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基于成像技术的心脏代谢表型特征分析,聚焦于全身磁共振成像——疾病预防与个性化治疗的方法

Imaging-based characterization of cardiometabolic phenotypes focusing on whole-body MRI--an approach to disease prevention and personalized treatment.

作者信息

Gatidis Sergios, Schlett Christopher L, Notohamiprodjo Mike, Bamberg Fabian

机构信息

1 Department of Radiology, Diagnostic and Interventional Radiology, University of Tuebingen, Tuebingen, Germany.

2 Department of Radiology, Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany.

出版信息

Br J Radiol. 2016;89(1059):20150829. doi: 10.1259/bjr.20150829. Epub 2016 Jan 18.

Abstract

Metabolic syndrome and cardiovascular disorders pose a challenge to global healthcare systems. Too often, patients with metabolic syndrome are diagnosed in advanced disease stages, where disease-associated damage is irreversible and treatment options are limited. Thus, prevention plays an increasingly important role in the management of cardiometabolic disorders. The main challenge of prevention is to identify patient groups who are at risk for developing overt disease and who might benefit from early therapeutic intervention. In this context, imaging-based phenotyping can add significant information to clinical evaluations, revealing anatomical and physiological changes that reflect intrinsic and extrinsic risk factors. The purpose of this review article was to provide an overview of the current state of imaging-based phenotyping of metabolic syndrome and cardiovascular disorders and to discuss current and potential developments in this field.

摘要

代谢综合征和心血管疾病给全球医疗保健系统带来了挑战。代谢综合征患者常常在疾病晚期才被诊断出来,此时与疾病相关的损害已不可逆转,治疗选择也很有限。因此,预防在心脏代谢疾病的管理中发挥着越来越重要的作用。预防的主要挑战在于识别有发展为显性疾病风险且可能从早期治疗干预中获益的患者群体。在这种情况下,基于成像的表型分析可为临床评估增添重要信息,揭示反映内在和外在风险因素的解剖学和生理学变化。这篇综述文章的目的是概述基于成像的代谢综合征和心血管疾病表型分析的现状,并讨论该领域当前和潜在的发展情况。

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