Coronary Computed Tomography Angiography-derived Fractional Flow Reserve An Expert Consensus Document of Chinese Society of Radiology

被引：8

作者：

Zhang, Long Jiang ^{[1
]}

Tang, Chunxiang ^{[1
]}

Xu, Pengpeng ^{[1
]}

Guo, Bangjun ^{[1
]}

Zhou, Fan ^{[1
]}

Xue, Yi ^{[1
]}

Zhang, Jiayin ^{[2
]}

Zheng, Minwen ^{[5
]}

Xu, Lei ^{[7
]}

Hou, Yang ^{[12
]}

Lu, Bin ^{[11
]}

Guo, Youmin ^{[6
]}

Cheng, Jingliang ^{[14
]}

Liang, Changhong ^{[15
]}

Song, Bin ^{[16
]}

Zhang, Huimao ^{[17
]}

Hong, Nan ^{[8
]}

Wang, Peijun ^{[3
]}

Chen, Min ^{[9
]}

Xu, Ke ^{[13
]}

Liu, Shiyuan ^{[10
]}

Jin, Zhengyu ^{[4
]}

Lu, Guangming ^{[1
]}

机构：

[1] Nanjing Univ, Med Sch, Jinling Hosp, Dept Diagnost Radiol, Nanjing 210002, Jiangsu, Peoples R China

[2] Shanghai Jiao Tong Univ, Sch Med, Shanghai Gen Hosp, Dept Radiol, Shanghai, Peoples R China

[3] Tongji Univ, Sch Med, Tongji Hosp, Dept Radiol, Shanghai, Peoples R China

[4] Naval Med Univ, Changzheng Hosp, Dept Med Imaging & Nucl Med, Shanghai, Peoples R China

[5] Fourth Mil Med Univ Xian, Xijing Hosp, Dept Radiol, Xian, Peoples R China

[6] Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Radiol, Xian, Shaanxi, Peoples R China

[7] Capital Med Univ, Beijing Anzhen Hosp, Dept Radiol, Beijing, Peoples R China

[8] Peking Univ Peoples Hosp, Dept Radiol, Beijing, Peoples R China

[9] Beijing Hosp, Natl Ctr Gerontol, Dept Radiol, Beijing, Peoples R China

[10] Chinese Acad Med Sci, Peking Union Med Coll Hosp, Peking Union Med Coll, Dept Radiol, Beijing, Peoples R China

[11] Peking Union Med Coll & Chinese Acad Med Sci, Fuwai Hosp, State Key Lab & Natl Ctr Cardiovasc Dis, Dept Radiol, Beijing, Peoples R China

[12] China Med Univ, Shengjing Hosp, Dept Radiol, Beijing, Peoples R China

[13] China Med Univ, Affiliated Hosp 1, Dept Intervent Radiol, Shenyang, Liaoning, Peoples R China

[14] Zhengzhou Univ, Affiliated Hosp 1, Dept Magnet Resonance Imaging, Zhengzhou, Henan, Peoples R China

[15] Guangdong Acad Med Sci, Guangdong Prov Peoples Hosp, Dept Radiol, Guangzhou, Guangdong, Peoples R China

[16] Sichuan Univ, West China Hosp, Funct & Mol Imaging Key Lab Sichuan Prov, Dept Radiol, Chengdu, Sichuan, Peoples R China

[17] First Hosp Jilin Univ, Dept Radiol, Changchun, Jilin, Peoples R China

来源：

JOURNAL OF THORACIC IMAGING | 2022年 / 37卷 / 06期

基金：

中国国家自然科学基金;

关键词：

fractional flow reserve; coronary computed tomography angiography; coronary artery disease; LESION-SPECIFIC ISCHEMIA; ARTERY PRESSURE MEASUREMENT; STABLE CHEST-PAIN; CT ANGIOGRAPHY; DIAGNOSTIC PERFORMANCE; LEARNING APPROACH; FFR; DISEASE; MANAGEMENT; ACCURACY;

D O I：

10.1097/RTI.0000000000000679

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Invasive fractional flow reserve (FFR) measured by a pressure wire is a reference standard for evaluating functional stenosis in coronary artery disease. Coronary computed tomography angiography-derived fractional flow reserve (CT-FFR) uses advanced computational analysis methods to noninvasively obtain FFR results from a single conventional coronary computed tomography angiography data to evaluate the hemodynamic significance of coronary artery disease. More and more evidence has found good correlation between the results of noninvasive CT-FFR and invasive FFR. CT-FFR has proven its potential in optimizing patient management, improving risk stratification and prognosis, and reducing total health care costs. However, there is still a lack of standardized interpretation of CT-FFR technology in real-world clinical settings. This expert consensus introduces the principle, workflow, and interpretation of CT-FFR; summarizes the state-of-the-art application of CT-FFR; and provides suggestions and recommendations for the application of CT-FFR with the aim of promoting the standardized application of CT-FFR in clinical practice.

引用

页码：385 / 400

页数：16

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