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应变成像:从生理学到日常实践中的实际应用

Strain Imaging: From Physiology to Practical Applications in Daily Practice.

作者信息

Sareen Nishtha, Ananthasubramaniam Karthik

机构信息

From the *Department of Cardiology, St Joseph Mercy Oakland Hospital, Pontiac, MI; and †Department of Internal Medicine, Heart and Vascular Institute, Henry Ford Hospital, Detroit, MI.

出版信息

Cardiol Rev. 2016 Mar-Apr;24(2):56-69. doi: 10.1097/CRD.0000000000000067.

DOI:10.1097/CRD.0000000000000067
PMID:25839992
Abstract

Non-Doppler, 2-dimensional strain imaging is a new echocardiographic technique for obtaining strain and strain rate measurements, which serves as a major advancement in understanding myocardial deformation. It analyzes motion in ultrasound imaging by tracking speckles in 2 dimensions. There are a lot of data emerging with multiple applications of strain imaging in the clinical practice of echocardiography. As incorporation of strain imaging in daily practice has been challenging, we intend to systematically highlight the top 10 applications of speckle-tracking echocardiography, which every cardiologist should be aware of: chemotherapy cardiotoxicity, left ventricular assessment, cardiac amyloidosis, hypertrophic obstructive cardiomyopathy, right ventricular dysfunction, valvular heart diseases (aortic stenosis and mitral regurgitation), cardiac sarcoidosis, athlete heart, left atrial assessment, and cardiac dyssynchrony.

摘要

非多普勒二维应变成像是一种用于获取应变和应变率测量值的新型超声心动图技术,这是理解心肌变形方面的一项重大进展。它通过二维追踪散斑来分析超声成像中的运动。随着应变成像在超声心动图临床实践中的多种应用,出现了大量数据。由于将应变成像纳入日常实践具有挑战性,我们打算系统地重点介绍斑点追踪超声心动图的十大应用,每位心脏病专家都应了解:化疗心脏毒性、左心室评估、心脏淀粉样变性、肥厚性梗阻性心肌病、右心室功能障碍、瓣膜性心脏病(主动脉瓣狭窄和二尖瓣反流)、心脏结节病、运动员心脏、左心房评估和心脏不同步。

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