Coronary artery microcirculation detection and coronary artery analysis system

A coronary artery and analysis system technology, applied in the field of biomedical engineering, can solve the problems of inaccurate measurement, high subjectivity, and long time consumption

Pending Publication Date: 2021-10-08
HANGZHOU FIRST PEOPLES HOSPITAL
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Problems solved by technology

But in fact, this "most effective" method is still unable to distinguish the changes in radioactive activity caused by coronary macrovascular disease or microvascular disease. Therefore, when using this method to evaluate coronary microvascular function in some patients with coronary macrovascular disease Very limited and cannot be diagnosed accurately
Moreover, the human body needs to take in a certain amount of radioactive isotopes during the examination process, which often makes many patients daunting. In addition, the examination is expensive and time-consuming. It often takes several hours to complete a case of examination, which cannot meet the needs of a large number of patients in a limited time.
In the process of coronary angiography, the perfusion and clearance of the contrast agent in the myocardium can be roughly judged by visually observing the myocardial microcirculation, but it cannot be accurately measured, and the subjec

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  • Coronary artery microcirculation detection and coronary artery analysis system
  • Coronary artery microcirculation detection and coronary artery analysis system

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Embodiment 1

[0039] A coronary microcirculation detection and coronary analysis system,

[0040] Coronary angiography was performed first: it was performed by a qualified interventional cardiologist and signed informed consent. Use GE IGS520 or Phillips angiography instrument to puncture the right radial artery or right femoral artery with the modified Seldinger method, and perform selective coronary angiography according to the standard method;

[0041] Determination of FFR, CFR, and IMR by temperature dilution method: After the angiography, use the pressure guide wire measurement system of St. Jude Medical Company in the United States for inspection, follow the standard operating procedures, and induce myocardial hyperemia with a dose of 160 μg / kg / min ATP Finally, 3 mL of 0.9% sodium chloride solution at room temperature was injected. When the sodium chloride solution flowed into the coronary artery ostium, the pressure guidewire shaft recorded the first triggered temperature curve. Whe...

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Abstract

The invention discloses a coronary artery microcirculation detection and coronary artery analysis system. A diagnosis method which is based on a CT perfusion imaging technology and is used for safely, rapidly and effectively evaluating coronary artery microvascular functions is established through fluid mechanics, and a rapid, accurate and non-invasive coronary artery microcirculation function evaluation method is established for disease diagnosis and treatment and treatment strategy guidance. In combination with the achievement of a team on CT-FFR research and development in recent years, the invention aims to establish a CT perfusion scanning-based coronary artery microcirculation function evaluation method CT-IMR, evaluate the diagnosis accuracy through clinical verification and develop a non-invasive method for accurately and quickly evaluating the coronary artery microcirculation function by virtue of CT iconography, so that the clinical requirements are met, and a brand-new non-invasive IMR system is found. Compared with an existing method, the system has the advantages of being non-invasive, rapid, accurate, safe, economical and the like, and the non-invasive IMR system can detect cases with only coronary artery microangiopathy and can also detect cases with combined coronary artery macrovascular diseases.

Description

technical field [0001] The invention relates to the field of biomedical engineering, in particular to a coronary microcirculation detection and coronary analysis system. Background technique [0002] According to the 2018 "China Cardiovascular Disease Report", the prevalence and mortality of cardiovascular disease in my country continue to rise, and it has been listed as one of the leading causes of death for Chinese residents for many years. Among them, the mortality rate caused by coronary artery disease is close to Half. Coronary artery disease, including coronary heart disease (coronary atherosclerotic heart disease and coronary spasm disease) and coronary microvascular disease (coronary microvascular disease, CMVD), seriously threatens the health of the people, and the resulting cardiovascular events (including cardiac death, myocardial infarction, heart failure, etc.) Circulation has become one of the main goals of coronary heart disease treatment. Especially for pat...

Claims

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Application Information

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IPC IPC(8): G06T7/00G06T17/00G06N3/04G06N3/08
CPCG06T7/0012G06T17/00G06N3/08G06T2207/10081G06T2207/20081G06T2207/20084G06T2207/30048G06N3/045
Inventor 黄进宇童国新朱大荣高贝贝周亮谢剑昶徐鹏黄徐瑞吴奕派
Owner HANGZHOU FIRST PEOPLES HOSPITAL
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