国际医学放射学杂志ＩｎｔＪＭｅｄＲａｄｉｏｌ２０23Jul鸦46穴4雪：436-441基于心脏CT指导心房颤动病人缺血性脑卒中防治的研究进展许薇1，江京洲2，张龙江1*【摘要】心房颤动（ＡＦ）病人发生缺血性卒中的风险高且预后差。左心房/左心耳的结构和功能与AF病人卒中密切相关。心脏CT成像可清楚显示左心房/左心耳结构及其血栓，在指导AF病人卒中防治中的潜力日益显著。就心脏CT成像检测左心房/左心耳血栓、预测AF病人卒中风险、指导左心耳封堵术预防卒中以及人工智能在该领域的应用等方面进行综述。【关键词】心房颤动；心脏CT；卒中；左心房；左心耳；人工智能中图分类号：R541.7；R816.2；R814.42文献标志码：AResearchprogressinpreventionandtreatmentofischemicstrokeinpatientswithatrialfibrillationguidedbycardiacCTXUWei1,JIANGJingzhou2,ZHANGLongjiang1.1DepartmentofDiagnosticRadiology,JinlingHospital,NanjingMedicalUniversity/GeneralHospitalofEasternTheaterCommand,Nanjing210002,China;2SchoolofMedicalImaging,XuzhouMedicalUniversity.Correspondingauthor:ZHANGLongjiang,E-mail:kevinzhlj@163.com【Abstract】Patientswithatrialfibrillation(AF)areathighriskofischemicstrokeandhavepoorprognoses.Thestructureandfunctionoftheleftatrium/leftatrialappendagearecloselyrelatedtostrokeinpatientswithAF.CardiacCTimagingcanclearlydisplaytheleftatrium/leftatrialappendagestructureandthrombosis,anditspotentialforguidingthepreventionandtreatmentofstrokeisincreasinglyprominentinpatientswithAF.ThisarticlereviewstheuseofcardiacCTimagingindetectingleftatrium/leftatrialappendagethrombosis,predictingstrokeriskinpatientswithAF,guidingleftatrialappendageclosuretopreventstrokeandtheapplicationofartificialintelligenceinthisfield.【Keywords】Atrialfibrillation;Cardiaccomputedtomography;Stroke;Leftatrium;Leftatrialappendage;ArtificialintelligenceＩｎｔＪＭｅｄＲａｄｉｏｌ，２０23，46（4）：436-441作者单位：1南京医科大学金陵临床医学院/东部战区总医院放射诊断科，南京210002；2徐州医科大学医学影像学院通信作者：张龙江，E-mail:kevinzhlj@163.com*审校者DOI:10.19300/j.2023.Z20529综述心血管放射�心房颤动（atrialfibrillation，AF）是临床上最常见的心律失常。AF相关性卒中...
