Kelle S, Nagel E, Fleck E
Klinik für Innere Medizin/Kardiologie, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin.
Internist (Berl). 2006 Jan;47(1):18-27. doi: 10.1007/s00108-005-1535-1.
With cardiovascular magnetic resonance imaging (CMR), the necessity of invasive coronary angiography may be increasingly avoided. CMR provides information about the anatomy of the coronaries themselves (e.g. anomalies, aneurysm), functional information on myocardial blood flow (dobutamine-stress-MR, perfusion measurement) and detailed information on cell-mediated alterations (e.g. fibrosis, necrosis). However, visualization of distal coronary vessels and the small side branches is not yet adequate, so that complete replacement of invasive coronary angiography by CMR is not possible.
借助心血管磁共振成像(CMR),侵入性冠状动脉造影的必要性可能会越来越多地被避免。CMR可提供有关冠状动脉自身解剖结构的信息(如异常、动脉瘤)、心肌血流的功能信息(多巴酚丁胺负荷磁共振成像、灌注测量)以及细胞介导改变的详细信息(如纤维化、坏死)。然而,目前对冠状动脉远端血管和小分支的可视化仍不够充分,因此CMR无法完全替代侵入性冠状动脉造影。