Møgelvang J, Stokholm K H, Saunamäki K, Reimer A, Stubgaard M, Thomsen C, Fritz-Hansen P, Henriksen O
Danish Research Center of Magnetic Resonance, Hvidovre Hospital, Copenhagen.
Eur Heart J. 1992 Dec;13(12):1677-83. doi: 10.1093/oxfordjournals.eurheartj.a060124.
The present study shows that for assessment of LVEF, MRI and the standard methods seem to provide information of similar value. For absolute volume measurements, MRI and RNA are superior to single plane angiography and 2 DE using the modified Simpson-rule. The time consuming transversal MRI method does not seem to be superior to the oblique multislice method, when apical aneurysms can be ruled out. MRI thus seems to be an accurate method for determination of LV stroke volume as well as for determination of LVEF and hence for diastolic and systolic volumes. MRI, however, depends of a good image quality, which is crucial especially in dilated ventricles containing stagnant or slowly moving blood.
本研究表明,对于左心室射血分数(LVEF)的评估,磁共振成像(MRI)和标准方法似乎能提供相似价值的信息。对于绝对容积测量,MRI和放射性核素血管造影(RNA)优于单平面血管造影和采用改良辛普森法则的二维超声心动图(2DE)。当可以排除心尖部室壁瘤时,耗时的横向MRI方法似乎并不优于斜位多层MRI方法。因此,MRI似乎是一种准确测定左心室每搏输出量、LVEF以及舒张期和收缩期容积的方法。然而,MRI依赖于良好的图像质量,这一点至关重要,尤其是在含有停滞或缓慢流动血液的扩张型心室中。