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العنوان
CLINICAL USES OF MULTI-DETECTOR CARDIAC
CT AND INCIDENTAL EXTRA CARDIAC FINDINGS
IN PATIENTS WITH CHEST PAIN\
المؤلف
ARAFYA, FAWZY MOHAMMED.
هيئة الاعداد
باحث / فوزي محمد محمد عرفية
مشرف / هناء عبد القادر
مشرف / ايناس احمد العزب
مناقش / طارق وهبه حميده
مشرف / طاهر عبدالفتاح القاضى
الموضوع
MULTI-DETECTOR CARDIAC CT- PATIENTS WITH CHEST PAI-
تاريخ النشر
2014
عدد الصفحات
243.p:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الأشعة والطب النووي والتصوير
تاريخ الإجازة
1/6/2014
مكان الإجازة
جامعة عين شمس - كلية الطب - الاشعة التشخيصية
الفهرس
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Abstract

It allows detection of important but clinically silent
problems such as lung cancer and suspicious pulmonary
nodules.
CCTA implies a non-negligible probability to
diagnose a previously unknown cancer, which can be
compared with that observed in recent CT trials for lung
cancer screening, ranging from 0.3% to 2.7%, depending
on population characteristics such as age, sex, and smoking
history. The frequency of the incidental finding of
pulmonary nodules in MDCT was reported to range from
5% to 20%.
The detection of additional significant findings with
wide FOV reconstruction cardiac CT may lead to earlier
treatment for serious disease but may also result in
unnecessary, costly, and occasionally harmful evaluations
for findings that prove ultimately to be benign So Larger
studies with large number of patients and longer time of
follow up with histopathological verification of findings are
clearly necessary to determine if the cost-benefit equation
favors a full or more restricted FOV.
The radiation exposure associated with CAC scans
has been significantly reduced where it ranges from 0.9 to
2.4 mSv with prospective multislice CT so we recommend
reconstruction of the raw data of small field of view of
CCTA and also performing the thoracic low dose non
contrast scan during CaS to involve the whole chest.