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MRI 用于急性胸痛:当前的技术水平。

MRI for acute chest pain: current state of the art.

机构信息

Department of Radiology, University of Wisconsin-Madison, Madison, Wisconsin 53792-3252, USA.

出版信息

J Magn Reson Imaging. 2013 Jun;37(6):1290-300. doi: 10.1002/jmri.24173. Epub 2013 Apr 15.

DOI:10.1002/jmri.24173
PMID:23589367
Abstract

This article reviews the magnetic resonance imaging (MRI) and angiography (MRA) techniques, imaging findings, and evidence for evaluating patients with acute chest pain due to acute pulmonary embolus (PE), aortic dissection (AD), and myocardial infarction (MI). When computed tomographic angiography (CTA) is contraindicated, MRI and MRA are important alternative imaging modalities for diagnosis and management of patients with acute PE, AD, and MI. Familiarity with the techniques, imaging findings, and evidence is critical to safely and appropriately managing patients presenting with acute chest pain.

摘要

本文回顾了磁共振成像(MRI)和血管造影(MRA)技术、影像学表现以及评估急性肺栓塞(PE)、主动脉夹层(AD)和心肌梗死(MI)所致急性胸痛患者的证据。当计算机断层血管造影(CTA)禁忌时,MRI 和 MRA 是急性 PE、AD 和 MI 患者诊断和治疗的重要替代影像学方法。熟悉这些技术、影像学表现和证据对于安全、恰当地管理急性胸痛患者至关重要。

相似文献

1
MRI for acute chest pain: current state of the art.MRI 用于急性胸痛:当前的技术水平。
J Magn Reson Imaging. 2013 Jun;37(6):1290-300. doi: 10.1002/jmri.24173. Epub 2013 Apr 15.
2
High-risk chief complaints I: chest pain--the big three.高危主要症状之一:胸痛——三大典型情况。
Emerg Med Clin North Am. 2009 Nov;27(4):685-712, x. doi: 10.1016/j.emc.2009.07.007.
3
Diagnosis of pleuritic chest pain query PE: beware of dissecting thoracic aneurysm of aorta.对胸膜炎性胸痛怀疑肺栓塞时:谨防主动脉胸段夹层动脉瘤。
Int J Cardiol. 2010 Apr 30;140(3):e56-8. doi: 10.1016/j.ijcard.2008.11.083. Epub 2008 Dec 17.
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High-Risk Chief Complaints I: Chest Pain-The Big Three (an Update).高危主要症状之一:胸痛——三大典型症状(更新版)
Emerg Med Clin North Am. 2020 May;38(2):453-498. doi: 10.1016/j.emc.2020.01.009.
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[Acute chest pain. A myocardial infarct - or does it come from the aorta?].[急性胸痛。心肌梗死——还是源于主动脉?]
MMW Fortschr Med. 2011 Oct 27;153(43):17-8. doi: 10.1007/BF03368965.
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NSTEMI or not: a 59-year-old man with chest pain and troponin elevation.是否为非ST段抬高型心肌梗死:一名59岁胸痛伴肌钙蛋白升高的男性患者。
J Gen Intern Med. 2013 Apr;28(4):583-90. doi: 10.1007/s11606-012-2236-9. Epub 2012 Oct 6.
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[The first 24 hours - acute chest pain].[最初24小时 - 急性胸痛]
Dtsch Med Wochenschr. 2012 Jul;137(28-29):1468-73. doi: 10.1055/s-0032-1305089. Epub 2012 Jul 3.
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[Evaluating thoracic pain in triage].[评估分诊中的胸痛]
Perspect Infirm. 2006 Mar-Apr;3(4):33-6.
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Horner's syndrome in a patient presenting with chest pain.一名胸痛患者出现霍纳综合征。
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The language of chest pain.胸痛的表述
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Comparison of gadolinium-enhanced and ferumoxytol-enhanced conventional and UTE-MRA for the depiction of the pulmonary vasculature.钆增强与铁氧体增强常规及 UTE-MRA 对肺血管显示的比较。
Magn Reson Med. 2019 Nov;82(5):1660-1670. doi: 10.1002/mrm.27853. Epub 2019 Jun 22.
2
Magnetic resonance angiography for the primary diagnosis of pulmonary embolism: A review from the international workshop for pulmonary functional imaging.磁共振血管造影在肺栓塞初步诊断中的应用:来自国际肺功能成像研讨会的综述
World J Radiol. 2018 Jun 28;10(6):52-64. doi: 10.4329/wjr.v10.i6.52.
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Non-contrast MR angiography at 1.5 Tesla for aortic monitoring in Marfan patients after aortic root surgery.
1.5T 磁共振非对比血管造影在马凡氏综合征患者主动脉根部手术后主动脉监测中的应用。
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Pulmonary Embolism Detection with Three-dimensional Ultrashort Echo Time MR Imaging: Experimental Study in Canines.三维超短回波时间磁共振成像检测肺栓塞:犬类实验研究
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Exact monitoring of aortic diameters in Marfan patients without gadolinium contrast: intraindividual comparison of 2D SSFP imaging with 3D CE-MRA and echocardiography.马凡综合征患者主动脉直径的精确监测:2D SSFP 成像与 3D CE-MRA 和超声心动图的个体内比较。
Eur Radiol. 2015 Mar;25(3):872-82. doi: 10.1007/s00330-014-3457-6. Epub 2014 Oct 15.
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Eur Radiol. 2014 Aug;24(8):1942-9. doi: 10.1007/s00330-014-3219-5. Epub 2014 May 28.