臨床光學同調斷層掃描術評估冠狀動脈疾病應用與發展

Clinical Evaluation of Optical Coherence Tomography for Coronary Artery Disease

唐國庭(Kuo-Ting Tang) ； 顧博明(Po-Ming Ku) ； 林招膨(Jao-Perng Lin) ； 陳志成(Zhih-Cherng Chen)

《台灣應用輻射與同位素雜誌》 9卷2期 (2013/06) Pp. 643-652

摘要

冠狀動脈造影（Coronary Angiography, CAG）是診斷冠狀動脈疾病最常用的檢查，單純冠狀動脈造影提供的資訊已不能滿足臨床對狹窄性病灶解剖特徵和生理功能評估的需要。對冠狀動脈血流動力學及病理生理學的研究不斷深入，血管內超音波（Intravascular Ultrasound, IVUS）及光學同調斷層掃瞄（Optical Coherence Tomography, OCT）等影像技術的出現，而OCT影像解析度比IVUS清析10倍，使我們對冠狀動脈狹窄程度的判斷、病變性質的評估及治療策略的選擇更為精準合宜，所以我們藉由本篇回顧OCT近年的發展及臨床上之應用。

關鍵字

電腦斷層 ； 冠狀動脈造影 ； 光學同調斷層掃瞄

並列摘要

Coronary angiography (CAG) is most commonly examine in the diagnosis of coronary artery disease, simple coronary angiography provides information not meet the clinical needs of the stenotic lesions anatomical characteristics and physiological functions of assessment, Further studies on coronary hemodynamics and pathophysiology The emergence of Intravascular Ultrasound (IVUS) and Optical Coherence Tomography (OCT), OCT image resolution is 10 times more clear than the IVUS. Make our judgment on the degree of coronary artery stenosis, assessment of lesions characteristic and more accurate and appropriate treatment strategies, by this review introduction the OCT in recent years development and clinical application.

並列關鍵字

Computed Tomography ； Coronary Angiography ； Optical Coherence Tomography