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Clinical Application of Contrast-enhanced Whole-heart Coronary Magnetic Resonance Angiography at 3.0T

Author: ChenZhiYong
Tutor: DuanQing;SunBin
School: Fujian Medical
Course: Medical Imaging and Nuclear Medicine
Keywords: Coronary Contrast enhancement MRI Artery Clinical value Patients with coronary heart disease Coronary angiography Myocardial perfusion coronary Positive predictive value Subjects Negative predictive value Wall motion Contrast agent intravascular Image quality Confidence interval resonance Gold standard
CLC: R445.2
Type: Master's thesis
Year: 2010
Downloads: 12
Quote: 0
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Abstract


Objective: X-ray coronary angiography as the reference standard to prospectively investigate 3.0T magnetic resonance contrast-enhanced whole heart coronary imaging accuracy in the diagnosis of coronary artery stenosis (≥ 50%) . : 41 ( 27 male , 14 female , male 27 , female 14 , mean age 59.5 ± 10.7 years) consecutive subjects with clinically suspected patients with coronary heart disease MR contrast-enhanced whole heart coronary imaging check a week line X-ray coronary angiography within the subjects of these 41 cases , angiography as the \specificity, positive predictive value and negative predictive value . Results: 41 cases of MR contrast enhanced whole heart coronary imaging patients , 38 patients were satisfied with the inspection results ( 92.7% ) , the completion time of 9.8 ± 3.4 minutes , control and results of coronary angiography , MR contrast-enhanced whole-hearted coronary artery imaging in the diagnosis of coronary artery significant stenosis of each piece of blood vessel analysis sensitivity , specificity , positive predictive value and negative predictive value of 91.1% (95% confidence interval [ CI ] 79.6 to 96.7 ) , 82.7% ( 95 % CI 78.4 to 86.3 ) , 44.0% ( 95 % CI, 34.9 to 53.5) , 98.4 % (95 % CI 96.1 to 99.4 ) , based on the analysis of each patient sensitivity , specificity , positive predictive value and negative predictive value were 95.0% (95% CI 73.1 to 99.7), 83.3% (95% CI 57.7 to 95.6), 86.4% (95% CI 64.0 to 96.4), and 93.8% (95% CI 67.7 to 99.7). Conclusion : 3.0T magnetic resonance contrast-enhanced whole heart coronary imaging is a non-invasive , accurate diagnosis of coronary artery stenosis (gt; 50%) an important means .

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CLC: > Medicine, health > Clinical > Diagnostics > Diagnostic Imaging > Magnetic resonance imaging
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