Foley James R J, Plein Sven, Greenwood John P
James R J Foley, Sven Plein, John P Greenwood, Multidisciplinary Cardiovascular Research Centre and Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds LS2 9JT, United Kingdom.
World J Cardiol. 2017 Feb 26;9(2):92-108. doi: 10.4330/wjc.v9.i2.92.
Coronary artery disease (CAD) is a leading cause of death and disability worldwide. Cardiovascular magnetic resonance (CMR) is established in clinical practice guidelines with a growing evidence base supporting its use to aid the diagnosis and management of patients with suspected or established CAD. CMR is a multi-parametric imaging modality that yields high spatial resolution images that can be acquired in any plane for the assessment of global and regional cardiac function, myocardial perfusion and viability, tissue characterisation and coronary artery anatomy, all within a single study protocol and without exposure to ionising radiation. Advances in technology and acquisition techniques continue to progress the utility of CMR across a wide spectrum of cardiovascular disease, and the publication of large scale clinical trials continues to strengthen the role of CMR in daily cardiology practice. This article aims to review current practice and explore the future directions of multi-parametric CMR imaging in the investigation of stable CAD.
冠状动脉疾病（CAD）是全球范围内导致死亡和残疾的主要原因。心血管磁共振成像（CMR）已被纳入临床实践指南，且越来越多的证据支持其用于辅助诊断和管理疑似或确诊CAD的患者。CMR是一种多参数成像方式，可生成高空间分辨率图像，能够在任何平面上采集，用于评估整体和局部心脏功能、心肌灌注和存活情况、组织特征以及冠状动脉解剖结构，所有这些都可在单一研究方案内完成，且无需暴露于电离辐射。技术和采集技术的进步不断提升CMR在广泛心血管疾病中的应用价值，大规模临床试验的发表也不断强化CMR在日常心脏病学实践中的作用。本文旨在回顾当前实践，并探讨多参数CMR成像在稳定型CAD研究中的未来发展方向。
