Head and Neck Imaging

The Value of Dual-source Spiral CT in the Diagnosis of Cyanotic Complicated Congenital Heart Disease in Infants

Author:SHI Lei, ZHAI Bo, YANG Fang, et al.

affiliation:Children's Hospital Affiliated to Zhengzhou University,Henan Children's Hospital,Zhengzhou Children's Hospital, Zhengzhou 450018, Henan Province, China

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Abstract

Objective To explore the value of dual-source spiral CT (DSCT) in the diagnosis of cyanotic complicated congenital heart disease (CCHD) in infants. Methods Retrospective analysis of 106 cases of infants with cyanotic CCHD patients with clinical data, patients were underwent DSCT, transthoracic echocardiography (TTE). The difference of the detection rate of intracardiac malformation was compared between the two methods, and the diagnosis of pulmonary artery diameter and left ventricular function was analyzed. Results The detection rate of intracardiac malformation was 89.3%, which was slightly lower than that of TTE (91.8%). The missed rate was 10.7%, which was slightly higher than that of TTE (8.2%). There was no significant difference (P>0.05). DSCT examination of pulmonary artery diameter diagnosis accuracy than TTE examination, compared with a statistical difference (P<0.05). There was no significant difference in EDV, ESV and SV between DSCT and TTE (P>0.05). Conclusion DSCT is effective in the diagnosis of cyanotic CCHD in infants.It is valuable for the diagnosis of intracardiac and extracardiac malformations, which accurately reflects the level of left ventricular function and is worthy of clinical choice.

【Keyword】Double-source Spiral CT; Infants; Cyanotic Type; Complex Congenital Heart Disease; Diagnostic Value

【Chart number】R174;541.4

【Document Identification Number】A

【DOI】10.3969/j.issn.16720-5131.2018.08.020