中华医学杂志（英文版）2010，Vol.123Issue(6)：670-674,5.DOI:10.3760/cma.j.issn.0366-6999.2010.06.006
Diagnostic value of dual-source CT in Kawasaki disease
Diagnostic value of dual-source CT in Kawasaki disease
CHAO Bao-ting 1WANG Xi-ming 1WU Le-bin 1CHEN Jie 1CHENG Zhao-ping 1WU Da-wei 1DUAN Yan-hua1
作者信息
- 1. Shandong Medical Imaging Research Institute,Shandong University,Ji'nan,Shandong 250021,China
- 折叠
摘要
Abstract
Background Doppler color echocardiography is a common method for detecting coronary artery lesions in patients with Kawasaki disease(KD).However,the diagnostic accuracy for the whole coronary artery lesions is limited.The purpose of this study was to compare the diagnostic value of dual-source computed tomography (DSCT) and Doppler color echocardiography for the assessment of coronary artery lesions caused by KD.Methods Sixteen patients,12 with typical KD and 4 with atypical KD,underwent DSCT and Doppler color echocardiography.The position and internal diameter of each coronary artery lesion was measured.Correlation analysis was used to compare the diagnostic value of the two imaging modalities.Results ln the typical KD group, seven patients did not have any coronary artery Iesion as confirmed by both DSCT scans and Doppler color echocardiography;in four patients proximal coronary artery injuries were identified by both modalities;in one patient an aneurysm in the middle and distal segments of the coronary artery was detected by DSCT but was negative in Doppler color echocardiography.In the atypical KD group,three cases showed the same results with both modalities,while one case with coronary artery stenosis in the middle segment was identified by DSCT but not detected by Doppler color echocardiography.There was a good correlation between the two imaging modalities(Kappa value,0.768(≥0.75)).Conclusion DSCT coronary artery angiography is an accurate,non-invasive,and valuable technique for detecting and following up coronary artery lesions in patients with KD.关键词
dual-source computed tomography/Kawasaki disease/coronary arteryKey words
dual-source computed tomography/Kawasaki disease/coronary artery引用本文复制引用
CHAO Bao-ting,WANG Xi-ming,WU Le-bin,CHEN Jie,CHENG Zhao-ping,WU Da-wei,DUAN Yan-hua..Diagnostic value of dual-source CT in Kawasaki disease [J].中华医学杂志（英文版）,2010,123(6):670-674,5.
