Whitlock Matthew C, Hundley W Gregory
Department of Internal Medicine, Section on Cardiovascular Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Department of Internal Medicine, Section on Cardiovascular Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina; Department of Radiological Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina.
JACC Cardiovasc Imaging. 2015 Sep;8(9):1094-1106. doi: 10.1016/j.jcmg.2015.08.001.
With advancements in technology and a better understanding of human cardiovascular physiology, research as well as clinical care can go beyond dimensional anatomy offered by traditional imaging and investigate aortic functional properties and the impact disease has on this function. Linking the knowledge of the histopathological changes with the alterations in aortic function observed on noninvasive imaging results in a better understanding of disease pathophysiology. Translating this to clinical medicine, these noninvasive imaging assessments of aortic function are proving to be able to diagnose disease, better predict risk, and assess response to therapies. This review is designed to summarize the various hemodynamic measures that can characterize the aorta, the various noninvasive techniques, and applications for various disease states.
随着技术的进步以及对人体心血管生理学的更深入理解,研究和临床护理可以超越传统成像所提供的二维解剖结构,进而探究主动脉的功能特性以及疾病对该功能的影响。将组织病理学变化的知识与在无创成像中观察到的主动脉功能改变相联系,有助于更好地理解疾病的病理生理学。将其应用于临床医学,这些对主动脉功能的无创成像评估已被证明能够诊断疾病、更准确地预测风险并评估治疗反应。本综述旨在总结各种能够表征主动脉的血流动力学测量方法、各种无创技术以及在不同疾病状态下的应用。