标题：Diagnostic value of dual-source CT in Kawasaki disease
作者：Chao Bao-ting; Wang Xi-ming; Wu Le-bin; Chen Jie; Cheng Zhao-ping; Wu Da-wei; Duan Yan-hua
作者机构：[Chao Bao-ting; Wang Xi-ming; Wu Le-bin; Chen Jie; Cheng Zhao-ping; Wu Da-wei; Duan Yan-hua] Shandong Univ, Shandong Med Imaging Res Inst, Jinan 25002 更多
通讯作者地址：[Wang, XM]Shandong Univ, Shandong Med Imaging Res Inst, Jinan 250021, Shandong, Peoples R China.
来源：CHINESE MEDICAL JOURNAL
关键词：dual-source computed tomography; Kawasaki disease; coronary artery
摘要：Background Doppler color echocardiography is a common method for detecting coronary artery lesions in patients with Kawasaki disease (KD). However, the diagnostic accuracy for the whole coronary artery lesions is limited. The purpose of this study was to compare the diagnostic value of dual-source computed tomography (DSCT) and Doppler color echocardiography for the assessment of coronary artery lesions caused by KD.; Methods Sixteen patients, 12 with typical KD and 4 with atypical KD, underwent DSCT and Doppler color echocardiography. The position and internal diameter of each coronary artery lesion was measured. Correlation analysis was used to compare the diagnostic value of the two imaging modalities.; Results In the typical KD group, seven patients did not have any coronary artery lesion as confirmed by both DSCT scans and Doppler color echocardiography; in four patients proximal coronary artery injuries were identified by both modalities; in one patient an aneurysm in the middle and distal segments of the coronary artery was detected by DSCT but was negative in Doppler color echocardiography. In the atypical KD group, three cases showed the same results with both modalities, while one case with coronary artery stenosis in the middle segment was identified by DSCT but not detected by Doppler color echocardiography. There was a good correlation between the two imaging modalities (Kappa value, 0.768 (>= 0.75)).; Conclusion DSCT coronary artery angiography is an following up coronary artery lesions in patients with KD. Chin Med J 2010;123(6):670-674