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心血管磁共振成像的当前临床应用。

Current clinical applications of cardiovascular magnetic resonance imaging.

作者信息

Scholtz L, Sarkin A, Lockhat Z

机构信息

Department of Radiology, Steve Biko Hospital, Pretoria, South Africa.

Department of Cardiology, Steve Biko Hospital, Pretoria, South Africa.

出版信息

Cardiovasc J Afr. 2014 Jul-Aug;25(4):185-90. doi: 10.5830/CVJA-2014-021.

DOI:10.5830/CVJA-2014-021
PMID:25192302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4170175/
Abstract

Cardiovascular magnetic resonance (CMR) imaging is unsurpassed in the evaluation of myocardial anatomy, function and mass. Myocardial perfusion pre- and post-stress, as well as late enhancement is increasingly used in the work-up for ischaemic heart disease, especially in establishing the presence of myocardial viability. Late enhancement patterns can contribute substantially to the diagnosis of myocarditis and various cardiomyopathies as well as infiltrative diseases and tumours. With their high incidence of cardiovascular disease, patients on the African continent could potentially benefit enormously from the proper utilisation of this exciting, continually evolving and versatile technique, via thorough didactic and clinical training as well as interdisciplinary co-operation.

摘要

心血管磁共振(CMR)成像在评估心肌解剖结构、功能和质量方面无与伦比。心肌应力前后灌注以及延迟强化在缺血性心脏病的检查中越来越多地被使用,特别是在确定心肌存活情况方面。延迟强化模式对心肌炎、各种心肌病以及浸润性疾病和肿瘤的诊断有很大帮助。非洲大陆的患者心血管疾病发病率高,通过全面的教学和临床培训以及跨学科合作,合理利用这一令人兴奋、不断发展且用途广泛的技术,可能会受益匪浅。

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Intermediate-term prognostic value of reversible perfusion deficit diagnosed by adenosine CMR: a prospective follow-up study in a consecutive patient population.腺苷 CMR 诊断可逆灌注缺损的中期预后价值:连续患者人群的前瞻性随访研究。
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Diagnostic performance of CMR imaging compared with EMB in patients with suspected myocarditis.CMR 成像与 EMB 在疑似心肌炎患者中的诊断性能比较。
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CMR imaging assessing viability in patients with chronic ventricular dysfunction due to coronary artery disease: a meta-analysis of prospective trials.
CMR 成像评估冠心病导致慢性心室功能障碍患者的存活能力:前瞻性试验的荟萃分析。
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Prognostic value of late gadolinium enhancement in clinical outcomes for hypertrophic cardiomyopathy.晚期钆增强在肥厚型心肌病临床结局中的预测价值。
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MR-IMPACT II: Magnetic Resonance Imaging for Myocardial Perfusion Assessment in Coronary artery disease Trial: perfusion-cardiac magnetic resonance vs. single-photon emission computed tomography for the detection of coronary artery disease: a comparative multicentre, multivendor trial.MR-IMPACT II 试验:磁共振成像评估冠心病心肌灌注——磁共振灌注与单光子发射计算机断层成像用于冠心病检测的比较:一项多中心、多厂家的比较研究。
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MR imaging of carotid plaque composition during lipid-lowering therapy a prospective assessment of effect and time course.降脂治疗期间颈动脉斑块成分的磁共振成像:效果和时间进程的前瞻性评估。
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Myocardium at risk in ST-segment elevation myocardial infarction comparison of T2-weighted edema imaging with the MR-assessed endocardial surface area and validation against angiographic scoring.ST 段抬高型心肌梗死患者的心肌危险区:T2 加权水肿成像与磁共振评估心内膜表面积的比较及其与血管造影评分的验证。
JACC Cardiovasc Imaging. 2011 Sep;4(9):967-76. doi: 10.1016/j.jcmg.2011.02.023.
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JACC Cardiovasc Imaging. 2011 Aug;4(8):871-9. doi: 10.1016/j.jcmg.2011.04.014.
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A prospective study for comparison of MR and CT imaging for detection of coronary artery stenosis.一项用于比较 MR 和 CT 成像检测冠状动脉狭窄的前瞻性研究。
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