Vivancos-Delgado Ricardo, Gómez de Diego José J, Aguilar-Torres Río, Forteza-Alberti José F
Servicio de Cardiología, Hospital Carlos Haya, Málaga, España.
Rev Esp Cardiol. 2011;64 Suppl 1:30-41. doi: 10.1016/S0300-8932(11)70005-7.
The development of a noninvasive diagnostic test follows a typical timeline: description, enthusiasm, clinical assessment and application, and epidemiological study. However, for techniques such as echocardiography that are widely available, have no harmful effects and are inexpensive, clinical applications may become widespread before they have been evaluated. Real progress is being made with the use of new methodologies, such as myocardial deformation echocardiography and three-dimensional echocardiography. Three-dimensional transesophageal echocardiography has returned echocardiography to its place at the center of modern cardiac diagnosis after it had been displaced in recent years by cardiac multislice CT and cardiac magnetic resonance. However, the new radiological techniques that have helped to reduce radiation exposure to patients and that have improved image acquisition could restore CT to the heart of general cardiac diagnosis. At the moment, it is not possible to displace the echocardiography from its central role in cardiac imaging. This article contains a review of the most important publications on echocardiography, magnetic resonance imaging and cardiac CT that have appeared recently in cardiology journals, mainly during 2010.
描述、热情、临床评估与应用以及流行病学研究。然而,对于诸如超声心动图这类广泛可用、无有害影响且成本低廉的技术,其临床应用可能在得到评估之前就已广泛开展。使用新方法(如心肌变形超声心动图和三维超声心动图)正在取得实际进展。三维经食管超声心动图在近年来被心脏多层CT和心脏磁共振取代后,已使超声心动图重新回到现代心脏诊断的核心位置。然而,有助于减少患者辐射暴露并改善图像采集的新放射技术,可能会使CT重新成为一般心脏诊断的核心。目前,尚无法将超声心动图从其在心脏成像中的核心地位取代。本文对近期主要在2010年期间发表于心脏病学杂志上的有关超声心动图、磁共振成像和心脏CT的最重要出版物进行了综述。