Strohm Oliver, Heinemann Simone, Kleinertz Klaus, Sechtem Udo
Kardiologische Praxis am Sankt-Gertrauden-Krankenhaus, Berlin.
Herz. 2004 Mar;29(2):223-8. doi: 10.1007/s00059-004-2568-2.
The recent technical advances in magnetic resonance imaging (MRI) and multislice computed tomography (MSCT) have led to a routine use of both methods in clinical cardiology. MRI is established for the diagnosis of complex congenital heart disease, aortic and pericardial disease as well as cardiac tumours. New indications include the diagnosis of myocardial infarction and inflammatory heart disease as well as myocardial perfusion measurements. CT is used for the diagnosis of coronary calcification for risk stratification. Moreover, stenoses of the coronary arteries and bypass grafts can be depicted using contrast enhanced multi-slice CT in selected patients. Training of cardiologists in the field of MRI has been defined by the Deutsche Arztetag in 2003 and demands 24 months of full-time training. At least 12 months must be spent in a department of radiology. Alternatively, the approach of the Landesärztekammer Baden-Württemberg is presented.
磁共振成像（MRI）和多层螺旋计算机断层扫描（MSCT）技术的最新进展，已使这两种方法在临床心脏病学中得到常规应用。MRI已被用于诊断复杂先天性心脏病、主动脉和心包疾病以及心脏肿瘤。新的应用包括诊断心肌梗死和炎症性心脏病以及心肌灌注测量。CT用于诊断冠状动脉钙化以进行风险分层。此外，在部分患者中，使用对比增强多层CT可显示冠状动脉狭窄和搭桥血管。2003年德国医师大会确定了心脏病专家在MRI领域的培训要求，需要24个月的全日制培训。其中至少12个月必须在放射科进行。另外，还介绍了巴登-符腾堡州医师协会的培训方法。
