuperior Vena CavaSuperior Vena CavaDescending AortaDescending AortaPulmonary ArteryPulmonary ArteryLAD LCx

5、 LCx LMB LMB LAD LeftAtriumLeftAtrium CT平扫图象 CT增强图象Cardiac AnatomyDescending AortaLCx LMB LAD LeftAtriumDescending AortaLCx LMB LAD LeftAtriumRightAtriumLeftVentricleLeftVentricleAscending AortaAscending AortaRightAtrium CT平扫图象 CT增强图象Cardiac AnatomyRCA RCA Left VentricleLeft VentricleRight Ventricle

6、Right VentricleLeft AtriumLeft AtriumRightAtriumRightAtriumLCx LMB LCx LMB CT平扫图象 CT增强图象Cardiac AnatomyRCA RCA Left VentricleLeft VentricleRight VentricleRight VentricleLeft AtriumLeft AtriumRight AtriumRight AtriumLCx LMB LCx Cardiac Vein LMB Cardiac Vein CT平扫图象 CT增强图象Cardiac AnatomyRCA Left Ventri

7、cleRight VentricleLeft AtriumRight AtriumLCx LMB RCA Left VentricleRight VentricleLeft AtriumRight AtriumLCx LMB Aortic ValveDescending AortaDescending Aorta CT平扫图象 CT增强图象Cardiac AnatomyRCA Left VentricleRight VentricleLeft AtriumRight AtriumLCx LMB RCA Left VentricleRight VentricleLeft AtriumRight

8、AtriumLMB Descending AortaDescending Aorta CT平扫图象 CT增强图象Cardiac AnatomyConus BranchConus BranchMitral ValveRCA Left VentricleRight VentricleLeft AtriumRight AtriumLMB RCA Left VentricleRight VentricleLeft AtriumRight AtriumLMB Cardiac Vein Cardiac Vein CT平扫图象 CT增强图象Cardiac AnatomyRCA Left VentricleR

9、ight VentricleLeft AtriumRight AtriumLMB RCA Right VentricleLeft AtriumRight AtriumLeft VentricleMitral ValveDescending AortaDescending AortaCardiac Vein Cardiac Vein CT平扫图象 CT增强图象Cardiac AnatomyRCA Left VentricleRight VentricleLeft AtriumRight AtriumRCA Left VentricleRight VentricleLeft AtriumRight

10、 AtriumDescending AortaDescending Aorta CT平扫图象 CT增强图象Cardiac AnatomyDescending AortaDescending AortaRCA Left VentricleRight VentricleRight AtriumRCA Left VentricleRight VentricleRight AtriumCoronary Sinus Coronary Sinus CT平扫图象 CT增强图象Cardiac AnatomyRCA Left VentricleRight VentricleRight AtriumRCA Lef

11、t VentricleRight VentricleRight AtriumDescending AortaDescending AortaCoronary Sinus Coronary Sinus CT平扫图象 CT增强图象Cardiac AnatomyRCA Left VentricleRight VentricleRCA Left VentricleRight VentricleDescending AortaDescending Aorta CT平扫图象 CT增强图象Cardiac AnatomyRCA Left VentricleRight VentricleRCA Left Ven

12、tricleRight VentricleDescending AortaDescending Aorta CT平扫图象 CT增强图象Cardiac AnatomyRCA Left VentricleRight VentricleRCA Left VentricleRight VentricleDescending AortaDescending Aorta CT平扫图象 CT增强图象Cardiac AnatomyRCA Left VentricleRight VentricleRCA Left VentricleRight VentricleDescending AortaDescendin

13、g AortaLiver Stomach Liver Stomach CT平扫图象 CT增强图象Cardiac AnatomyPDA Left VentricleRight VentriclePDA Right VentricleLiver Stomach Liver Stomach CT平扫图象 CT增强图象Cardiac Anatomy房间隔缺损Atrial Septal Defect, ASDCardiac AnatomyCT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，主肺动脉横径超过同水平主动脉，右心室壁增厚，右室扩大 Cardiac Anatomy继发孔型房间隔缺损CT增强：房间隔连续中断 Cardiac Anatomy室间隔缺损Ventrical Septal Defect，VSD Cardiac AnatomyCT表现EBCT薄层扫描，显示室间隔中断、不连续 心室不同程度增大，肺血管增多、增粗 血流序列扫描，观察分流，定量计算 Cardiac Anatomy室间隔缺损（圆锥部） 室间隔缺损（肌部） 室间隔缺损（膜周部） Cardiac Anatomy动脉导管未闭 Patent Ductus Arteriosus, PDA Cardiac AnatomyCT 表现E