Lohrke Jessica, Frenzel Thomas, Endrikat Jan, Alves Filipe Caseiro, Grist Thomas M, Law Meng, Lee Jeong Min, Leiner Tim, Li Kun-Cheng, Nikolaou Konstantin, Prince Martin R, Schild Hans H, Weinreb Jeffrey C, Yoshikawa Kohki, Pietsch Hubertus
MR and CT Contrast Media Research, Bayer HealthCare, Berlin, Germany.
Global Medical Affairs Radiology, Bayer HealthCare, Berlin, Germany.
Adv Ther. 2016 Jan;33(1):1-28. doi: 10.1007/s12325-015-0275-4. Epub 2016 Jan 25.
In 1988, the first contrast agent specifically designed for magnetic resonance imaging (MRI), gadopentetate dimeglumine (Magnevist(®)), became available for clinical use. Since then, a plethora of studies have investigated the potential of MRI contrast agents for diagnostic imaging across the body, including the central nervous system, heart and circulation, breast, lungs, the gastrointestinal, genitourinary, musculoskeletal and lymphatic systems, and even the skin. Today, after 25 years of contrast-enhanced (CE-) MRI in clinical practice, the utility of this diagnostic imaging modality has expanded beyond initial expectations to become an essential tool for disease diagnosis and management worldwide. CE-MRI continues to evolve, with new techniques, advanced technologies, and novel contrast agents bringing exciting opportunities for more sensitive, targeted imaging and improved patient management, along with associated clinical challenges. This review aims to provide an overview on the history of MRI and contrast media development, to highlight certain key advances in the clinical development of CE-MRI, to outline current technical trends and clinical challenges, and to suggest some important future perspectives.
Bayer HealthCare.
1988年,首个专门为磁共振成像(MRI)设计的造影剂钆喷酸葡胺(马根维显(®))可供临床使用。从那时起,大量研究探讨了MRI造影剂在全身诊断成像中的潜力,包括中枢神经系统、心脏与循环系统、乳腺、肺部、胃肠道、泌尿生殖系统、肌肉骨骼系统和淋巴系统,甚至皮肤。如今,在临床实践中进行增强对比(CE-)MRI 25年后,这种诊断成像方式的效用已超出最初预期,成为全球疾病诊断和管理的重要工具。CE-MRI不断发展,新技术、先进技术和新型造影剂带来了令人兴奋的机遇,可实现更敏感、靶向性更强的成像并改善患者管理,但也伴随着相关临床挑战。本综述旨在概述MRI和造影剂的发展历程,突出CE-MRI临床发展中的某些关键进展,概述当前技术趋势和临床挑战,并提出一些重要的未来展望。
拜耳医疗保健公司。