http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 고진신 ( Jin Shin Kho ) (검색결과 1 건)
- 무료
- 기관 내 무료
- 유료
-
64열 다중검출 CT를 이용한 관상동맥 스텐트재협착의 평가
서명기 ( Myung Ki Seo ),고진신 ( Jin Shin Kho ),박소라 ( So Ra Park ),강영란 ( Young Ran Kwang ),강민경 ( Min Kyeng Kang ),조정현 ( Jung Hyun Cho ),안연정 ( Youn Jung An ),최봉룡 ( Bong Ryong Choi ),정영훈 ( Young Hoon Jeong ) 대한내과학회 2009 대한내과학회지 Vol.76 No.4
Background/Aims: Multidetector computed tomography (MDCT) is considered to be a noninvasive, alternative method for evaluating stent restenosis. However, the diagnostic accuracy of 16-channel MDCT for stent stenosis is reported to have severe limitations because of high-attenuation stent-related artifacts. 64-channel MDCT, which recently became available in clinical practice, has better spatial and temporal resolution than 16-channel MDCT. The diagnostic accuracy of 64-channel MDCT for stent restenosis (in-segment and in-stent) was assessed by comparing it with conventional coronary angiography. Methods: In-segment and in-stent restenosis (≥50% in diameter) were evaluated in 96 stent segments in 68 patients [61±12 years, 51 (75%) male] using both 64-channel MDCT and conventional coronary angiography. The in-stent analysis was confined to the portion of the artery covered by the stent and the in-segment analysis included the stent and 5 mm proximal or distal to the stent edges. Results: The 64-channel MDCT could evaluate stent restenosis in 93 of 96 (97%) stent segments. Quantitative conventional coronary angiography found in-segment restenosis (≥50% in diameter) in 16 of 68 (23%) patients and 16 of 96 (17%) segments. For the patients with interpretable stent segments, the sensitivity, specificity, positive predictive value, and negative predictive value of 64-channel MDCT for in-segment restenosis per patient were 63, 96, 83, and 89%, respectively; per segment they were 63, 97, 83, and 93%, respectively; and for in-stent restenosis per stent they were 82, 98, 82, and 98%, respectively. Conclusions: The diagnostic accuracy of 64-channel MDCT for assessing stent restenosis had high specificity and negative predictive value in the clinical setting. The 64-channel MDCT may be a promising, less-invasive imaging tool for stent restenosis, especially for the purpose of excluding stent restenosis. (Korean J Med 76:434-442, 2009)
KCI
KISS연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
