Masci Pier Giorgio, Dymarkowski Steven, Bogaert Jan
Department of Radiology, Gasthuisberg University Hospital, 49 Herestraat, Leuven, 3000, Belgium.
Eur Radiol. 2008 Feb;18(2):197-208. doi: 10.1007/s00330-007-0731-x. Epub 2007 Aug 29.
Although ischemic heart disease remains the leading cause of cardiac-related morbidity and mortality in the industrialized countries, a growing number of mainly elderly patients will experience a problem of valvular heart disease (VHD), often requiring surgical intervention at some stage. Doppler-echocardiography is the most popular imaging modality used in the evaluation of this disease entity. It encompasses, however, some non-negligible constraints which may hamper the quality and thus the interpretation of the exam. Cardiac catheterization has been considered for a long time the reference technique in this field, however, this technique is invasive and considered far from optimal. Cardiovascular magnetic resonance imaging (MRI) is already considered an established diagnostic method for studying ventricular dimensions, function and mass. With improvement of MRI soft- and hardware, the assessment of cardiac valve function has also turned out to be fast, accurate and reproducible. This review focuses on the usefulness of MRI in the diagnosis and management of VHD, pointing out its added value in comparison with more conventional diagnostic means.
尽管在工业化国家，缺血性心脏病仍是心脏相关发病率和死亡率的主要原因，但越来越多的主要是老年患者会出现心脏瓣膜病（VHD）问题，常在某个阶段需要手术干预。多普勒超声心动图是评估这种疾病实体时最常用的成像方式。然而，它存在一些不可忽视的局限性，可能会影响检查质量，进而影响检查结果的解读。长期以来，心导管检查一直被视为该领域的参考技术，然而，这种技术具有侵入性，且远非最佳选择。心血管磁共振成像（MRI）已被认为是研究心室大小、功能和质量的既定诊断方法。随着MRI软硬件的改进，心脏瓣膜功能评估也已变得快速、准确且可重复。本综述重点关注MRI在VHD诊断和管理中的作用，指出其与更传统诊断方法相比的附加价值。
