Dweck Marc R, Puntman Valentina, Vesey Alex T, Fayad Zahi A, Nagel Eike
Translation Molecular Imaging Institute, Icahn School of Medicine at Mount-Sinai, New York, New York; British Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Cardiovascular Imaging Center Goethe University Frankfurt, Germany.
JACC Cardiovasc Imaging. 2016 Mar;9(3):306-16. doi: 10.1016/j.jcmg.2015.12.003.
Cardiac magnetic resonance offers the promise of radiation-free imaging of the coronary arteries, providing information with respect to luminal stenosis, plaque burden, high-risk plaque characteristics, and disease activity. In combination, this would provide a comprehensive, individualized assessment of coronary atherosclerosis that could be used to improve patient risk stratification and to guide treatment. However, the technical challenges involved with delivering upon this promise are considerable, requiring sophisticated approaches to both data acquisition and post-processing. In this review, we describe the current status of this technology, its capabilities, its limitations, and what will be required in the future to translate this technology into routine clinical practice.
心脏磁共振有望实现冠状动脉的无辐射成像，提供有关管腔狭窄、斑块负荷、高危斑块特征和疾病活动的信息。综合起来，这将提供对冠状动脉粥样硬化的全面、个性化评估，可用于改善患者风险分层并指导治疗。然而，要实现这一前景所涉及的技术挑战相当大，需要复杂的数据采集和后处理方法。在本综述中，我们描述了这项技术的现状、其能力、局限性以及未来将该技术转化为常规临床实践所需的条件。
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