人工智能技术联合CT血管造影对冠状动脉疾病的临床诊断价值

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[关键词]冠状动脉;人工智能技术;CT血管造影；冠心病

[中图分类号]R541.4［文献标志码］A ［文章编号]2097-5716（2025）04-0531-05

DOI： 10.13308/j.issn.2097-5716.2025.04.011

[引用格式］，.人工智能技术联合CT血管造影对冠状动脉疾病的临床诊断价值[J].实用心电与临床诊疗，2025，34（4）：531-535.

Clinical diagnostic value of artificial inteligence technology combined with CT angiography for coronary artery diseaseLIU Jingjing， HONG Nianquan（Department of Medical Imaging，Puyang Huimin Hospital， Puyang Henan 457000，China）

[Abstract]ObjectiveTo investigate the diagnosticvalue of artificial inteligence（AI）technology combined with CT angiography（CTA）for coronary artery disease.MethodsSeventy patients with coronary lesions underwent CTA examinationcombined with AI technology.The time of manual and AI-asisted diagnosis were compared，along with image quality in volume rendering （VR）and factors contributing to image defects separately by manual，AI-assisted，and combined diagnostic approaches.Using coronary angiography（CAG）as the“gold standard”，the diagnostic eficiency forcoronary stenosis was analyzed among the three methods，and their consistency with CAG results was evaluated.ResultsThe total time for manual post-processing and report generation was longer than that of AI-assisted diagnosis [（ 25.37±6.74. ）min us.（ 1.53±0.28）s] ，with statistically significant difference （ P<0.05 ）.No statistically significant differences were found in VR image quality ratings or image defect factors among the three diagnostic approaches （all P>0.05 ）. Among the 70 patients，38 were confirmed with coronary stenosis and 32 without stenosis by the gold standard.The combined manual and AIassisted diagnosis demonstrated superior value for coronary stenosis compared to either method alone，showing the strongest consistency with CAG results （ P<0.05？ ）.ConclusionThe combination of AI technology and CTA examination demonstrates significant advantages in diagnosing coronary artery disease，efectively reducing diagnostic time and improving diagnostic accuracy. Its strong consistency with CAG results supports its use as an effective clinical method for diferentiating coronary artery disease，which deserves widespread clinical application.

Key words] coronary artery ； artificial intelligence technology; CT angiography；coronary heart disease

冠心病是临床常见且高发的心血管疾病，因冠状动脉（简称冠脉）粥样硬化所致。（剩余5883字）