講者：蔡依橙 醫師
多切面電腦斷層的資料量大，用過去的工作流程，無法將儀器的威力最大化。許多疑難雜症，只有在工作站旁才能找到答案。例如：評估主動脈瓣的開合狀況，需要親手找到最佳平面。尋找冠狀動脈慢性完全阻塞的側枝循環，需要自訂最佳成像方式反覆搜索。
我們將現場示範三個由Philips Brilliance 40, 64, iCT掃描的案例，展示其優異的原始影像品質，並分享工作站判讀流程。
Case
1: Kawasaki disease
M/18Y, Kawasaki disease during
infancy, for follow up
Scanner: Philips Brilliance 40
Diagnosis: Kawasaki disease with
calcification, thrombus over LCA & CTO over RCA
Best Phase: 70%
Interpretation points:
1. LCA calcification and thrombus
2. RCA CTO and vasa vasorum collateral
3. Wall motion
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Case
2: ALCAPA
F/6Y, Echo: Kawasaki disease and Swiss
cheese VSD, for MDCT
Scanner: Philips Brilliance iCT
Diagnosis: ALCAPA (Anomalous left
coronary artery from pulmonary artery)
Best Phase: 50%
Interpretation points:
1. Diagnosing ALCAPA
2. Understanding the hemodynamic and
effect to myocardium
3. 4D motion
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Case
3: Neonatal cardiac CT
F/2day, Echo: R/O COA, for MDCT
Scanner: Philips Brilliance 64
(132bpm)
Diagnosis: Coarctation syndrome with
coarctation, SVAS, VSD and ASD (not clear)
Best phase: 40%, coronary seen in many
phases
Interpretation points:
1. Coarctation, SVAS, VSD and ASD
2. Large PDA
3. Coronary arteries
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