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[核心脏病学的方法与临床应用:立场声明]

[Methods and clinical applications in nuclear cardiology: a position statement].

作者信息

Schäfers M

机构信息

Klinik und Poliklinik für Nuklearmedizin, Universitätsklinikum, Münster, Deutschland.

出版信息

Nuklearmedizin. 2002 Feb;41(1):3-13.

Abstract

Nuclear cardiological procedures have paved the way for non-invasive diagnostics of various partial functions of the heart. Many of these functions cannot be visualised for diagnosis by any other method (e.g. innervation). These techniques supplement morphological diagnosis with regard to treatment planning and monitoring. Furthermore, they possess considerable prognostic relevance, an increasingly important issue in clinical medicine today, not least in view of the cost-benefit ratio. Our current understanding shows that effective, targeted nuclear cardiology diagnosis--in particular for high-risk patients--can contribute toward cost savings while improving the quality of diagnostic and therapeutic measures. In the future, nuclear cardiology will have to withstand mounting competition from other imaging techniques (magnetic resonance imaging, electron beam tomography, multislice computed tomography). The continuing development of these methods increasingly enables measurement of functional aspects of the heart. Nuclear radiology methods will probably develop in the direction of molecular imaging.

摘要

核心脏病学检查方法为心脏各部分功能的无创诊断铺平了道路。许多这些功能无法通过任何其他方法(如神经支配)进行可视化诊断。这些技术在治疗计划和监测方面补充了形态学诊断。此外,它们具有相当大的预后相关性,这在当今临床医学中是一个日益重要的问题,尤其是考虑到成本效益比。我们目前的认识表明,有效的、有针对性的核心脏病学诊断——特别是对高危患者——可以在提高诊断和治疗措施质量的同时节省成本。未来,核心脏病学将不得不承受来自其他成像技术(磁共振成像、电子束断层扫描、多层计算机断层扫描)日益激烈的竞争。这些方法的不断发展越来越能够测量心脏的功能方面。核放射学方法可能会朝着分子成像的方向发展。

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