法医学杂志 ›› 2019, Vol. 35 ›› Issue (3): 332-336.DOI: 10.12116/j.issn.1004-5619.2019.03.014

• 综述 • 上一篇    下一篇

血管内成像技术在法医学尸体检验中的应用

李洋, 魏智彬, 丁雨菡, 易旭夫   

  1. 四川大学华西基础医学与法医学院,四川 成都 610041
  • 发布日期:2019-06-25 出版日期:2019-06-28
  • 通讯作者: 易旭夫,男,副教授,硕士研究生导师,主要从事法医病理学教学、科研及检案;E-mail:yixufu@tom.com
  • 作者简介:李洋(1991—),男,硕士研究生,主要从事法医病理学研究;E-mail:837373649@qq.com

Application of Intravascular Imaging in Forensic Autopsy#br#

LI Yang, WEI Zhi-bin, DING Yu-han, YI Xu-fu   

  1. West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu 610041, China
  • Online:2019-06-25 Published:2019-06-28

摘要: 微创导管、旋转耦合器等一系列新技术、设备的涌现,使传统超声、光学相干断层成像(optical coherence tomography,OCT)等成像技术应用范围逐渐扩大。近年来,血管内超声(intravascular ultrasound,IVUS)和OCT作为冠状动脉血管内成像技术已日渐成熟,成为冠状动脉造影的重要补充手段。尽管IVUS和OCT临床应用的大量可行性研究数据已在前期尸体研究的评估中得到证实,但这些技术在法医学尸体检验中却一直处于被忽略的地位。本文就IVUS和OCT新型成像技术在法医学尸体检验,特别是在辅助评价冠状动脉疾病中的应用价值进行综述,包括IVUS和OCT成像技术的特点、传统尸体检验中冠状动脉检查面临的问题以及新型血管内成像技术在法医学尸体检验中的具体应用等。

关键词: 法医病理学, 尸体检验, 体层摄影术, 光学相干, 血管内超声, 冠状动脉疾病, 综述

Abstract: With the emergence of new technologies and devices including minimally invasive catheters and rotary couplers, the application of imaging technology such as traditional ultrasound and optical coherence tomography (OCT) is gradually expanded. In recent years, intravascular ultrasound (IVUS) and OCT have become increasingly mature as coronary intravascular imaging techniques, and therefore become an important complementary means of coronary angiography. Although studies on feasibility of clinical applications of IVUS and OCT have been confirmed in the evaluation of previous cadaver studies, these techniques have been neglected in forensic autopsy. This paper reviews the application value of IVUS and OCT in forensic autopsy, especially in the adjuvant evaluation of coronary artery disease. Including the characteristics of IVUS and OCT imaging technology, the problems of coronary examination in traditional autopsy and the specific application of new intravascular imaging technology in forensic autopsy.

Key words: forensic pathology, autopsy, tomography, optical coherence, intravascular ultrasound, coronary artery disease, review