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心内血流可视化:现状与未来方向。

Intracardiac flow visualization: current status and future directions.

机构信息

Department of Cardiology, Ramón y Cajal University Hospital, Ctra. de Colmenar, Km 9, 100, PO 28031 Madrid, Spain.

出版信息

Eur Heart J Cardiovasc Imaging. 2013 Nov;14(11):1029-38. doi: 10.1093/ehjci/jet086. Epub 2013 Aug 1.

DOI:10.1093/ehjci/jet086
PMID:23907342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3806582/
Abstract

Non-invasive cardiovascular imaging initially focused on heart structures, allowing the visualization of their motion and inferring its functional status from it. Colour-Doppler and cardiac magnetic resonance (CMR) have allowed a visual approach to intracardiac flow behaviour, as well as measuring its velocity at single selected spots. Recently, the application of new technologies to medical use and, particularly, to cardiology has allowed, through different algorithms in CMR and applications of ultrasound-related techniques, the description and analysis of flow behaviour in all points and directions of the selected region, creating the opportunity to incorporate new data reflecting cardiac performance to cardiovascular imaging. The following review provides an overview of the currently available imaging techniques that enable flow visualization, as well as its present and future applications based on the available literature and on-going works.

摘要

非侵入性心血管成像最初专注于心脏结构,允许观察其运动并从中推断其功能状态。彩色多普勒和心脏磁共振(CMR)允许对心脏内的流动行为进行直观的观察,并测量单个选定点的速度。最近,新技术在医学中的应用,特别是在心脏病学中的应用,通过 CMR 中的不同算法和超声相关技术的应用,允许在选定区域的所有点和方向上描述和分析流动行为,从而有机会纳入新的数据来反映心脏功能到心血管成像中。以下综述概述了目前可用的成像技术,这些技术能够实现流动可视化,以及根据现有文献和正在进行的工作,目前和未来的应用。

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1
Intracardiac flow visualization: current status and future directions.心内血流可视化:现状与未来方向。
Eur Heart J Cardiovasc Imaging. 2013 Nov;14(11):1029-38. doi: 10.1093/ehjci/jet086. Epub 2013 Aug 1.
2
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6
[Cardiac MRI: technology, clinical applications, and future directions].[心脏磁共振成像:技术、临床应用及未来方向]
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本文引用的文献

1
Age, gender, blood pressure, and ventricular geometry influence normal 3D blood flow characteristics in the left heart.年龄、性别、血压和心室几何形状影响左心正常的 3D 血流特征。
Eur Heart J Cardiovasc Imaging. 2013 Apr;14(4):366-73. doi: 10.1093/ehjci/jes196. Epub 2012 Sep 21.
2
The evolution of intraventricular vortex during ejection studied by using vector flow mapping.利用矢量血流图研究射血期心室内涡流的演变。
Echocardiography. 2013 Jan;30(1):27-36. doi: 10.1111/j.1540-8175.2012.01806.x. Epub 2012 Sep 18.
3
Abnormal left ventricular vortex flow patterns in association with left ventricular apical thrombus formation in patients with anterior myocardial infarction: a quantitative analysis by contrast echocardiography.对比超声心动图定量分析前壁心肌梗死患者左心室心尖血栓形成与左心室异常涡流血流模式的关系。
Circ J. 2012;76(11):2640-6. doi: 10.1253/circj.cj-12-0360. Epub 2012 Aug 7.
4
Abnormal early diastolic intraventricular flow 'kinetic energy index' assessed by vector flow mapping in patients with elevated filling pressure.通过向量血流图评估充盈压升高患者的早期舒张期心室腔内异常流动“动能指数”。
Eur Heart J Cardiovasc Imaging. 2013 Mar;14(3):253-60. doi: 10.1093/ehjci/jes149. Epub 2012 Jul 20.
5
Bicuspid aortic valve is associated with altered wall shear stress in the ascending aorta.二叶式主动脉瓣与升主动脉壁切应力改变有关。
Circ Cardiovasc Imaging. 2012 Jul;5(4):457-66. doi: 10.1161/CIRCIMAGING.112.973370. Epub 2012 Jun 22.
6
[Visualization of right atrial flow patterns and quantification of pulmonary to systemic flow ratio in patients with atrial septal defect by vector flow mapping].[通过矢量血流图对房间隔缺损患者右心房血流模式的可视化及肺循环与体循环血流比值的定量分析]
Sichuan Da Xue Xue Bao Yi Xue Ban. 2012 Mar;43(2):275-9.
7
Multiplanar visualization of blood flow using echocardiographic particle imaging velocimetry.使用超声心动图粒子成像测速技术对血流进行多平面可视化。
JACC Cardiovasc Imaging. 2012 May;5(5):566-9. doi: 10.1016/j.jcmg.2011.09.026.
8
Emerging trends in CV flow visualization.CV 流可视化的新兴趋势。
JACC Cardiovasc Imaging. 2012 Mar;5(3):305-16. doi: 10.1016/j.jcmg.2012.01.003.
9
Describing the highly three dimensional Right Ventricle flow.描述高度三维的右心室流。
Ann Biomed Eng. 2012 Aug;40(8):1790-801. doi: 10.1007/s10439-012-0540-5. Epub 2012 Mar 7.
10
The left ventricular intracavitary vortex during the isovolumic contraction period as detected by vector flow mapping.等容收缩期左心室内的涡流,通过矢量血流图检测。
Echocardiography. 2012 May;29(5):579-87. doi: 10.1111/j.1540-8175.2011.01649.x. Epub 2012 Feb 13.