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Journal of Cardiovascular Computed Tomography最新文献

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Triple-vessel coronary cameral fistula as a cause of diffuse coronary artery ectasia: Diagnostic insights from coronary CT angiography 三支冠状动脉摄像瘘管是冠状动脉弥漫性扩张的原因:冠状动脉CT血管造影的诊断见解。
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 Epub Date: 2025-05-31 DOI: 10.1016/j.jcct.2025.05.238
Ahmed Aldajani , Yoshito Kadoya , Gary Small , Benjamin J.W. Chow
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引用次数: 0
Response to “Reassessing the role of serum phosphate in coronary artery calcification progression” 对“重新评估血清磷酸盐在冠状动脉钙化进展中的作用”的回应。
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 Epub Date: 2025-11-28 DOI: 10.1016/j.jcct.2025.11.081
Kyung An Kim, Hae-Ok Jung, Mi-Jeong Kim, So-Young Lee, Dong-Hyeon Lee, Donghee Han, Hyuk-Jae Chang, Su-Yeon Choi, Jidong Sung, Eun Ju Chun
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引用次数: 0
Fractal imaging: What is it and potential utility 分形成像:什么是分形成像及其潜在效用。
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 Epub Date: 2025-10-08 DOI: 10.1016/j.jcct.2025.10.004
Venkat Krishnamoorthy , Girish Dwivedi
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引用次数: 0
Response to “Evaluating the CT-STEMI study: The controversy over CCT and CMR for post-STEMI prognosis” 对《评价CT-STEMI研究:CCT和CMR对stemi后预后的争议》的回应。
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 Epub Date: 2025-09-29 DOI: 10.1016/j.jcct.2025.09.009
Marco Gatti , Guglielmo Gallone , Tommaso D'Angelo , Camilla Torlasco , Alessandro Andreis , Riccardo Faletti , on behalf of the CT-STEMI Investigators
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引用次数: 0
Percentage of left ventricular myocardial blood flow distribution and revascularization completeness in FASTTRACK CABG FASTTRACK冠脉搭桥术左室心肌血流分布及血运重建完成度百分比。
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 Epub Date: 2025-11-06 DOI: 10.1016/j.jcct.2025.10.017
Patrick W. Serruys , Tsung-Ying Tsai , Shigetaka Kageyama , Pruthvi Chenniganahosahalli Revaiah , Daniëlle C.J. Keulards , Adam Updegrove , Charles A. Taylor , Matthew Sinclair , Sarah Mullen , Campbell Rogers , Brian Thomsen , Scot Garg , Albert Chinhenzva , John D. Puskas , Jagat Narula , Himanshu Gupta , Vikram Agarwal , Kaoru Tanaka , Johan De Mey , Mark La Meir , Yoshinobu Onuma

Background

Complete coronary revascularization has significant clinical outcome implications; however, there is no objective, quantitative, or universal definition.

Aim

To provide a quantitative personalized assessment of myocardium at risk before and after coronary artery bypass grafting (CABG) surgery.

Methods

Percent left ventricular myocardial blood flow distribution (LV%MYO) was derived from coronary CT angiography (CCTA) and used to quantify the myocardium at risk of ischemia in the 16 SYNTAX coronary segments of the 114 patients in the multicenter, prospective FASTTRACK CABG trial. Given each point of the fixed SYNTAX myocardial weighting factor represents 16.7 ​% (1/6) of myocardial blood flow, the myocardial weighting factor of each coronary segment was calculated as 6 ​× ​LV%MYO. The patency of bypass grafts was assessed on 30-day follow-up CCTA, and the residual LV%MYO was obtained by subtracting the LV%MYO in segments anastomosed with non-stenotic grafts from the pre-CABG global LV%MYO.

Results

LV%MYO were analyzable in 106 patients (mean age 65.6 (8.9) years, 87 ​% male); 53 had ≥1 total occlusion. The fixed myocardial weighting factor for most SYNTAX coronary segments differs significantly from the weighting factor derived from LV%MYO. The pre-CABG global LV%MYO, and the residual LV%MYO in 96 patients with post-CABG CCTA were 70.1 (18.8)% and 14.0 (15.3)%, respectively. Complete revascularization (residual LV%MYO ≤10 ​%) was achieved in 42 patients (43.8 ​%). The operator's discretion not to graft was the main reason that 106 coronary segments were not revascularized, with graft occlusion accounting for 22.6 ​%.

Conclusion

CCTA-derived LV%MYO allows an objective and individualized quantification of the myocardium at risk, facilitating prospective prediction and retrospective assessment of the completeness of revascularization in CABG patients.
背景:完全冠状动脉血运重建术具有重要的临床结果意义;然而,并没有一个客观的、定量的或普遍的定义。目的:为冠状动脉搭桥术(CABG)术前和术后危险心肌提供定量的个性化评估。方法:通过冠状动脉CT血管造影(CCTA)获得左室心肌血流量分布百分比(LV%MYO),并用于量化114例多中心前瞻性FASTTRACK CABG试验患者16个SYNTAX冠状动脉段的缺血风险心肌。给定固定SYNTAX心肌权重因子的每一点代表心肌血流量的16.7%(1/6),计算各冠状动脉段心肌权重因子为6 × LV%MYO。在随访30天的CCTA上评估搭桥血管的通畅程度,并从冠状动脉搭桥前的整体LV%MYO中减去与非狭窄移植物吻合段的LV%MYO,得到剩余的LV%MYO。结果:106例患者可分析LV%MYO(平均年龄65.6(8.9)岁,87%为男性);53例全闭塞≥1。大多数SYNTAX冠状动脉段的固定心肌权重因子与由LV%MYO得出的权重因子有显著不同。在96例cabg后CCTA患者中,cabg前总体LV%MYO和剩余LV%MYO分别为70.1(18.8)%和14.0(15.3)%。42例(43.8%)患者实现了完全血运重建(残余LV%MYO≤10%)。106个冠状动脉段未血运重建的主要原因是操作者的不谨慎,其中移植闭塞占22.6%。结论:ccta衍生的LV%MYO可以对处于危险中的心肌进行客观和个性化的量化,有助于对CABG患者血运重建的完整性进行前瞻性预测和回顾性评估。
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引用次数: 0
Lipid Signature Index: A Spectral Tool For Lipid Rich Plaque Identification On Dual-energy Ct 脂质特征指数:在双能Ct上识别富含脂质斑块的光谱工具
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 Epub Date: 2026-01-19 DOI: 10.1016/j.jcct.2025.11.064
G. Wesbey , T. Patay , B. Patay , S. Newlander , B. Szilveszter , M. Vecsey-Nagy , L. De Sousa Domingues Da Silva , M. Kolossváry , E. McVeigh
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引用次数: 0
Ultrahigh-resolution Photon-counting CT For Coronary In-stent Restenosis Detection: Results From A Two-center Study 超高分辨率光子计数CT用于冠状动脉支架内再狭窄检测:来自两中心研究的结果
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 Epub Date: 2026-01-19 DOI: 10.1016/j.jcct.2025.11.058
B. Vattay , B. Szilveszter , M. Hagar , P. Kulyassa , B. Sipos , A. Kubovje , M. Boussoussou , S. Beke , K. Nagy , L. Száraz , P. Maurovich-Horvat , A. Varga-Szemes , T. Emrich , M. Vecsey-Nagy
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引用次数: 0
AI-CVD-HF: A Novel Heart Failure Prediction Model Based Solely On Coronary Artery Calcium Scans Outperforms PREVENT-HF AI-CVD-HF:仅基于冠状动脉钙扫描的新型心力衰竭预测模型优于prevention - hf
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 Epub Date: 2026-01-19 DOI: 10.1016/j.jcct.2025.11.020
S. Mirjalili , K. Atlas , A. Reeves , C. Zhang , J. Wasserthal , A. Azimi , A. Hashemi , M. Mozafarybazargany , T. Atlas , C. Henschke , D. Yankelevitz , J. Mechanick , A. Branch , M. McConnell , R. Vliegenthart , D. Maron , M. Budoff , P. Shah , R. Kloner , N. Wong , M. Naghavi
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引用次数: 0
From CT To Autopsy: Cardiothoracic Ratio Captures Elevated Heart Weight Beyond Left Ventricular Wall Thickness In Cardiac Amyloidosis 从CT到尸检:心脏淀粉样变性患者的胸胸廓比值显示心脏重量升高超过左心室壁厚度
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 Epub Date: 2026-01-19 DOI: 10.1016/j.jcct.2025.11.026
S. Ersözlü , A. Baschong , M. Karolyi , F. Ruschitzka , A. Flammer , C. Meier , H. Moch , R. Manka , Z. Varga , U. Maccio
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引用次数: 0
Deep Learning Based Calculation Of Epicardial Adipose Tissue Volume From Coronary Ct Angiography Images 基于深度学习的冠状动脉Ct血管造影图像心外膜脂肪组织体积计算
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 Epub Date: 2026-01-19 DOI: 10.1016/j.jcct.2025.11.018
N. omidi, S. Nematollahi, S. Nayebirad, S. Forghani
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引用次数: 0
期刊
Journal of Cardiovascular Computed Tomography
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