심장혈관 Computed Tomography 매뉴얼 > Cardiology

Handbook of Cardiovascular CT 번역본
심장 영상 기술의 비약적 발달을 통해 최근 수년 간 과거에는 쓰이지 않았던 새로운 영상기기들이 임상 진료에서 점차 중요한 위치를 차지하고 있습니다. 특히 심장CT 영상은 검사시간이 짧고 뛰어난 공간해상도를 통해 관상동맥질환을 평가하는 것이 가능해지면서 임상에서 사용이 폭발적으로 증가하고 있습니다.
또한 최근에 와서는 관상동맥에 대한 평가 이외에도 심근 관류, 생존심근평가, 심장판막기능 평가, 대혈관 평가 등 다양한 영역에서 그 가치를 시험하고 있으며 기존의 치료기술과 함께 진단과 치료를 연결하는 주요 검사기법으로써 그 영역을 확대해가고 있습니다.
그러나, 이와 같은 장점에도 불구하고 심장CT 영상은 방사선 피폭과 조영제 사용이라는 불가피한 위험성을 가지고 있는 바 위험성을 최소화하면서도 검사에 따른 환자의 이익을 극대화하기 위해서는 해당 검사에 대한 검사자의 지식이 필수적으로 요구된다 할 것입니다.
이 책은 심장CT 물리학부터 심장CT 영상의 임상 적용까지의 내용을 알기 쉽게 기술한 것으로 널리 알려져 심장CT 영상에 대한 지식을 빠른 시간 내에 습득하고자 하는 국내외 의료진의 사랑을 받고 있습니다.
심장CT 교과서의 한국어판은 임상에서 해당 검사기법을 접하는 많은 의료진들이 해당 검사에 대해 보다 짧은 시간에 핵심적인 사항을 이해할 수 있도록 하고자 하는 의지로 출발하였으나 여러 어려움이 있어 처음 준비를 시작한 후 일년 가까운 준비기간을 거쳐 출간되게 되었습니다.
CT 물리학은 물론 영상의학 분야 대부분에서 영문 용어가 사용되고 있어, 번역에 있어 적절한 한글 용어의 선택에 있어 최대한 독자의 입장에서 가장 직관적으로 내용을 이해하기 쉬운 단어를 선택하고자 노력하였습니다. 그러나 해당 분야에 아직 한글 용어가 널리 사용되지 않고 있다는 사실을 고려하여 영어 단어를 병용하였으며, 적절한 한글 용어가 없는 경우, 무리하게 번역을 하지 않고 영어 단어를 그대로 사용하였습니다.
원문의 명쾌하면서도 흥미를 유발하는 설명이 번역 과정에서 손상되지 않도록 노력하였으나 많이 부족하고 아쉬움이 남습니다. 그러나 이 책이 최근 발전하고 있는 심장CT 영상에 대한 관심은 있으나 적절한 서적을 찾지 못한 임상의사 및 학생들에게 도움이 되기를 또한, 이를 통해 궁극적으로 심장질환 치료에 도움이 될 수 있기를 간절히 희망합니다.
2010년 7월
역자 장 혁 재 | 문 희 선

1장 심장혈관 CT 혈관조영술 - 영상획득과 재구성을 위한 주요 개념
1. 영상획득과 관련한 개념 ·····························2
2. 검사 구성····································6
3. 영상 재구성과 분석 ·······························8
4. 관상동맥 석회화에 대한 임상연구 ························12
5. 관상동맥 석회화 - 배경·····························13
6. 관상동맥의 석회화와 관상동맥 폐쇄성 질환 ····················14
7. 관상동맥 석회화의 임상적 의의 ·························16
2장 심장혈관 CT 검사를 위한 필수사항 - 환자 선정 및 준비
1. 환자 선정과 관상동맥 CT angiography (CTA) 검사의 적응증···········20
2. 환자 준비 ···································21
3. 정맥 확보 ···································22
4. 수액공급 ···································23
5. 검사 전 투약 및 환자교육····························23
6. 조영제와 관련된 사항······························25
7. 결론 ·····································28
3장 심장혈관 석회화 - 평가와 시술과 관련된 영향
1. 영상 TIPS ···································33
4장 심장 기능 평가
1. 서론 ·····································36
2. 용어 ·····································36
3. 방법······································37
4. 심실의 해부학적 구조와 기능 ··························37
5. 심방 및 심실 측정 ·······························44
6. 검사의 적응증과 적합성·····························44
7. 결론 ·····································44
8. 영상 TIPS ···································45
5장 혈관내 초음파와 유사한 CT 혈관조영술
- 동맥경화반 특성화 및 경피적 관상동맥 중재술
1. 정량적 CTA ··································48
2. 동맥경화반 특성화 ·······························49
3. CTA-guided PCI ·······························53
4. 스텐트 삽입 최적화·······························55
5. 결론 ·····································55
6. 영상 TIPS ···································56
6장 관상동맥 CT 혈관조영술
1. 공간해상도···································61
2. 관상동맥 협착 진단을 위한 관상동맥 CT 혈관조영술의 적응증 ···········61
3. 관상동맥 CT 혈관조영술의 한계점························62
4. 영상 TIPS ···································63
7장 경피적 관상동맥 중재술 이후의 관상동맥 CT 혈관조영술
1. 서론 ·····································70
2. 기존 연구 결과·································70
3. 장·단점 - 적응증 및 금기사항 ·························72
4. 다른 검사 방법과의 비교 ····························73
5. 향후 연구 방향·································74
6. 영상 TIPS ···································74
8장 외과적 재관류술 이후의 관상동맥 CT 혈관조영술
1. 영상 TIPS···································90
9장 심근관류와 지연 조영증강 영상
1. 서론 ·····································92
2. 심근 섬유화와 생존심근 검출을 위한 MDCT ···················92
3. MDCT를 이용한 심근허혈 검출 ·························95
4. 영상 TIPS: 지연 조영증강····························97
5. 영상 TIPS: 심근허혈 ······························98
10장 심장 SPECT와 PET - 심장혈관 CT의 보완적 역할
1. 서론 ·····································102
2. 심장혈관 질환 예방을 위한 영상 ························102
3. 심장혈관 질환 진단을 위한 영상 ························103
4. 중재 시술을 위한 영상·····························106
5. 영상 TIPS···································111
11장 심장혈관 CT 영상의 전기생리학적 적용
1. 심장 돌연사와 연관된 심혈관계 유발요인 ····················114
2. 전기생리학적 지도작성 및 고주파 도자 절제술 ··················115
3. 심장 재동기화 치료 ······························121
4. 영상 TIPS ··································122
12장 심근/심낭질환
1. 서론 ·····································128
2. 심근질환의 CT 영상······························128
3. 심낭질환의 CT 영상 ······························131
4. 영상 TIPS ··································134
13장 심장 및 흉부 종괴에 대한 평가
1. 서론 ·····································138
2. 심장 종괴의 평가 ·······························141
3. 임상 TIPS ··································144
14장 심장혈관 CT를 이용한 심장판막질환 평가
1. 서론 ·····································152
2. 일반적 고려사항································152
3. 세부적인 개별 판막 이상····························155
15장 대동맥 및 대혈관
1. 서론 ·····································164
2. 정상 해부학적 구조 ······························164
3. 대동맥질환 ··································165
4. 영상 TIPS ··································172
16장 성인 선천성 심장질환
1. 임상 TIPS ··································186
17장 심장혈관 CT - 하지 혈관 구조의 평가
1. 다른 영상검사 방법과의 비교 : MR 혈관조영술 ·················190
2. 다른 영상검사 방법과의 비교 : Digital Substraction Angiography (DSA)·····191
3. 적응증 ····································192
4. 금기사항 ···································195
5. 영상획득 준비·································197
6. 영상 판독···································201
7. 영상 재구성을 위한 영상정보 ·························202
8. 판독을 위한 소프트웨어 기법 ·························203
18장 영상검사 방법 결정 - 심장혈관 CT와 심장혈관 MRI
1. 환자 선택 및 준비 ······························206
2. 심혈관계 구성요소의 특성화 ··························207
3. 영상 TIPS ··································213
19장 방사선 안전관리 - 방사선 조사량 측정과 방사선 피폭량 감소 기술
1. 서론 ·····································218
2. 방사선 조사량 측정의 기초···························218
3. 결론 ·····································230
20장 심장혈관 CT 시행을 위한 요건 - 검사의 적합성 및 수준
1. 검사의 적합성과 수준 ·····························238
2. 검사자 인증과 시설 인가····························238
21장 심장CT 영상을 통해 관찰되는 심장의 해부학적 구조
Index ·································277

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