Neizel-Wittke M, Kelm M
Klinik für Kardiologie, Pneumologie und Angiologie, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland,
Internist (Berl). 2014 Jan;55(1):43-52; quiz 53-4. doi: 10.1007/s00108-013-3385-6.
Cardiovascular magnetic resonance imaging (MRI) has the ability to assess the morphology, function, perfusion and evidence of myocardial scar tissue in a single examination. Moreover, cardiovascular MRI can be carried out with no exposure to radiation. Stress MRI can be performed by assessment of dobutamine-induced wall motion abnormalities or by first-pass adenosine perfusion imaging. Compared to stress echocardiography or single photon emission computed tomography, stress MRI is at least as accurate; however, patients with ferromagnetic materials or other contraindications for MRI, such as intolerance of gadolinium contrast agents cannot be examined. The quality of stress MRI depends on where the examination is being performed and should always be regarded in context to other clinical information, such as from patient history and electrocardiography.
心血管磁共振成像（MRI）能够在一次检查中评估心肌的形态、功能、灌注情况以及心肌瘢痕组织的证据。此外，心血管MRI检查无需暴露于辐射中。负荷MRI可通过评估多巴酚丁胺诱发的室壁运动异常或首过腺苷灌注成像来进行。与负荷超声心动图或单光子发射计算机断层扫描相比，负荷MRI至少具有同等的准确性；然而，体内有铁磁性物质或存在MRI其他禁忌证（如对钆对比剂不耐受）的患者无法进行该项检查。负荷MRI的检查质量取决于检查的地点，并且应始终结合其他临床信息（如患者病史和心电图）来综合考量。
