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心脏磁共振成像在扩张型心肌病评估中的作用:诊断贡献及预后意义

Role of cardiac magnetic resonance in the evaluation of dilated cardiomyopathy: diagnostic contribution and prognostic significance.

作者信息

Francone Marco

机构信息

Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Viale Regina Elena, 324 00161 Rome, Italy.

出版信息

ISRN Radiol. 2014 Feb 4;2014:365404. doi: 10.1155/2014/365404. eCollection 2014.

Abstract

Dilated cardiomyopathy (DCM) represents the final common morphofunctional pathway of various pathological conditions in which a combination of myocyte injury and necrosis associated with tissue fibrosis results in impaired mechanical function. Recognition of the underlying aetiology of disease and accurate disease monitoring may be crucial to individually optimize therapeutic strategies and stratify patient's prognosis. In this regard, CMR has emerged as a new reference gold standard providing important information for differential diagnosis and new insight about individual risk stratification. The present review article will focus on the role of CMR in the evaluation of present condition, analysing respective strengths and limitations in the light of current literature and technological developments.

摘要

扩张型心肌病(DCM)代表了各种病理状况的最终共同形态功能途径,其中,与组织纤维化相关的心肌细胞损伤和坏死相结合会导致机械功能受损。认识疾病的潜在病因并进行准确的疾病监测对于个性化优化治疗策略和分层患者预后可能至关重要。在这方面,心脏磁共振成像(CMR)已成为一种新的参考金标准,为鉴别诊断提供重要信息,并对个体风险分层有新的见解。本综述文章将重点关注CMR在评估当前病情中的作用,根据当前文献和技术发展分析其各自的优势和局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90b4/4045555/f69c8f75ea14/ISRN.RADIOLOGY2014-365404.001.jpg

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