Ariyarajah Vignendra, Jassal Davinder S, Kirkpatrick Iain, Kwong Raymond Y
Department of Cardiac Sciences, St. Boniface General Hospital, Manitoba, Canada.
Cardiol Rev. 2009 Mar-Apr;17(2):77-82. doi: 10.1097/CRD.0b013e318197e950.
Cardiovascular magnetic resonance (CMR) has a high diagnostic accuracy for constrictive pericarditis (CP). CMR allows for high-resolution imaging of the pericardium and associated structures in any imaging plane compared with that provided by other imaging modalities. We briefly discuss the specific quantitative and qualitative CMR sequences that can be tailored to answer the clinical questions pertaining to CP, where the diagnostic yield has been proven when characteristic CMR features of CP are present. Such features allow for differentiation of CP from restrictive cardiomyopathy, where the clinical differentiation between the 2 can often be challenging.
心血管磁共振成像(CMR)对缩窄性心包炎(CP)具有较高的诊断准确性。与其他成像方式相比,CMR能够在任何成像平面上对心包及相关结构进行高分辨率成像。我们简要讨论了可定制的特定定量和定性CMR序列,以回答与CP相关的临床问题,当存在CP的特征性CMR表现时,其诊断价值已得到证实。这些表现有助于将CP与限制型心肌病区分开来,而这两者在临床上的鉴别往往具有挑战性。