심장혈관 Computed Tomography 매뉴얼

1장 심장혈관 CT 혈관조영술 - 영상획득과 재구성을 위한 주요 개념
1. 영상획득과 관련한 개념 ·····························2
2. 검사 구성····································6
3. 영상 재구성과 분석 ·······························8
4. 관상동맥 석회화에 대한 임상연구 ························12
5. 관상동맥 석회화 - 배경·····························13
6. 관상동맥의 석회화와 관상동맥 폐쇄성 질환 ····················14
7. 관상동맥 석회화의 임상적 의의 ·························16

2장 심장혈관 CT 검사를 위한 필수사항 - 환자 선정 및 준비
1. 환자 선정과 관상동맥 CT angiography (CTA) 검사의 적응증···········20
2. 환자 준비 ···································21
3. 정맥 확보 ···································22
4. 수액공급 ···································23
5. 검사 전 투약 및 환자교육····························23
6. 조영제와 관련된 사항······························25
7. 결론 ·····································28

3장 심장혈관 석회화 - 평가와 시술과 관련된 영향
1. 영상 TIPS ···································33

4장 심장 기능 평가
1. 서론 ·····································36
2. 용어 ·····································36
3. 방법······································37
4. 심실의 해부학적 구조와 기능 ··························37
5. 심방 및 심실 측정 ·······························44
6. 검사의 적응증과 적합성·····························44
7. 결론 ·····································44
8. 영상 TIPS ···································45

5장 혈관내 초음파와 유사한 CT 혈관조영술
- 동맥경화반 특성화 및 경피적 관상동맥 중재술
1. 정량적 CTA ··································48
2. 동맥경화반 특성화 ·······························49
3. CTA-guided PCI ·······························53
4. 스텐트 삽입 최적화·······························55
5. 결론 ·····································55
6. 영상 TIPS ···································56

6장 관상동맥 CT 혈관조영술
1. 공간해상도···································61
2. 관상동맥 협착 진단을 위한 관상동맥 CT 혈관조영술의 적응증 ···········61
3. 관상동맥 CT 혈관조영술의 한계점························62
4. 영상 TIPS ···································63

7장 경피적 관상동맥 중재술 이후의 관상동맥 CT 혈관조영술
1. 서론 ·····································70
2. 기존 연구 결과·································70
3. 장·단점 - 적응증 및 금기사항 ·························72
4. 다른 검사 방법과의 비교 ····························73
5. 향후 연구 방향·································74
6. 영상 TIPS ···································74

8장 외과적 재관류술 이후의 관상동맥 CT 혈관조영술
1. 영상 TIPS···································90

9장 심근관류와 지연 조영증강 영상
1. 서론 ·····································92
2. 심근 섬유화와 생존심근 검출을 위한 MDCT ···················92
3. MDCT를 이용한 심근허혈 검출 ·························95
4. 영상 TIPS: 지연 조영증강····························97
5. 영상 TIPS: 심근허혈 ······························98

10장 심장 SPECT와 PET - 심장혈관 CT의 보완적 역할
1. 서론 ·····································102
2. 심장혈관 질환 예방을 위한 영상 ························102
3. 심장혈관 질환 진단을 위한 영상 ························103
4. 중재 시술을 위한 영상·····························106
5. 영상 TIPS···································111

11장 심장혈관 CT 영상의 전기생리학적 적용
1. 심장 돌연사와 연관된 심혈관계 유발요인 ····················114
2. 전기생리학적 지도작성 및 고주파 도자 절제술 ··················115
3. 심장 재동기화 치료 ······························121
4. 영상 TIPS ··································122

12장 심근/심낭질환
1. 서론 ·····································128
2. 심근질환의 CT 영상······························128
3. 심낭질환의 CT 영상 ······························131
4. 영상 TIPS ··································134

13장 심장 및 흉부 종괴에 대한 평가
1. 서론 ·····································138
2. 심장 종괴의 평가 ·······························141
3. 임상 TIPS ··································144

14장 심장혈관 CT를 이용한 심장판막질환 평가
1. 서론 ·····································152
2. 일반적 고려사항································152
3. 세부적인 개별 판막 이상····························155

15장 대동맥 및 대혈관
1. 서론 ·····································164
2. 정상 해부학적 구조 ······························164
3. 대동맥질환 ··································165
4. 영상 TIPS ··································172

16장 성인 선천성 심장질환
1. 임상 TIPS ··································186

17장 심장혈관 CT - 하지 혈관 구조의 평가
1. 다른 영상검사 방법과의 비교 : MR 혈관조영술 ·················190
2. 다른 영상검사 방법과의 비교 : Digital Substraction Angiography (DSA)·····191
3. 적응증 ····································192
4. 금기사항 ···································195
5. 영상획득 준비·································197
6. 영상 판독···································201
7. 영상 재구성을 위한 영상정보 ·························202
8. 판독을 위한 소프트웨어 기법 ·························203

18장 영상검사 방법 결정 - 심장혈관 CT와 심장혈관 MRI
1. 환자 선택 및 준비 ······························206
2. 심혈관계 구성요소의 특성화 ··························207
3. 영상 TIPS ··································213

19장 방사선 안전관리 - 방사선 조사량 측정과 방사선 피폭량 감소 기술
1. 서론 ·····································218
2. 방사선 조사량 측정의 기초···························218
3. 결론 ·····································230

20장 심장혈관 CT 시행을 위한 요건 - 검사의 적합성 및 수준
1. 검사의 적합성과 수준 ·····························238
2. 검사자 인증과 시설 인가····························238

21장 심장CT 영상을 통해 관찰되는 심장의 해부학적 구조

Index ·································277