CMR 首过灌注成像在可疑可诱导性心肌缺血中的应用。

CMR First-Pass Perfusion for Suspected Inducible Myocardial Ischemia.

机构信息

Cardiovascular Division, University of Miami, Miller School of Medicine, Miami, Florida.

Departments of Medicine and Radiology, McGill University Health Centre, Montreal, Canada; Department of Medicine, Heidelberg University, Heidelberg, Germany; Department of Radiology, Université de Montreal, Montreal, Canada; Departments of Cardiac Sciences and Radiology, University of Calgary, Calgary, Canada.

出版信息

JACC Cardiovasc Imaging. 2016 Nov;9(11):1338-1348. doi: 10.1016/j.jcmg.2016.09.010.

DOI:10.1016/j.jcmg.2016.09.010

PMID:27832901

Abstract

Cardiovascular magnetic resonance (CMR) has evolved from a pioneering research tool to an established noninvasive imaging method for detecting inducible myocardial perfusion deficits. In this consensus document, experts of different imaging techniques summarize the existing body of evidence regarding CMR perfusion as a viable complement to other established noninvasive tools for the assessment of perfusion and discuss the advantages and pitfalls of the technique. A rapid, standardized CMR perfusion protocol is described, which is safe, clinically feasible, and cost-effective for centers with contemporary magnetic resonance equipment. CMR perfusion can be recommended as a routine diagnostic tool to identify inducible myocardial ischemia.

摘要

心血管磁共振（CMR）已经从开创性的研究工具发展为一种成熟的无创成像方法，用于检测可诱导的心肌灌注缺陷。在这份共识文件中，不同成像技术的专家总结了 CMR 灌注作为其他成熟的无创工具的补充在评估灌注方面的现有证据，并讨论了该技术的优势和不足。本文还描述了一种快速、标准化的 CMR 灌注方案，对于拥有现代磁共振设备的中心来说，该方案安全、临床可行且具有成本效益。因此，CMR 灌注可以作为一种常规诊断工具，用于识别可诱导的心肌缺血。