Voges I, Jerosch-Herold M, Plagemann T, Hart C, Hansen T, Helle M, Kramer H-H, Rickers Carsten
Klinik für Kinderkardiologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel.
Klin Padiatr. 2010 Jan-Feb;222(1):3-12. doi: 10.1055/s-0029-1239526. Epub 2010 Jan 18.
In today's clinical practice cardiovascular magnetic resonance (CMR) imaging is increasingly used for assessment of congenital and acquired heart disease in children. CMR complements echocardiography and provides a noninvasive alternative to diagnostic cardiac catheterization. In contrast to echocardiography, CMR is not limited by acoustic windows, and unlike cardiac catheterization, CMR lacks ionizing radiation. Contiguous three and four dimensional data sets allow to display cardiac and thoracic vessel anatomy in any desired imaging plane. These characteristics provide unique images for the complete depiction of the pathological anatomy in particular in congenital heart disease. Furthermore CMR is also used for assessment of cardiac function, blood-flow measurements, tissue characterization, and, more recently, for evaluation of myocardial perfusion and viability. The following article reviews CMR indications in pediatric cardiology by means of clinical examples.
在当今的临床实践中，心血管磁共振（CMR）成像越来越多地用于评估儿童先天性和后天性心脏病。CMR是超声心动图的补充，为诊断性心导管检查提供了一种非侵入性替代方法。与超声心动图不同，CMR不受声学窗口的限制，与心导管检查不同，CMR不存在电离辐射。连续的三维和四维数据集允许在任何所需的成像平面中显示心脏和胸部血管解剖结构。这些特性提供了独特的图像，可完整描绘病理解剖结构，尤其是在先天性心脏病中。此外，CMR还用于评估心脏功能、血流量测量、组织特征描述，以及最近用于评估心肌灌注和存活能力。以下文章通过临床实例回顾了CMR在儿科心脏病学中的应用指征。
