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缺血性心肌病的心脏磁共振成像与计算机断层扫描:最新进展

Cardiac magnetic resonance imaging and computed tomography in ischemic cardiomyopathy: an update.

作者信息

Assunção Fernanda Boldrini, de Oliveira Diogo Costa Leandro, Souza Vitor Frauches, Nacif Marcelo Souto

机构信息

MDs, Trainees at School of Medicine - Universidade Federal Fluminense (UFF), Niterói, RJ, Brazil.

MD, Resident of Magnetic Resonance Imaging and Emergency Radiology at Complexo Hospitalar de Niterói (CHN), Niterói, RJ, Brazil.

出版信息

Radiol Bras. 2016 Jan-Feb;49(1):26-34. doi: 10.1590/0100-3984.2014.0055.

Abstract

Ischemic cardiomyopathy is one of the major health problems worldwide, representing a significant part of mortality in the general population nowadays. Cardiac magnetic resonance imaging (CMRI) and cardiac computed tomography (CCT) are noninvasive imaging methods that serve as useful tools in the diagnosis of coronary artery disease and may also help in screening individuals with risk factors for developing this illness. Technological developments of CMRI and CCT have contributed to the rise of several clinical indications of these imaging methods complementarily to other investigation methods, particularly in cases where they are inconclusive. In terms of accuracy, CMRI and CCT are similar to the other imaging methods, with few absolute contraindications and minimal risks of adverse side-effects. This fact strengthens these methods as powerful and safe tools in the management of patients. The present study is aimed at describing the role played by CMRI and CCT in the diagnosis of ischemic cardiomyopathies.

摘要

缺血性心肌病是全球主要的健康问题之一,在当今普通人群的死亡率中占相当大的比例。心脏磁共振成像(CMRI)和心脏计算机断层扫描(CCT)是非侵入性成像方法,是诊断冠状动脉疾病的有用工具,也有助于筛查有患此病风险因素的个体。CMRI和CCT的技术发展促使这些成像方法出现了多种临床应用指征,可作为其他检查方法的补充,特别是在其他检查方法无定论的情况下。在准确性方面,CMRI和CCT与其他成像方法相似,绝对禁忌症很少,副作用风险极小。这一事实增强了这些方法在患者管理中作为强大而安全工具的地位。本研究旨在描述CMRI和CCT在缺血性心肌病诊断中所起的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5d5/4770394/91b458c0f422/rb-49-01-0026-g01.jpg

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