CT心脏断面解剖PPT课件.ppt

1、先天性心脏病及CT 影像诊断,小儿综合内科张伟,Cardiac Anatomy,Ascending 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(R

2、CA) 右冠状动脉 Posterior Descending 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 Anatomy,Cardiac Anatomy,MDCT的优势,扫描时间短 空间分辨力较高 三维后处理

3、重组,Ascending Aorta,Pulmonary Artery,Descending Aorta,Ascending Aorta,Pulmonary Artery,Descending Aorta,CT平扫图象 CT增强图象,Cardiac Anatomy,Ascending Aorta,Pulmonary Artery,Descending Aorta,Superior Vena Cava,Ascending Aorta,Pulmonary Artery,Descending Aorta,Superior Vena Cava,CT平扫图象 CT增强图象,Cardiac Anatomy

4、,Superior Vena Cava,Superior Vena Cava,LMA,LMA,Ascending Aorta,Ascending Aorta,DescendingAorta,Descending Aorta,LAD,Left Marginal Branch,LAD,Left Marginal Branch,CT平扫图象 CT增强图象,Cardiac Anatomy,Superior Vena Cava,Ascending Aorta,Descending Aorta,LAD,Left Marginal Branch,LMA,LCX,Superior Vena Cava,Asce

5、nding Aorta,Descending Aorta,LAD,Left Marginal Branch,LMA,LCX,Pulmonary Artery,Pulmonary Artery,CT平扫图象 CT增强图象,Cardiac Anatomy,Superior Vena Cava,Superior Vena Cava,Descending Aorta,Descending Aorta,Pulmonary Artery,Pulmonary Artery,LAD,LCx,LCx,LMB,LMB,LAD,Left Atrium,Left Atrium,CT平扫图象 CT增强图象,Cardia

6、c Anatomy,Superior Vena Cava,Superior Vena Cava,Descending Aorta,Descending Aorta,Pulmonary Artery,Pulmonary Artery,LAD,LCx,LCx,LMB,LMB,LAD,Left Atrium,Left Atrium,CT平扫图象 CT增强图象,Cardiac Anatomy,Descending Aorta,LCx,LMB,LAD,Left Atrium,Descending Aorta,LCx,LMB,LAD,Left Atrium,Right Atrium,Left Ventri

7、cle,Left Ventricle,Ascending Aorta,Ascending Aorta,Right Atrium,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,RCA,Left Ventricle,Left Ventricle,Right Ventricle,Right Ventricle,Left Atrium,Left Atrium,Right Atrium,Right Atrium,LCx,LMB,LCx,LMB,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,Left Ventricle,Right Ventricle,Left

8、Atrium,Right Atrium,LCx,LMB,RCA,Left Ventricle,Right Ventricle,Left Atrium,Right Atrium,LCx,LMB,Descending Aorta,Descending Aorta,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,RCA,Left Ventricle,Left Ventricle,Right Ventricle,Right Ventricle,Left Atrium,Left Atrium,Right Atrium,Right Atrium,LCx,LMB,LCx,CardiacV

9、ein,LMB,CardiacVein,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,Left Ventricle,Right Ventricle,Left Atrium,Right Atrium,LCx,LMB,RCA,Left Ventricle,Right Ventricle,Left Atrium,Right Atrium,LCx,LMB,Aortic Valve,Descending Aorta,Descending Aorta,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,Left Ventricle,Right Ventricle,Le

10、ft Atrium,Right Atrium,LCx,LMB,RCA,Left Ventricle,Right Ventricle,Left Atrium,Right Atrium,LCx,LMB,Aortic Valve,CardiacVein,CardiacVein,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,Left Ventricle,Right Ventricle,Left Atrium,Right Atrium,LCx,LMB,RCA,Left Ventricle,Right Ventricle,Left Atrium,Right Atrium,LMB,De

11、scending Aorta,Descending Aorta,CT平扫图象 CT增强图象,Cardiac Anatomy,ConusBranch,Conus Branch,Mitral Valve,RCA,Left Ventricle,Right Ventricle,Left Atrium,Right Atrium,LMB,RCA,Left Ventricle,Right Ventricle,Left Atrium,Right Atrium,LMB,CardiacVein,CardiacVein,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,Left Ventricle

12、,Right Ventricle,Left Atrium,Right Atrium,LMB,RCA,Right Ventricle,Left Atrium,Right Atrium,Left Ventricle,Mitral Valve,Descending Aorta,Descending Aorta,CardiacVein,CardiacVein,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,Left Ventricle,Right Ventricle,Left Atrium,Right Atrium,RCA,Left Ventricle,Right Ventricl

13、e,Left Atrium,Right Atrium,Descending Aorta,Descending Aorta,CT平扫图象 CT增强图象,Cardiac Anatomy,Descending Aorta,Descending Aorta,RCA,Left Ventricle,Right Ventricle,Right Atrium,RCA,Left Ventricle,Right Ventricle,Right Atrium,Coronary Sinus,Coronary Sinus,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,Left Ventricle,

14、Right Ventricle,Right Atrium,RCA,Left Ventricle,Right Ventricle,Right Atrium,Descending Aorta,Descending Aorta,Coronary Sinus,Coronary Sinus,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,Left Ventricle,Right Ventricle,Right Atrium,RCA,Left Ventricle,Right Ventricle,Right Atrium,Descending Aorta,Descending Aorta

15、,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,Left Ventricle,Right Ventricle,RCA,Left Ventricle,Right Ventricle,Descending Aorta,Descending Aorta,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,Left Ventricle,Right Ventricle,RCA,Left Ventricle,Right Ventricle,Descending Aorta,Descending Aorta,CT平扫图象 CT增强图象,Cardiac Anatomy,R

16、CA,Left Ventricle,Right Ventricle,RCA,Left Ventricle,Right Ventricle,Descending Aorta,Descending Aorta,Liver,Stomach,Liver,Stomach,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,Left Ventricle,Right Ventricle,RCA,Left Ventricle,Right Ventricle,Descending Aorta,Descending Aorta,CT平扫图象 CT增强图象,Cardiac Anatomy,RCA,L

17、eft Ventricle,Right Ventricle,RCA,Left Ventricle,Right Ventricle,Descending Aorta,Descending Aorta,Liver,Stomach,Liver,Stomach,CT平扫图象 CT增强图象,Cardiac Anatomy,PDA,Left Ventricle,Right Ventricle,PDA,Right Ventricle,Liver,Stomach,Liver,Stomach,CT平扫图象 CT增强图象,Cardiac Anatomy,房间隔缺损 Atrial Septal Defect, AS

18、D,Cardiac Anatomy,CT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 Anatomy,CT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

19、（肌部）,室间隔缺损 （膜周部）,Cardiac Anatomy,动脉导管未闭 Patent Ductus Arteriosus, PDA,Cardiac Anatomy,CT 表现,EBCT或螺旋CT增强扫描可显示PDA 较大的动脉导管，可见左心室增大 肺动脉高压时，主肺动脉、左右肺动脉增宽，右心室增大,Cardiac Anatomy,降主动脉呈一大漏斗状，导管与主肺动脉相连通,Cardiac Anatomy,CT,瓣膜增厚，开放受限 主肺动脉干狭窄后扩张 左肺动脉右肺动脉,Cardiac Anatomy,肺动脉瓣狭窄,肺动脉瓣下狭窄,Cardiac Anatomy,学海无崖苦作舟 书山有路勤为径,Cardiac Anatomy,