Weinreb Jeffrey C, Larson Paul A, Woodard Pamela K, Stanford William, Rubin Geoffrey D, Stillman Arthur E, Bluemke David A, Duerinckx Andre J, Dunnick N Reed, Smith Geoffrey G
Yale University School of Medicine, New Haven, Connecticut, USA.
J Am Coll Radiol. 2005 Jun;2(6):471-7. doi: 10.1016/j.jacr.2005.03.001.
Coronary artery disease and other acquired and congenital cardiac diseases are major medical and socio-economic problems. Historically, imaging has had a critical role in the diagnosis and evaluation of acquired and congenital cardiac disease. Advances in computed tomography (CT), with multidetector CT and electron beam CT technology, and magnetic resonance (MR) imaging, now make it possible to noninvasively image the coronary arteries, cardiac chambers, valves, myocardium, and pericardium and assess cardiac function, and CT and MR imaging are becoming increasingly important in the evaluation of cardiac disease. Radiologists, because of their extensive experience in CT and MR imaging, have an important role in imaging cardiac patients using these modalities. This clinical statement of the ACR discusses various technical and patient safety issues related to cardiac CT and MR imaging, and it suggests appropriate qualifications for radiologists until such time as ACR practice guidelines for the performance of cardiac CT and cardiac MR imaging are written and approved through the usual ACR process. It stresses that the interpreting physician is responsible for examining not only the cardiac structures of interest but also all the visualized noncardiac structures and must report any clinically relevant abnormalities of these adjacent structures.
冠状动脉疾病以及其他后天性和先天性心脏病是重大的医学和社会经济问题。从历史上看，影像学在后天性和先天性心脏病的诊断及评估中一直发挥着关键作用。计算机断层扫描（CT）的进步，包括多排探测器CT和电子束CT技术，以及磁共振（MR）成像，现在使得对冠状动脉、心腔、瓣膜、心肌和心包进行无创成像并评估心脏功能成为可能，并且CT和MR成像在心脏病评估中变得越来越重要。放射科医生由于在CT和MR成像方面拥有丰富经验，在使用这些方式对心脏病患者进行成像方面发挥着重要作用。美国放射学会（ACR）的这份临床声明讨论了与心脏CT和MR成像相关的各种技术和患者安全问题，并建议在通过ACR常规流程编写和批准心脏CT和心脏MR成像的ACR实践指南之前，放射科医生应具备适当资质。它强调解读医生不仅要检查感兴趣的心脏结构，还要检查所有可视化的非心脏结构，并且必须报告这些相邻结构的任何临床相关异常情况。
