{"id":14252,"date":"2021-06-23T16:43:57","date_gmt":"2021-06-23T21:43:57","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=14252"},"modified":"2021-06-23T16:43:57","modified_gmt":"2021-06-23T21:43:57","slug":"whats-new-in-cardiothoracic-imaging-chinese-march-2021","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/zh-hans\/whats-new-in-cardiothoracic-imaging-chinese-march-2021\/","title":{"rendered":"What’s new in Cardiothoracic Imaging (Chinese) – March 2021"},"content":{"rendered":"

 <\/p>\n

Performance of Chest Computed Tomography in Differentiating Coronavirus Disease 2019 From Other Viral Infections Using a Standardized Classification<\/b>\u202f\u00a0<\/span><\/h5>\n

\u80f8\u90e8\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf\u5728\u4f7f\u7528\u6807\u51c6\u5316\u5206\u7c7b\u533a\u5206\u51a0\u72b6\u75c5\u6bd2\u75be\u75c5\u548c\u5176\u4ed6\u75c5\u6bd2\u611f\u67d3\u4e2d\u7684\u8868\u73b0<\/span>\u00a0<\/span><\/p>\n

\u5723\u4fdd\u7f57\u5927\u5b66\u7684\u653e\u5c04\u79d1\u533b\u751f\u62a5\u544a\u4e86\u4e00\u9879\u56de\u987e\u6027\u7814\u7a76\u7684\u6709\u8da3\u7ed3\u679c\uff0c\u5176\u4e2d\uff0c\u4e24\u540d\u80f8\u90e8\u653e\u5c04\u79d1\u533b\u751f\u6839\u636e<\/span>\u201c<\/span>\u5317\u7f8e\u653e\u5c04\u5b66\u4f1a\u5173\u4e8e\u62a5\u544a\u4e0e<\/span>COVID-19<\/span>\u76f8\u5173\u7684\u80f8\u90e8<\/span>CT<\/span>\u8868\u73b0\u7684\u58f0\u660e<\/span>\u201d<\/span>\u8bc4\u4f30\u4e86\u5206\u7c7b\u7cfb\u7edf\u5728\u68c0\u6d4b\u60a3\u8005\u7fa4\u4f53\u4e2d<\/span>COVID-19<\/span>\u7684\u6027\u80fd\u3002<\/span>\u00a0<\/span><\/p>\n

\u5728<\/span>2020<\/span>\u5e74<\/span>3<\/span>\u6708<\/span>15<\/span>\u65e5\u81f3<\/span>24<\/span>\u65e5\u671f\u95f4<\/span>\uff0c<\/span>\u6700\u521d\u7684\u4e00\u7ec4<\/span>350<\/span>\u540d\u60a3\u8005\u56e0\u62c5\u5fc3\u5728\u5176\u5927\u5b66\u611f\u67d3\u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\u800c\u63a5\u53d7\u4e86\u5f71\u50cf\u68c0\u67e5\u3002\u65e0<\/span>COVID-19 RT-PCR<\/span>\u7ed3\u679c\u7684\u60a3\u8005\u3001<\/span>COVID-19 RT-PCR<\/span>\u9633\u6027<\/span>\u3001<\/span>\u547c\u5438\u9053\u75c5\u539f\u4f53\u68c0\u6d4b\u7ec4<\/span>\uff08<\/span>RPPs<\/span>\uff09\u7684\u60a3\u8005\u4ee5\u53ca<\/span>COVID-19 RT-PCR<\/span>\u548c<\/span>RPPs<\/span>\u9634\u6027\u7684\u60a3\u8005\u88ab\u6392\u9664\u5728\u8bd5\u9a8c\u4e4b\u5916\uff0c\u6700\u7ec8\u961f\u5217\u5305\u542b<\/span>175<\/span>\u4e2a\u60a3\u8005\u3002\u8bb0\u5f55\u60a3\u8005\u7684\u4eba\u53e3\u5b66\u8d44\u6599\u3001\u4f34\u968f\u75be\u75c5<\/span>\u3001<\/span>CT<\/span>\u626b\u63cf\u65e5\u671f\u548c\u9996\u53d1\u75c7\u72b6\u65e5\u671f\u3002\u6240\u6709\u60a3\u8005\u5747\u5728\u547c\u6c14\u672b\u8fdb\u884c\u975e\u5bf9\u6bd4\u589e\u5f3a<\/span>CT<\/span>\u626b\u63cf\uff0c\u5e76\u8fdb\u884c<\/span>1mm<\/span>\u91cd\u5efa\u3002\u5bf9\u75c5\u6bd2\u5404\u7ec4\u7684\u7ed3\u679c\u4e0d\u77e5\u60c5\u7684\u653e\u5c04\u79d1\u533b\u751f\u8bc4\u4f30\u4e86\u8fd9\u4e9b\u56de\u987e\u6027\u7814\u7a76\uff0c\u5e76\u6839\u636e\u4e0a\u8ff0<\/span>RSNA<\/span>\u58f0\u660e\u5c06\u6bcf\u9879\u7814\u7a76\u5206\u4e3a\u56db\u79cd\u4e0d\u540c\u7c7b\u578b\u7684\u7ed3\u679c\uff0c\u5305\u62ec<\/span>\u201c<\/span>\u5178\u578b<\/span>\u201d\u3001\u201c<\/span>\u975e\u5178\u578b<\/span>\u201d\u3001\u201c<\/span>\u4e0d\u786e\u5b9a<\/span>\u201d<\/span>\u548c<\/span>\u201c<\/span>\u9634\u6027<\/span>\u201d\u3002 <\/span>\u5236\u5b9a\u4e86\u4e24\u79cd\u4e0d\u540c\u5206\u6790\u60c5\u51b5\u7684\u5b9a\u91cf\u8bc4\u4f30\u3002\u60c5\u51b5<\/span>1<\/span>\u4ec5\u4f7f\u7528\u6807\u8bb0\u4e3a<\/span>\u201c<\/span>\u5178\u578b<\/span>\u201d<\/span>\u7684\u626b\u63cf\u4f5c\u4e3a\u9633\u6027\u7ed3\u679c\uff0c\u800c\u6240\u6709\u6807\u8bb0\u4e3a<\/span>\u201c<\/span>\u4e0d\u786e\u5b9a<\/span>\u201d\u3001\u201c<\/span>\u975e\u5178\u578b<\/span>\u201d<\/span>\u548c<\/span>\u201c<\/span>\u9634\u6027<\/span>\u201d<\/span>\u7684\u626b\u63cf\u88ab\u5f52\u7c7b\u4e3a\u9634\u6027\u7814\u7a76\u3002\u7136\u540e\u8ba1\u7b97\u654f\u611f\u6027\u3001\u7279\u5f02\u6027\u3001\u9633\u6027\u9884\u6d4b\u503c\uff08<\/span>PPV<\/span>\uff09\u3001\u9634\u6027\u9884\u6d4b\u503c\uff08<\/span>NPV<\/span>\uff09\u548c\u51c6\u786e\u6027\u3002\u60c5\u51b5<\/span>2<\/span>\u5c06\u6807\u8bb0\u4e3a<\/span>\u201c<\/span>\u5178\u578b<\/span>\u201d<\/span>\u548c<\/span>\u201c<\/span>\u4e0d\u786e\u5b9a<\/span>\u201d<\/span>\u7684\u68c0\u67e5\u4f5c\u4e3a\u9633\u6027\u7814\u7a76\uff0c\u800c<\/span>\u201c<\/span>\u975e\u5178\u578b<\/span>\u201d<\/span>\u548c<\/span>\u201c<\/span>\u9634\u6027<\/span>\u201d<\/span>\u626b\u63cf\u518d\u6b21\u88ab\u5f52\u7c7b\u4e3a\u9634\u6027\u7814\u7a76\u3002\u91c7\u7528\u76f8\u540c\u7684\u5b9a\u91cf\u65b9\u6cd5\u8fdb\u884c\u6bd4\u8f83\u3002<\/span>\u00a0<\/span><\/p>\n

\u5728\u7eb3\u5165\u6700\u7ec8\u961f\u5217\u7684<\/span>175<\/span>\u540d\u60a3\u8005\u4e2d\uff0c<\/span>87<\/span>\u540d\u60a3\u8005\u7684<\/span>COVID-19 RT-PCR<\/span>\u68c0\u6d4b\u5448\u9633\u6027\uff0c<\/span>88<\/span>\u540d\u60a3\u8005\u7684<\/span>COVID-19 RT-PCR<\/span>\u68c0\u6d4b\u5448\u9634\u6027\uff0c<\/span>RPP<\/span>\u5448\u9633\u6027\u3002\u5728<\/span>87<\/span>\u4f8b\u9633\u6027\u60a3\u8005\u4e2d\uff0c<\/span>64<\/span>\u4f8b\uff08<\/span>73.6%<\/span>\uff09\u7684<\/span>CT<\/span>\u626b\u63cf\u7ed3\u679c\u88ab\u5f52\u7c7b\u4e3a<\/span>COVID-19<\/span>\u7684<\/span>\u201c<\/span>\u5178\u578b<\/span>\u201d<\/span>\u8868\u73b0\uff0c\u800c<\/span>88<\/span>\u4f8b\u60a3\u8005\u4e2d\u53ea\u6709<\/span>2<\/span>\u4f8b\uff08<\/span>2.3%<\/span>\uff09\u88ab\u5f52\u7c7b\u4e3a\u5178\u578b\uff08<\/span>p<0.001<\/span>\uff09\u3002<\/span>COVID<\/span>\u9634\u6027\u7ec4<\/span>60.2%<\/span>\u7684\u626b\u63cf\u7ed3\u679c\u4e3a<\/span>\u201c<\/span>\u9634\u6027<\/span>\u201d<\/span>\uff0c\u800c<\/span>COVID<\/span>\u9633\u6027\u7ec4<\/span>14.1%<\/span>\u7684\u626b\u63cf\u7ed3\u679c\u4e3a<\/span>\u201c<\/span>\u9634\u6027<\/span>\u201d\uff08<\/span>p<0.001<\/span>\uff09\u3002\u4e24\u4f4d\u653e\u5c04\u79d1\u533b\u751f\u4e4b\u95f4\u7684\u8bfb\u8005\u95f4\u4e00\u81f4\u6027\u826f\u597d\uff0c<\/span>k=0.80<\/span>\uff08<\/span>.73-.87<\/span>\uff09\uff0c\u8868\u660e\u8be5\u7814\u7a76\u4e2d\u653e\u5c04\u79d1\u533b\u751f\u8bca\u65ad\u7684\u53ef\u9760\u6027\u3002\u60c5\u51b5<\/span>1<\/span>\uff0c\u53ea\u6709<\/span>CT<\/span>\u626b\u63cf\u5206\u7c7b\u4e3a<\/span>\u201c<\/span>\u5178\u578b<\/span>\u201d<\/span>\u7684<\/span>COVID<\/span>\u88ab\u8ba4\u4e3a\u662f\u9633\u6027\uff0c\u5176\u654f\u611f\u6027\u4e3a<\/span>73.6%<\/span>\uff08<\/span>CI 95%<\/span>\uff1a<\/span>63-82.4%<\/span>\uff09\uff0c\u7279\u5f02\u6027\u4e3a<\/span>97.7%<\/span>\uff08<\/span>CI 95%<\/span>\uff1a<\/span>92-99.7%<\/span>\uff09\uff0c<\/span>PPV<\/span>\u4e3a<\/span>97%<\/span>\uff08<\/span>CI 95%<\/span>\uff1a<\/span>89.5-99.6%<\/span>\uff09\uff0c<\/span>NPV<\/span>\u4e3a<\/span>78.9%<\/span>\uff08<\/span>CI 95%<\/span>\uff1a<\/span>70-86.1%<\/span>\uff09\uff0c\u51c6\u786e\u6027\u4e3a<\/span>85.7%<\/span>\uff08<\/span>CI 95%<\/span>\uff1a<\/span>79.8-85.1%<\/span>\uff09\u3002\u60c5\u51b5<\/span>2<\/span>\uff0c\u9633\u6027\u7814\u7a76\u5177\u6709<\/span>\u201c<\/span>\u5178\u578b<\/span>\u201d<\/span>\u6216<\/span>\u201c<\/span>\u4e0d\u786e\u5b9a<\/span>\u201d<\/span>\u7684\u7279\u5f81\uff0c\u5176\u654f\u611f\u6027\u4e3a<\/span>82.8%<\/span>\uff08<\/span>CI 95%<\/span>\uff1a<\/span>73-90%<\/span>\uff09\uff0c\u7279\u5f02\u6027\u4e3a<\/span>87.5%<\/span>\uff08<\/span>CI 95%<\/span>\uff1a<\/span>78.7-93.6%<\/span>\uff09\uff0c<\/span>PPV<\/span>\u4e3a<\/span>86.7%<\/span>\uff08<\/span>CI 95%<\/span>\uff1a<\/span>77.5-93.2%<\/span>\uff09\uff0c<\/span>NPV<\/span>\u4e3a<\/span>83.6%<\/span>\uff08<\/span>CI 95%<\/span>\uff1a<\/span>74.5-90.6%<\/span>\uff09\uff0c\u51c6\u786e\u6027\u4e3a<\/span>85.1%<\/span>\uff08<\/span>CI 95%<\/span>\uff1a<\/span>79.8-85.1%<\/span>\uff09\u3002<\/span>\u00a0<\/span><\/p>\n

\u60c5\u51b5<\/span>1<\/span>\u548c\u60c5\u51b5<\/span>2<\/span>\u5728\u654f\u611f\u6027\u3001\u7279\u5f02\u6027\u548c<\/span>PPV<\/span>\u65b9\u9762\u5b58\u5728\u663e\u8457\u5dee\u5f02\uff0c\u60c5\u666f<\/span>1<\/span>\u4f18\u4e8e\u60c5\u666f<\/span>2<\/span>\u3002\u5728<\/span>COVID<\/span>\u9633\u6027\u7ec4\u548c\u9634\u6027\u7ec4\u7684<\/span>\u201c<\/span>\u5178\u578b<\/span>\u201d<\/span>\u548c<\/span>\u201c<\/span>\u9634\u6027<\/span>\u201d<\/span>\u626b\u63cf\u4e4b\u95f4\u4e5f\u5b58\u5728\u663e\u8457\u5dee\u5f02\u3002\u5728<\/span>COVID-19<\/span>\u9633\u6027\u961f\u5217\u4e2d\u6709\u5927\u91cf\u7684\u5047\u9634\u6027\u7ed3\u679c\u3002\u9633\u6027\u7ec4\u4e2d<\/span>\u201c<\/span>\u9634\u6027<\/span>\u201d<\/span>\u7ed3\u679c\u6570\u91cf\u80cc\u540e\u7684\u60f3\u6cd5\u53ef\u80fd\u4e0e\u75be\u75c5\u65e9\u671f\u51fa\u73b0\u7684\u4eba\u6570\uff08\u75c7\u72b6\u51fa\u73b0\u540e<\/span><5<\/span>\u5929\uff09\u6709\u5173\uff0c\u5360\u9634\u6027\u7ed3\u679c\u7684<\/span>99.9%<\/span>\uff08\u53ea\u6709\u4e00\u540d\u665a\u671f\u60a3\u8005\u6709<\/span>\u201c<\/span>\u9634\u6027<\/span>\u201d<\/span>\u7814\u7a76\uff09\u3002\u8fd9\u9879\u7814\u7a76\u8868\u660e\uff0c\u5bf9\u4e8e\u65b0\u578b\u51a0\u72b6\u75c5\u6bd2\u611f\u67d3\uff0c\u5177\u6709<\/span>\u201c<\/span>\u5178\u578b<\/span>\u201dCOVID-19<\/span>\u80ba\u708e\u8868\u73b0\u7684<\/span>CT<\/span>\u626b\u63cf\u53ef\u80fd\u5177\u6709\u76f8\u5bf9\u654f\u611f\u548c\u9ad8\u5ea6\u7279\u5f02\u6027\uff0c\u5e76\u4e14\u8fd9\u4e9b\u8868\u73b0\u5177\u6709\u9ad8\u5ea6\u7684\u89c2\u5bdf\u8005\u95f4\u53ef\u9760\u6027\u3002\u8fd9\u9879\u7814\u7a76\u6709\u4e00\u4e9b\u5c40\u9650\u6027\u3002\u4e3b\u8981\u800c\u8a00\uff0c\u5355\u4e00\u5b66\u672f\u673a\u6784\u7684\u5c0f\u6837\u672c\u91cf\u53ef\u80fd\u5bfc\u81f4\u62bd\u6837\u504f\u5dee\u3002\u6b64\u5916\uff0c\u9274\u4e8e\u672c\u7814\u7a76\u7684\u56de\u987e\u6027\u4ee5\u53ca\u672c\u7814\u7a76\u5728\u5168\u7403\u5927\u6d41\u884c\u671f\u95f4\u8fdb\u884c\u7684\u4e8b\u5b9e\uff0c\u653e\u5c04\u79d1\u533b\u751f\u53ef\u80fd\u5177\u6709\u66f4\u9ad8\u6c34\u5e73\u7684\u5185\u5728\u7684\u654f\u611f\u6027<\/span>\/<\/span>\u7279\u5f02\u6027\u3002\u65e0\u8bba\u5982\u4f55\uff0c\u8fd9\u9879\u8bd5\u9a8c\u5728\u7edf\u8ba1\u5b66\u4e0a\u4f3c\u4e4e\u662f\u5408\u7406\u7684\uff1b\u5c3d\u7ba1\u5927\u591a\u6570\u533b\u5b66\u4f1a\u4e0d\u5141\u8bb8\u4f7f\u7528<\/span>CT<\/span>\u4f5c\u4e3a\u7b5b\u67e5\u624b\u6bb5\uff0c\u4f46\u5728\u5408\u9002\u7684\u60a3\u8005\u7fa4\u4f53\u4e2d\uff0c<\/span>CT<\/span>\u53ef\u4ee5\u6210\u4e3a\u8bca\u65ad<\/span>COVID-19<\/span>\u80ba\u708e\u7684\u5b9d\u8d35\u5de5\u5177\u3002<\/span>\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Fleischner Society Visual Emphysema CT Patterns Help Predict Progression of Emphysema in Current and Former Smokers: Results from the\u202fCOPDGene\u202fStudy<\/b>\u202f\u00a0<\/span><\/h5>\n

Fleischner <\/span>\u5b66\u4f1a\u89c6\u89c9\u80ba\u6c14\u80bf<\/span>CT<\/span>\u6a21\u5f0f\u6709\u52a9\u4e8e\u9884\u6d4b\u73b0\u5728\u548c\u4ee5\u524d\u5438\u70df\u8005\u80ba\u6c14\u80bf\u7684\u8fdb\u5c55\uff1a\u6765\u81ea<\/span>COPDGene<\/span>\u7814\u7a76\u7684\u7ed3\u679c<\/span>\u00a0<\/span><\/p>\n

El Kaddouri, Bilal., Strand, Matthew J., Baraghoshi, David., Humphries, Stephen M., Charbonnier, Jean-Paul., Van\u202fRikxoort, Eva M., Lynch, David A.\u202f<\/span><\/p>\n

Radiology. 2021; 298(2): 441-449.\u202fdoi: 10.1148\/radiol.2020200563.<\/span>\u202f<\/span>\u00a0<\/span><\/p>\n

\u6765\u81ea\u6bd4\u5229\u65f6\uff0c\u8377\u5170\u548c\u7f8e\u56fd\u7684\u591a\u56fd\u7814\u7a76\u4eba\u5458\u5c0f\u7ec4\u53d1\u8868\u7684\u4e00\u7bc7\u6709\u8da3\u7684\u6587\u7ae0\u4e2d\uff0c\u7814\u7a76\u4eba\u5458\u63cf\u8ff0\u4e86\u80ba\u6c14\u80bf\u7684\u89c6\u89c9\u6a21\u5f0f\uff0c\u4ee5\u53ca\u5b83\u4eec\u5728\u968f\u8bbf\u8fc7\u7a0b\u4e2d\u4e0e\u60a3\u8005\u8fdb\u884c\u6027\u6c14\u4f53\u6f74\u7559\u548c\u529f\u80fd\u72b6\u6001\u4e4b\u95f4\u7684\u5173\u7cfb\u3002\u8fd9\u9879\u7814\u7a76\u662f\u4e00\u9879\u961f\u5217\u7814\u7a76\uff0c\u7eb3\u5165\u4e86\u60a3\u6709\u548c\u4e0d\u60a3\u6709\u6162\u6027\u963b\u585e\u6027\u80ba\u75be\u75c5\uff08<\/span>COPD<\/span>\uff09\u7684\u5f53\u524d\u548c\u4ee5\u524d\u5438\u70df\u8005\uff0c\u8fd9\u4e9b\u60a3\u8005\u53c2\u52a0\u4e86<\/span>COPD<\/span>\u524d\u77bb\u6027\u9057\u4f20\u6d41\u884c\u75c5\u5b66\u7814\u7a76\uff08<\/span>COPDGene<\/span>\uff09\u3002\u5728\u6700\u521d\u7684<\/span>5995<\/span>\u4f4d\u60a3\u8005\u4e2d\uff0c\u4ed6\u4eec\u5728\u7b2c\u4e00\u6b21\u5c31\u8bca\u540e\u7684\u4e94\u5e74\u5185\u5b8c\u6210\u4e86\u7b2c\u4e8c\u6b21\u5c31\u8bca\uff0c\u5176\u4e2d\u6709<\/span>829<\/span>\u4f4d\u60a3\u8005\u56e0\u5438\u70df\u72b6\u51b5\u53d1\u751f\u53d8\u5316\u6216\u7f3a\u4e4f\u5fc5\u8981\u7684\u5f71\u50cf\u5b66\u68c0\u67e5\u800c\u88ab\u6392\u9664\u5728\u5916\uff0c\u800c\u7eb3\u5165\u8be5\u961f\u5217\u4e2d\u6709<\/span>4166<\/span>\u4f4d\u60a3\u8005\u3002<\/span> 1655<\/span>\u4f8b\u60a3\u8005\uff08\u7ea6<\/span>41<\/span>\uff05\uff09\u901a\u8fc7\u80ba\u6d3b\u91cf\u8ba1\u8bc4\u4f30\u5f97\u5230\u4e86<\/span>COPD<\/span>\u7684\u6b63\u5f0f\u8bca\u65ad\u3002\u6839\u636e<\/span>COPDGene<\/span>\u7814\u7a76\u53c2\u6570\u5728\u5b8c\u5168\u5438\u6c14\u548c\u88ab\u52a8\u547c\u6c14\u65f6\u8fdb\u884c<\/span>CT<\/span>\u626b\u63cf\uff0c\u5e76\u4f7f\u7528\u4e2d\u7b49\u5206\u8fa8\u7387\u7684\u7b97\u6cd5\u5c06\u5176\u91cd\u5efa\u4e3a\u4e9a\u6beb\u7c73\u7684\u5c42\u539a\u3002\u4f7f\u7528<\/span>3D sliver<\/span>\u8f6f\u4ef6\u5bf9\u6bcf\u4e2a\u7814\u7a76\u4e2d\u5b58\u5728\u7684\u80ba\u6c14\u80bf\u7a0b\u5ea6\u8fdb\u884c\u5b9a\u91cf\u5206\u6790\u3002\u653e\u5c04\u79d1\u533b\u751f\u7684\u4efb\u52a1\u662f\u5c06\u80ba\u6c14\u80bf\u5206\u7c7b\u4e3a\u5c0f\u53f6\u6027\uff08<\/span>CLE<\/span>\uff09\u6216\u9694\u9694\uff08<\/span>PSE<\/span>\uff09\uff0c\u5e76\u4f7f\u7528\u6700\u65b0\u7684<\/span>Fleischner<\/span>\u6307\u5357\u5bf9\u80ba\u6c14\u80bf\u8fdb\u884c\u5206\u7ea7\uff08\u5bf9\u4e8e<\/span>CLE<\/span>\uff1a\u8f7b\u5ea6\uff0c\u4e2d\u5ea6\uff0c\u6c47\u5408\u6216\u665a\u671f\u7834\u574f\u6027\uff08<\/span>AD<\/span>\uff09\u6c14\u80bf\uff1b\u5bf9\u4e8e<\/span>PSE<\/span>\uff1a\u8f7b\u5ea6\u6216\u91cd\u5ea6\uff09\u3002\u6570\u636e\u6536\u96c6\u5305\u62ec\u60a3\u8005\u7684\u4eba\u53e3\u7edf\u8ba1\u5b66\u4fe1\u606f\uff0c\u652f\u6c14\u7ba1\u6269\u5f20\u836f\u53cd\u5e94\u6027\uff0c<\/span>6<\/span>\u5206\u949f\u6b65\u884c\u8bc4\u5206\uff0c\u547c\u5438\u56f0\u96be\u8bc4\u5206\u4ee5\u53ca\u60a3\u8005\u662f\u5426\u60a3\u6709<\/span>COPD<\/span>\u7684\u8bca\u65ad\u3002<\/span>\u00a0<\/span><\/p>\n

\u9274\u4e8e\u80ba\u6c14\u80bf\u7684<\/span>CLE<\/span>\u548c<\/span>PSE<\/span>\u6a21\u5f0f\u901a\u5e38\u662f\u540c\u65f6\u53d1\u751f\u7684\uff0c\u56e0\u6b64\u653e\u5c04\u7ebf\u533b\u5e08\u53ef\u4ee5\u51b3\u5b9a\u60a3\u8005\u6240\u8868\u73b0\u51fa\u7684\u4e3b\u8981\u6a21\u5f0f\u3002\u63d0\u51fa\u4e86\u7b2c\u4e09\u7c7b\u201c\u6df7\u5408\u6027\u201d\u80ba\u6c14\u80bf\uff0c\u4f46\u662f\u7814\u7a76\u4eba\u5458\u53d1\u73b0\u8be5\u7ec4\u5185\u592a\u591a\u6df7\u6742\u56e0\u7d20\u4ee5\u81f3\u4e8e\u5728\u7edf\u8ba1\u5b66\u4e0a\u662f\u4e0d\u53ef\u884c\u7684\u3002\u5bf9\u4e8e\u5728\u57fa\u7ebf<\/span>CT<\/span>\u4e0a\u53ef\u89c1\u5c11\u91cf\uff0c\u8f7b\u5ea6\u548c\u4e2d\u5ea6<\/span>CLE<\/span>\u53ef\u89c1\u7684\u60a3\u8005\uff0c\u7814\u7a76\u4eba\u5458\u89c2\u5bdf\u5230\u80ba\u6c14\u80bf\u548c\u6c14\u4f53\u6f74\u7559\u7684\u8fdb\u5c55\u901f\u5ea6\u589e\u52a0\u3002<\/span> CLE<\/span>\u7684\u4e25\u91cd\u7a0b\u5ea6\u589e\u52a0\u8fd8\u4e0e\u5e74\u9f84\u8f83\u5927\uff08\u5c11\u91cf<\/span>CLE<\/span>\u5e73\u5747<\/span>59<\/span>\u5c81\uff0c<\/span>AD CLE<\/span>\u5e73\u5747<\/span>66<\/span>\u5c81\uff1b<\/span> P <.001<\/span>\uff09\uff0c\u4f53\u91cd\u8f83\u8f7b\uff08\u5c11\u91cf<\/span>CLE<\/span>\u4e3a<\/span>86kg\uff0cAD CLE<\/span>\u4e3a<\/span>75kg<\/span>\uff09\uff0c\u975e\u897f\u73ed\u7259\u88d4<\/span>\uff0c<\/span>\u767d\u8272\u79cd\u65cf\uff0c\u66f4\u957f\u7684\u5438\u70df\u53f2\uff08<\/span>40<\/span>\u5305\u5e74\uff0c\u53ef\u8ffd\u6eaf\u5230<\/span>AD CLE<\/span>\u7684<\/span>58<\/span>\u5305\u5e74\uff0c<\/span>P <.001\uff09\uff0c<\/span>\u548c\u5f53\u524d\u5438\u70df\u8005\u7684\u60a3\u75c5\u7387\u8f83\u4f4e\uff08<\/span>52<\/span>\uff05\u7684\u5f53\u524d\u5438\u70df\u8005\u4e3a\u5c11\u91cf\uff0c<\/span>11<\/span>\uff05\u7684\u5f53\u524d\u5438\u70df\u8005\u4e3a<\/span>AD CLE\uff0cP <.001\uff09<\/span>\u6709\u5173\u3002\u5728<\/span>4166<\/span>\u4f8b\u60a3\u8005\u4e2d\u6709<\/span>1010<\/span>\u4f8b\uff08<\/span>24<\/span>\uff05\uff09\u89c2\u5bdf\u5230\u4e86<\/span>PSE<\/span>\u6c14\u80bf\u3002<\/span> 58<\/span>\uff05\u88ab\u8bc4\u4e3a\u8f7b\u5ea6\uff0c\u800c<\/span>42<\/span>\uff05\u88ab\u8bc4\u4e3a\u91cd\u5ea6\u3002\u5728\u975e\u767d\u4eba\u5438\u70df\u8005\u4e2d\u548c\u8f83\u6301\u4e45\u7684\u5f53\u524d\u5438\u70df\u8005\uff0c\u5438\u70df\u53f2\u66f4\u957f\u4e2d\uff08\u65e0\u70df\u8005\u4e3a<\/span>39.1<\/span>\u5e74\uff0c\u8f7b\u5ea6\u8005\u4e3a<\/span>45.2<\/span>\u5e74\uff0c\u91cd\u5ea6\u8005\u4e3a<\/span>49.3\uff0cP <.001\uff09\uff0cCT<\/span>\u4e0a\u51fa\u73b0<\/span>PSE<\/span>\u7684\u9891\u7387\u66f4\u9ad8\u3002<\/span> PSE<\/span>\u7684\u4e25\u91cd\u7a0b\u5ea6\u4e0e\u4f53\u91cd\u51cf\u8f7b\uff08\u8f7b\u8005<\/span>85kg<\/span>\uff0c\u91cd\u8005<\/span>81kg\uff0cP <.001<\/span>\uff09\u548c\u7537\u6027\uff08\u8f7b\u5ea6\u4eba\u7fa4\u4e2d<\/span>56<\/span>\uff05\u7684\u7537\u6027\uff0c\u91cd\u5ea6\u4eba\u7fa4\u4e2d\u7684<\/span>69<\/span>\uff05\uff09\u6709\u5173\u3002\u5728<\/span>CLE<\/span>\u548c<\/span>PSE<\/span>\u4e2d\uff0c\u8fdb\u5c55\u671f\u7684\u75be\u75c5\u6a21\u5f0f\u4e0e<\/span>GOLD<\/span>\u5206\u671f\u589e\u52a0\u6709\u5173\uff08<\/span>CLE 0\uff05pts<\/span>\u5c11\u91cf\u4e3a<\/span>29<\/span>\uff05\uff0c\u800c<\/span>AD CLE<\/span>\u4e3a<\/span>GOLD 4 P <.001<\/span>\uff09\uff08\u8f7b\u5ea6\u60a3\u8005\u7684<\/span>PSE <\/span>\u4e3a<\/span>1\uff05\uff0c<\/span>\u91cd\u5ea6<\/span>PSE<\/span>\u5728<\/span>GOLD 4<\/span>\u4e3a<\/span>3\uff05\uff0cP <.001<\/span>\uff09\uff0c\u4f7f\u6c14\u6d41\u963b\u585e\u6076\u5316\uff08<\/span>CLE<\/span>\u4ece\u5c11\u91cf\u7ec4\u4e2d\u9884\u6d4b<\/span>FEV1<\/span>\u7684<\/span>84\uff05<\/span>\u5230<\/span>AD CLE<\/span>\u4e2d\u9884\u6d4b<\/span>FEV1<\/span>\u7684<\/span>46\uff05\uff0cP <.001<\/span>\uff09\uff08\u8f7b\u5ea6\u7ec4<\/span> PSE<\/span>\u9884\u6d4b<\/span>FEV1<\/span>\u7684<\/span>81\uff05<\/span>\u5230\u91cd\u5ea6\u7ec4\u9884\u6d4b<\/span>FEV1<\/span>\u7684<\/span>76\uff05\uff0cP <.001<\/span>\uff09\uff0c\u5e76\u4e14\u5728<\/span>6<\/span>\u5206\u949f\u7684\u6b65\u884c\u6d4b\u8bd5\u4e2d\u83b7\u5f97\u7684\u8ddd\u79bb\u51cf\u5c11\uff08\u5c11\u91cf<\/span>CLE<\/span>\u7684<\/span>1441<\/span>\u82f1\u5c3a\u81f3<\/span>AD CLE<\/span>\u4e2d\u7684<\/span>1198<\/span>\u82f1\u5c3a\uff0c<\/span>P <.001\uff09\uff08PSE<\/span>\u8f7b\u5ea6\u7684<\/span>1419<\/span>\u82f1\u5c3a\u81f3\u91cd\u5ea6<\/span>PSE<\/span>\u7684<\/span>1394<\/span>\u82f1\u5c3a\uff09\u3002<\/span>\u00a0<\/span><\/p>\n

\u88ab\u8bca\u65ad\u60a3\u6709<\/span>COPD<\/span>\u4e14\u5728\u57fa\u7ebf<\/span>CT<\/span>\u626b\u63cf\u4e2d\u8fd8\u663e\u793a\u6709\u89c6\u89c9\u6c14\u80bf\u7684\u5438\u70df\u8005\u7684\u80ba\u5bc6\u5ea6\u964d\u4f4e\u4e86\u2013<\/span>5.1g \/ L\uff0895\uff05CI \u20136.0\uff0c-4.1\uff1b P <.001<\/span>\uff09\uff0c\u4e0e\u90a3\u4e9b\u6ca1\u6709\u57fa\u7ebf\u80ba\u6c14\u80bf\u7684\u5438\u70df\u8005\u76f8\u6bd4\u6709\u663e\u8457\u7684\u964d\u4f4e\uff0c\u540e\u8005\u80ba\u5bc6\u5ea6\u964d\u4f4e<\/span>-.1 g \/ L\uff0895\uff05CI \u20131.4\uff0c1.3\uff1b P = .92<\/span>\uff09\u3002\u4e0e\u767d\u4eba\u76f8\u6bd4<\/span>\uff084.6 g \/ L\uff0895\uff05CI 3.7\uff0c5.6\uff09<\/span>\uff0c\u975e\u6d32\u88d4\u7f8e\u56fd\u4eba\u53c2\u4e0e\u8005\u7684\u80ba\u5bc6\u5ea6\u4e0b\u964d\u5e45\u5ea6\u66f4\u5927<\/span>\uff086.7 g \/ L\uff0895\uff05CI 5.5\uff0c8.0\uff09\uff09\uff1b P <\/span>\uff1c<\/span>.001<\/span>\u3002\u9664\u5728<\/span>AD CLE<\/span>\u7ec4\u5916\uff0c\u80ba\u5bc6\u5ea6\u964d\u4f4e\u663e\u793a\u53ef\u9884\u6d4b\u80ba\u6c14\u80bf\u6076\u5316\u3002\u8fd9\u53ef\u89e3\u91ca\u4e3a\u878d\u5408\u7834\u574f\u6027\u53d8\u5316\u7684\u7a0b\u5ea6\u4e0e\u665a\u671f\u75be\u75c5\u76f8\u5173\u3002\u95f4\u9694\u65c1\u578b\u6c14\u80bf\u7684\u5b58\u5728\u4e0e\u6c14\u4f53\u6f74\u7559\u7684\u8fdb\u5c55\u589e\u52a0\u6709\u5173\uff0c\u968f\u7740<\/span>PSE<\/span>\u53d8\u5f97\u66f4\u52a0\u4e25\u91cd\uff0c\u8fd9\u79cd\u60c5\u51b5\u4f1a\u6076\u5316\u3002\u5176\u80cc\u540e\u7684\u7406\u8bba\u4e0e\u5916\u5468\u80ba\u56ca\u6027\u53d8\u5316\u7684\u80fd\u529b\u589e\u5f3a\u6709\u5173\uff0c\u5b83\u4eec\u80fd\u591f\u66f4\u81ea\u7531\u5730\u6269\u5c55\u4ee5\u5f62\u6210\u5927\u75b1\uff0c\u8fd9\u53ef\u80fd\u4f1a\u5bfc\u81f4\u80ba\u90e8\u66f4\u591a\u6b63\u5e38\u7684\u533a\u57df\u53d7\u538b\u3002\u8fd8\u72ec\u7acb\u6307\u51fa\uff0c\u4e0e<\/span>CLE<\/span>\u70df\u6c11\u76f8\u6bd4\uff0c<\/span>PSE<\/span>\u70df\u6c11\u7684\u70df\u76d2\u5e74\u6570\u4e5f\u589e\u52a0\u4e86\u3002\u8fd9\u9879\u7814\u7a76\u5f88\u597d\u5730\u6982\u8ff0\u4e86\u89c6\u89c9\u80ba\u6c14\u80bf\u7684\u5b58\u5728\u5982\u4f55\u72ec\u7acb\u6216\u53ef\u9760\u5730\u9884\u6d4b\u5438\u70df\u8005\u6216\u6709\u6216\u65e0<\/span>COPD<\/span>\u7684\u5148\u524d\u5438\u70df\u8005\u7684\u8fdb\u884c\u6027\u6c14\u9053\u963b\u585e\u3002\u8fd9\u9879\u7814\u7a76\u6709\u4e00\u4e9b\u5c40\u9650\u6027\u3002\u4e00\u4e2a\u4e3b\u8981\u7684\u9650\u5236\u662f\u6240\u4f7f\u7528\u7684\u4e8c\u8fdb\u5236\u79cd\u65cf\u5206\u7c7b\u7cfb\u7edf\u3002\u975e\u897f\u73ed\u7259\u88d4\u767d\u4eba\u6216\u975e\u897f\u73ed\u7259\u88d4\u9ed1\u4eba\u3002\u4e0d\u5305\u62ec\u8fd9\u4e24\u4e2a\u79cd\u65cf\u4ee5\u5916\u7684\u79cd\u65cf\u7684\u60a3\u8005\u5f88\u53ef\u80fd\u4f1a\u9650\u5236\u4ece\u5982\u6b64\u5927\u89c4\u6a21\u7684\u7814\u7a76\u4e2d\u83b7\u5f97\u7684\u4fe1\u606f\uff1b\u7279\u522b\u662f\u8003\u8651\u5230\u672c\u7814\u7a76\u4e2d\u89c2\u5bdf\u5230\u7684\u79cd\u65cf\u76f8\u5173\u7684\u80ba\u5bc6\u5ea6\u964d\u4f4e\u548c\u6c14\u4f53\u6f74\u7559\u3002\u5176\u6b21\uff0c\u7531\u4e8e<\/span>CLE<\/span>\u548c<\/span>PSE<\/span>\u901a\u5e38\u662f\u540c\u65f6\u53d1\u751f\u7684\uff0c\u56e0\u6b64\u5bf9\u7814\u7a76\u4eba\u5458\u548c\u60a3\u8005\u4eba\u7fa4\u800c\u8a00\uff0c\u6709\u5229\u7684\u662f\u5236\u5b9a\u4e00\u79cd\u5305\u62ec\u8fd9\u79cd\u6df7\u5408\u8868\u578b\u7ec4\u7684\u65b9\u6cd5\uff0c\u4ee5\u4fbf\u5bf9\u66f4\u771f\u5b9e\u7684\u60c5\u51b5\u8fdb\u884c\u66f4\u5f7b\u5e95\u7684\u7814\u7a76\u3002\u8fd9\u5c06\u4e5f\u662f\u6709\u8da3\u7684\uff0c\u5373\u5982\u4f55\u516c\u5e73\u7814\u7a76\u5728\u8fc7\u53bb\u7684\u4e94\u5e74\u4e2d\uff0c\u7531\u4e8e\u5438\u70df\u72b6\u51b5\u7684\u53d8\u5316\u800c\u88ab\u6392\u9664\u5728\u5916\u7684\u53c2\u4e0e\u8005\u3002<\/span>Page Break\u00a0<\/span><\/p>\n

 <\/p>\n

Social Distancing with Portable Chest Radiographs During the COVID-19 Pandemic: Assessment of Radiograph Technique and Image Quality Obtained at Six Feet and Through Glass<\/b>\u00a0<\/span><\/h5>\n

COVID-19 <\/span>\u5927\u6d41\u884c\u671f\u95f4\u4fbf\u643a\u5f0f\u80f8\u7247\u7684\u793e\u4ea4\u8ddd\u79bb\uff1a\u5728<\/span>6<\/span>\u82f1\u5c3a\u548c\u901a\u8fc7\u73bb\u7483\u83b7\u5f97\u7684\u5f71\u50cf\u6280\u672f\u548c\u5f71\u50cf\u8d28\u91cf\u7684\u8bc4\u4f30<\/span>\u00a0<\/span><\/p>\n

Christopher P. Gange, Jay K. Pahade, Isabel Cortopassi, Anna S. Bader, Jamal Bokhari, Matthew Hoerner, Kelly M. Thomas, Ami N. Rubinowitz<\/span>\u00a0<\/span><\/p>\n

Radiology: Cardiothoracic Imaging; Volume 2, Issue 6<\/span>\u00a0<\/span><\/p>\n

\u8036\u9c81\u5927\u5b66\u7684\u7814\u7a76\u4eba\u5458\u529b\u56fe\u7814\u7a76\u5141\u8bb8\u4fbf\u643a\u5f0f\u80f8\u7247\u901a\u8fc7\u73bb\u7483\u95e8\u62cd\u6444\u7684\u6548\u7528\uff0c\u4ee5\u51cf\u5c11\u5bf9\u6f5c\u5728\u7684<\/span>COVID-19<\/span>\u60a3\u8005\u7684\u66b4\u9732\uff0c\u540c\u65f6\u83b7\u5f97\u8bca\u65ad\u8d28\u91cf\u6210\u50cf\u3002\u7531\u4e8e\u6bcf\u6b21\u6280\u672f\u4eba\u5458\u8fdb\u884c\u4fbf\u643a\u5f0f<\/span>X<\/span>\u5c04\u7ebf\u7167\u76f8\u65f6\u90fd\u9700\u8981\u4f69\u6234\u4e2a\u4eba\u9632\u62a4\u88c5\u5907\uff08<\/span>PPE<\/span>\uff09\uff0c\u56e0\u6b64\u9f13\u52b1\u91c7\u7528\u4efb\u4f55\u53ef\u80fd\u7684\u65b9\u6cd5\u51cf\u5c11<\/span>PPE<\/span>\u7684\u4f7f\u7528\uff0c\u56e0\u4e3a\u5168\u4e16\u754c\u90fd\u5b58\u5728<\/span>PPE<\/span>\u77ed\u7f3a\u3002\u7814\u7a76\u4eba\u5458\u63a8\u6d4b\uff0c\u901a\u8fc7\u6025\u8bca\u5ba4\u7684\u73bb\u7483\u95e8\u53ef\u4ee5\u83b7\u5f97\u4fbf\u643a\u5f0f\u5c04\u7ebf\u7167\u7247\uff0c\u4ee5\u5e2e\u52a9\u51cf\u5c11\u6f5c\u5728\u7684\u75c5\u6bd2\u66b4\u9732\uff0c\u51cf\u5c11\u4e2a\u4eba\u9632\u62a4\u7528\u54c1\u7684\u4f7f\u7528\uff0c\u5e76\u63d0\u4f9b\u6709\u4ef7\u503c\u7684\u8bca\u65ad\u4fe1\u606f\u3002<\/span>\u00a0<\/span><\/p>\n

\u4f7f\u7528\u4e86\u4e24\u79cd\u6280\u672f\uff1a\u6807\u51c6\u6280\u672f\u548c\u6539\u826f\u6280\u672f\u3002\u6807\u51c6\u6280\u672f\u5305\u62ec\u5b8c\u5168\u7a7f\u6234\u4e2a\u4eba\u9632\u62a4\u7528\u54c1\uff0c\u5c06<\/span>x<\/span>\u5c04\u7ebf\u88c5\u7f6e\u5e26\u5230\u75c5\u4eba\u7684\u623f\u95f4\uff0c\u653e\u5728\u5e8a\u811a\uff0c\u63a2\u6d4b\u5668\u653e\u5728\u75c5\u4eba\u80cc\u540e\uff0c\u673a\u5668\u548c\u63a2\u6d4b\u5668\u4e4b\u95f4\u7684\u8ddd\u79bb\u7ea6\u4e3a<\/span>50<\/span>\u82f1\u5bf8\u3002\u6539\u8fdb\u540e\u7684\u6280\u672f\u5305\u62ec<\/span>72<\/span>\u82f1\u5bf8\u7684\u8ddd\u79bb\uff0c\u5141\u8bb8\u6280\u672f\u4eba\u5458\u548c<\/span>x<\/span>\u5c04\u7ebf\u8bbe\u5907\u5728\u623f\u95f4\u5916\uff0c\u63a2\u6d4b\u5668\u7531\u4e00\u540d\u7a7f\u6234<\/span>PPE<\/span>\u7684\u62a4\u58eb\u653e\u7f6e\u5728\u60a3\u8005\u623f\u95f4\u3002\u6539\u8fdb\u540e\u7684\u6280\u672f\u9700\u8981\u66f4\u9ad8\u7684\u8f90\u5c04\u91cf\u548c\u80fd\u91cf\uff0c\u4ee5\u8db3\u591f\u80fd\u7a7f\u900f\u73bb\u7483\u95e8\u548c\u4f4e\u66dd\u5149\u65f6\u95f4\u4ee5\u51cf\u5c11\u8fd0\u52a8\u6a21\u7cca\u3002\u4f7f\u7528<\/span>SmartGrid<\/span>\u8f6f\u4ef6\u8c03\u6574\u589e\u52a0\u7684\u6563\u5c04\u8f90\u5c04\uff0c\u4ee5\u63d0\u9ad8\u56fe\u50cf\u8d28\u91cf\uff0c\u800c\u4e0d\u662f\u6807\u51c6\u7684\u4f20\u7edf\u9632\u6563\u5c04\u5149\u6805\u3002\u66b4\u9732\u6307\u6570\u503c\u53ef\u7528\u4e8e\u4f30\u8ba1\u60a3\u8005\u5728\u63a2\u6d4b\u5668\u5904\u7684\u8f90\u5c04\u66b4\u9732\uff1b\u6539\u826f\u6280\u672f\u9009\u62e9\u7684<\/span>EI<\/span>\u503c\u4e3a<\/span>300 kVp<\/span>\uff0c\u800c\u4e0d\u662f\u6807\u51c6\u7684<\/span>200 kVp<\/span>\uff0c\u4f46\u4e2a\u4eba\u5c04\u7ebf\u7167\u7247\u7684\u771f\u5b9e\u503c\u662f\u4e0d\u540c\u7684\uff0c\u5e76\u662f\u57fa\u4e8e\u60a3\u8005\u7684<\/span>BMI<\/span>\u3002\u4e3a\u4e86\u6bd4\u8f83\u6807\u51c6\u6280\u672f\u548c\u6539\u826f\u6280\u672f\uff0c\u6bcf\u79cd\u6280\u672f\u7684<\/span>50<\/span>\u5f20<\/span>x<\/span>\u7ebf\u7167\u7247\u7531\u4e09\u4f4d\u80f8\u79d1\u653e\u5c04\u79d1\u533b\u751f\u968f\u673a\u8bc4\u4f30\u3002\u56fe\u50cf\u5206\u4e3a\u8bca\u65ad\u6027\u6216\u975e\u8bca\u65ad\u6027\uff0c\u4ee5\u53ca\u8bb0\u5f55\u4efb\u4f55\u80ba\u5b9e\u8d28\u5f02\u5e38\u3002<\/span>\u00a0<\/span><\/p>\n

\u6539\u826f\u6280\u672f\u5bfc\u81f4\u6240\u6709\u60a3\u8005\u7684\u63a2\u6d4b\u5668<\/span>EI<\/span>\u66f4\u9ad8\uff08<\/span>p<0.001<\/span>\uff09\u3002\u60a3\u8005<\/span>BMI<\/span>\u5728\u8fdb\u5165\u76ae\u80a4\u66b4\u9732\u4e2d\u53d1\u6325\u4f5c\u7528\uff0c\u4e0e\u6807\u51c6\u6280\u672f\u76f8\u6bd4\uff0c<\/span>BMI>50%<\/span>\u7684\u60a3\u8005\u5177\u6709\u66f4\u9ad8\u7684\u66b4\u9732\u6307\u6570\u3002\u5176\u4e2d\u4e24\u4f4d\u653e\u5c04\u79d1\u533b\u751f\u5bf9<\/span>100<\/span>\u5f20<\/span>X<\/span>\u7ebf\u7167\u7247\u4e2d\u7684\u6bcf\u5f20\u56fe\u50cf\u7684\u8d28\u91cf\u8fdb\u884c\u4e86\u8bca\u65ad\u6027\u8bc4\u4ef7\uff0c\u800c\u7b2c\u4e09\u4f4d\u653e\u5c04\u79d1\u533b\u751f\u8bf4\u6709<\/span>3<\/span>\u4e2a<\/span>X<\/span>\u7ebf\u7167\u7247\u662f\u4e0d\u53ef\u8bca\u65ad\u6027\u7684\uff08<\/span>2<\/span>\u9879\u662f\u6807\u51c6\u6280\u672f\uff0c<\/span>1<\/span>\u9879\u662f\u6539\u826f\u7684\uff09\u3002\u63a5\u53d7\u8c03\u67e5\u7684\u6280\u672f\u4e13\u5bb6\u8ba4\u4e3a\uff0c\u4f7f\u7528\u65b0\u6280\u672f\u66f4\u5b89\u5168\uff0c\u8ba4\u8bc6\u5230\u4e2a\u4eba\u9632\u62a4\u7528\u54c1\u7684\u4f7f\u7528\u51cf\u5c11\uff0c\u5e76\u4e14\u8ba4\u4e3a\u6539\u8fdb\u540e\u7684\u6280\u672f\u5373\u4f7f\u4e0d\u592a\u5bb9\u6613\u5b9e\u65bd\uff0c\u4e5f\u540c\u6837\u5bb9\u6613\u3002\u603b\u7684\u6765\u8bf4\uff0c\u8fd9\u9879\u7814\u7a76\u663e\u793a\u4e86\u4e00\u7ec4\u826f\u597d\u7684\u521d\u59cb\u6570\u636e\uff0c\u5728\u8fd9\u4e9b\u6570\u636e\u4e2d\uff0c\u8fd9\u79cd\u6539\u8fdb\u7684\u65b9\u6848\u53ef\u80fd\u6709\u52a9\u4e8e\u786e\u4fdd\u653e\u5c04\u56e2\u961f\u7684\u5b89\u5168\uff0c\u540c\u65f6\u4e5f\u63d0\u4f9b\u8bca\u65ad\u7ea7\u522b\u7684\u4fe1\u606f\u3002<\/span>\u00a0<\/span><\/p>\n

\u8fd9\u9879\u7814\u7a76\u7684\u5c40\u9650\u6027\u5305\u62ec\u6837\u672c\u91cf\u5c0f\uff0c\u5e76\u4e14\u5bf9\u540c\u4e00\u60a3\u8005\u6ca1\u6709\u4ece\u6539\u826f\u6280\u672f\u5230\u6807\u51c6\u6280\u672f\u7684\u6bd4\u8f83\u3002\u6b64\u5916\uff0c\u8fd9\u79cd\u6280\u672f\u4f9d\u8d56\u4e8e\u73af\u5883\uff0c\u56e0\u4e3a\u5e76\u975e\u6240\u6709\u6025\u8bca\u5ba4\u90fd\u6709\u4e00\u6247\u73bb\u7483\u95e8\u4f9b\u75c5\u4eba\u4f7f\u7528\u3002\u8fd9\u9879\u7814\u7a76\u81f3\u5c11\u63d0\u4f9b\u4e86\u4e00\u4e2a\u6846\u67b6\uff0c\u5404\u4e2a\u673a\u6784\u53ef\u4ee5\u7528\u6765\u5f62\u6210\u81ea\u5df1\u7684\u65b9\u6848<\/span>\u3002<\/span>\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

Multimodality Assessment of Thoracic Aortic Dimensions: Comparison of CTA, MRI and Echocardiography Measurements<\/b>\u00a0<\/span><\/h5>\n

\u80f8\u4e3b\u52a8\u8109\u5916\u5f62\u7684\u591a\u6a21\u6001\u8bc4\u4f30\uff1a<\/span>CTA\u3001MRI<\/span>\u548c\u8d85\u58f0\u5fc3\u52a8\u56fe\u6d4b\u91cf\u7684\u6bd4\u8f83<\/span>\u00a0<\/span><\/p>\n

Caio Frazao, Anahita Tavoosi, Bernd J Wintersperger, Elsie T Nguyen, Rachel M Wald, Maral Ouzounian, Kate Hanneman<\/span>\u00a0<\/span><\/p>\n

Journal of Thoracic Imaging, April 3 2020, online ahead of print edition<\/span>\u00a0<\/span><\/p>\n

\u591a\u4f26\u591a\u603b\u533b\u9662\u7684\u7814\u7a76\u4eba\u5458\u529b\u56fe\u4f7f\u7528<\/span>CTA\uff0cMRI<\/span>\u548c\u8d85\u58f0\u5fc3\u52a8\u56fe\u8fdb\u884c\u80f8\u4e3b\u52a8\u8109\u6d4b\u91cf\u7684\u591a\u65b9\u5f0f\u95f4\u5dee\u5f02\u3002\u8fd9\u4e09\u79cd\u65b9\u5f0f\u7528\u4e8e\u5bf9\u5df2\u77e5\u6216\u7591\u4f3c\u80f8\u4e3b\u52a8\u8109\u7624\u7684\u60a3\u8005\u8fdb\u884c\u7b5b\u67e5\uff0c\u5e76\u4e14\u9009\u62e9\u7684\u65b9\u5f0f\u901a\u5e38\u662f\u6839\u636e\u5404\u79cd\u5404\u6837\u7684\u56e0\u7d20\uff0c\u5305\u62ec\u4e34\u5e8a\u72b6\u6001\uff0c\u8bca\u65ad\u95ee\u9898\uff0c\u5f53\u5730\u4e13\u4e1a\u77e5\u8bc6\u548c\u53ef\u7528\u6027\u3002\u6839\u636e\u7528\u4e8e\u6d4b\u91cf\u4e3b\u52a8\u8109\u7684\u65b9\u6848\u5728\u4e0d\u540c\u65b9\u5f0f\u548c\u4e0d\u540c\u7ec4\u7ec7\u4e4b\u95f4\u5b58\u5728\u5f88\u5927\u5dee\u5f02\uff0c\u672c\u7814\u7a76\u7684\u76ee\u7684\u662f\u6bd4\u8f83\u4e0d\u540c\u65b9\u5f0f\u4e4b\u95f4\u7684\u5dee\u5f02\u4ee5\u53ca\u4e0d\u540c\u7684\u6d4b\u91cf\u6280\u672f\u3002<\/span>\u00a0<\/span><\/p>\n

\u8fd9\u662f\u4e00\u9879\u56de\u987e\u6027\u7814\u7a76\uff0c\u9009\u62e9\u4e86<\/span>127<\/span>\u4f8b\u5728<\/span>6<\/span>\u4e2a\u6708\u5185\u63a5\u53d7\u8fc7<\/span>CTA<\/span>\u548c<\/span>MRI<\/span>\u8bc4\u4f30\u4e3b\u52a8\u8109\u6839\u548c<\/span>\/<\/span>\u6216\u80f8\u4e3b\u52a8\u8109\u7684\u60a3\u8005\u3002\u8fd9\u4e9b\u60a3\u8005\u4e2d\u6709<\/span>23<\/span>\u4f8b\u5177\u6709\u7ecf\u80f8\u8d85\u58f0\u5fc3\u52a8\u56fe\u62a5\u544a\uff0c\u8be5\u62a5\u544a\u5df2\u5305\u62ec\u5728\u5206\u6790\u4e2d\u3002\u6240\u6709\u7eb3\u5165\u7684\u60a3\u8005\u5747\u5728\u81f3\u5c11<\/span>72<\/span>\u5929\u5185\u8fdb\u884c\u4e86\u626b\u63cf\u3002\u6392\u9664\u6807\u51c6\u5305\u62ec\u95f4\u6b47\u6027\u5fc3\u810f\u624b\u672f\u6216\u4e3b\u52a8\u8109\u5939\u5c42\u3002<\/span> CTA<\/span>\u662f\u901a\u8fc7<\/span>64<\/span>\u6392\u6216<\/span>320<\/span>\u6392\u63a2\u6d4b\u5668\u6839\u636e\u5404\u79cd\u626b\u63cf\u65b9\u6848\u83b7\u5f97\u7684\uff0c\u4f46\u662f\u5178\u578b\u7684\u626b\u63cf\u53c2\u6570\u5305\u62ec<\/span>0.5 mm<\/span>\u7684\u51c6\u76f4\uff0c<\/span>0.5-5 mm<\/span>\u7684\u91cd\u5efa\u5c42\u539a\uff0c<\/span>100-120 kVp<\/span>\u4ee5\u53ca\u6839\u636e\u4f53\u578b\u8fdb\u884c\u7684\u7ba1\u7535\u6d41\u8c03\u6574\u3002\u5728<\/span>1.5<\/span>\u6216<\/span>3T Siemens<\/span>\u626b\u63cf\u4eea\u4e0a\u8fdb\u884c<\/span>MRI<\/span>\u68c0\u67e5<\/span>\uff0c<\/span>\u91c7\u7528\u901a\u8fc7\u4e3b\u52a8\u8109\u6839\u7684\u56de\u987e\u6027\u95e8\u63a7<\/span>SSFP<\/span>\u56fe\u50cf\u3002<\/span> MRA<\/span>\u56fe\u50cf\u662f\u901a\u8fc7\u975e<\/span>ECG<\/span>\u95e8\u63a7\u5bf9\u6bd4\u589e\u5f3a<\/span>MRA<\/span>\u83b7\u5f97\u7684\u3002\u6d4b\u91cf\u662f\u7531\u4e00\u540d\u7ecf\u8fc7\u80f8\u90e8\u8bad\u7ec3\u7684\u653e\u5c04\u79d1\u533b\u751f\u5728\u7aa6\u623f\uff0c\u7aa6\u7ba1\u4ea4\u754c\u5904\uff08<\/span>STJ<\/span>\uff09\uff0c\u8fd1\u7aef\u5347\u4e3b\u52a8\u8109\uff08\u8ddd<\/span>STJ 1<\/span>\u5398\u7c73\uff09\uff0c\u8fdc\u7aef\u5347\u4e3b\u52a8\u8109\uff08\u5b9a\u4e49\u4e3a\u7b2c\u4e00\u4e2a\u4e3b\u52a8\u8109\u5f13\u5206\u652f\u8d77\u70b9\u4ee5\u4e0b<\/span>1<\/span>\u5398\u7c73\uff09\u5904\u8fdb\u884c\u7684\u3002\u6700\u5927\u5f84\u5347\u4e3b\u52a8\u8109\uff0c\u8fd1\u7aef\u4e3b\u52a8\u8109\u5f13\uff0c\u8fdc\u7aef\u4e3b\u52a8\u8109\u5f13\uff0c\u8fdc\u7aef\u964d\u4e3b\u52a8\u8109\u548c\u6700\u5927\u5f84\u964d\u4e3b\u52a8\u8109\u3002\u4f7f\u7528<\/span>STATA<\/span>\u8f6f\u4ef6\u8fdb\u884c\u7edf\u8ba1\u5206\u6790\u3002<\/span>\u00a0<\/span><\/p>\n

\u4f7f\u7528\u5185\u8154\u95f4\uff08<\/span>II<\/span>\uff09\u6216\u5916\u8154\u95f4\uff08<\/span>OO<\/span>\uff09\u7684\u6d4b\u91cf\u3002\u901a\u8fc7\u8fd9\u4e24\u79cd\u6d4b\u91cf\uff0c<\/span>CT<\/span>\u548c<\/span>MRI<\/span>\u5728\u4e3b\u52a8\u8109\u6839\u90e8\u5747\u672a\u663e\u793a\u5dee\u5f02\u3002<\/span> II<\/span>\u6d4b\u91cf\u7ed3\u679c\u786e\u5b9e\u663e\u793a\u4e86\u8fdc\u7aef\u964d\u4e3b\u52a8\u8109\u7684\u5dee\u5f02\uff08<\/span>20.2 vs 19.8\uff0cP <0.001<\/span>\uff09\u3002\u4f7f\u7528<\/span>OO<\/span>\u6280\u672f\u548c<\/span>II<\/span>\u6280\u672f\uff0c<\/span>MRI<\/span>\u6d4b\u91cf\u7684<\/span>TTE<\/span>\u4e3b\u52a8\u8109\u6839\u76f4\u5f84\u660e\u663e\u5c0f\u4e8e<\/span>CT<\/span>\u6d4b\u91cf\u7ed3\u679c\uff08\u5e73\u5747\u5dee<\/span>4.9 mm\uff0cP <0.001<\/span>\uff09\u3002\u5728<\/span>TTE<\/span>\u548c<\/span>CT<\/span>\u4e4b\u95f4\u672a\u89c1\u8fd1\u7aef\u5347\u4e3b\u52a8\u8109\u7684\u5dee\u5f02\u3002<\/span> TTE<\/span>\u4e3b\u52a8\u8109\u6839\u90e8\u76f4\u5f84\u660e\u663e\u5c0f\u4e8e\u4f7f\u7528<\/span>II<\/span>\u548c<\/span>OO<\/span>\u6280\u672f\u7684<\/span>MRI<\/span>\u6d4b\u91cf\u7ed3\u679c\uff08\u5e73\u5747\u5dee<\/span>4.8 mm\uff1b P <0.001<\/span>\uff09\u3002\u5728\u8fd1\u7aef\u5347\u4e3b\u52a8\u8109\u7684<\/span>TTE<\/span>\u548c<\/span>MR<\/span>\u6d4b\u91cf\u4e4b\u95f4\u6ca1\u6709\u663e\u8457\u5dee\u5f02\u3002\u603b\u4f53\u800c\u8a00\uff0c\u8fd9\u4e9b\u7ed3\u679c\u5bf9\u4e8e\u8868\u660e<\/span>CT<\/span>\u6216<\/span>MR<\/span>\u53ef\u7528\u4e8e\u8bc4\u4f30\u4e3b\u52a8\u8109\u975e\u5e38\u91cd\u8981\uff0c\u5e76\u4e14\u4e24\u79cd\u65b9\u5f0f\u4e4b\u95f4\u6709\u5f88\u597d\u7684\u4e00\u81f4\u6027\u3002\u76f8\u53cd\uff0c\u5728\u4e3b\u52a8\u8109\u6839\u90e8\uff0c<\/span>TTE<\/span>\u7684\u76f4\u5f84\u660e\u663e\u5c0f\u4e8e<\/span>CT<\/span>\u548c<\/span>MR<\/span>\u3002\u603b\u4f53\u800c\u8a00\uff0c<\/span>CT<\/span>\u548c<\/span>MR<\/span>\u4e3b\u52a8\u8109\u6d4b\u91cf\u4e4b\u95f4\u7684\u826f\u597d\u4e00\u81f4\u6027\u53ef\u4ee5\u5e2e\u52a9\u6307\u5bfc\u68c0\u67e5\u65b9\u5f0f\u7684\u9009\u62e9\uff0c\u4ee5\u4fbf\u5c06\u6765\u5bf9\u4e3b\u52a8\u8109\u7624\u8fdb\u884c\u7b5b\u67e5\uff0c\u653e\u5c04\u7ebf\u533b\u5e08\u5e94\u8bf4\u660e\u4ed6\u4eec\u4f7f\u7528\u4e86\u54ea\u79cd\u6d4b\u91cf\u6280\u672f\uff08<\/span>II<\/span>\u6216<\/span>OO<\/span>\uff09\u6765\u786e\u4fdd\u8fdb\u4e00\u6b65\u7814\u7a76\u7684\u53ef\u91cd\u590d\u6027<\/span>\/<\/span>\u4e00\u81f4\u6027\u3002<\/span>\u00a0<\/span><\/p>\n

\u8fd9\u9879\u7814\u7a76\u6709\u591a\u4e2a\u5c40\u9650\u6027\u3002\u9996\u5148\uff0c\u7531\u4e8e\u7814\u7a76\u7684\u56de\u987e\u6027\uff0c\u626b\u63cf\u65b9\u6848\u5b58\u5728\u5dee\u5f02\u3002\u5176\u6b21\uff0c\u60a3\u8005\u6ca1\u6709\u6240\u6709\u8fd9\u4e09\u79cd\u65b9\u5f0f\uff0c\u8fd9\u5bfc\u81f4\u4e86\u7814\u7a76\u7684\u5c40\u9650\u6027\u3002\u7b2c\u4e09\uff0c\u7814\u7a76\u662f\u5728\u5fc3\u810f\u8212\u5f20\u671f\u8fdb\u884c\u7684\uff0c\u56e0\u6b64\u4e0d\u540c\u5fc3\u810f\u5468\u671f\u4e4b\u95f4\u7684\u6d4b\u91cf\u7ed3\u679c\u53ef\u80fd\u63d0\u4f9b\u4e0d\u540c\u7684\u6d4b\u91cf\u7ed3\u679c\u3002\u6700\u540e\uff0c\u4ece\u7406\u8bba\u4e0a\u8bb2\uff0c\u4e24\u6b21\u7814\u7a76\u4e4b\u95f4\u7684\u65f6\u95f4\u957f\u5ea6\u53ef\u80fd\u4f1a\u5f15\u8d77\u95ee\u9898\uff0c\u56e0\u4e3a\u8be5\u65f6\u95f4\u6bb5\u5185\u4e3b\u52a8\u8109\u5f62\u6001\u53ef\u80fd\u4f1a\u53d1\u751f\u53d8\u5316\u3002<\/span>\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"  Performa […]","protected":false},"author":3,"featured_media":7176,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[213],"tags":[],"class_list":["post-14252","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-213"],"yoast_head":"\nWhat's new in Cardiothoracic Imaging (Chinese) - 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