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心脏磁共振成像在心包疾病中的临床应用价值

Clinical Utility of Cardiac Magnetic Resonance Imaging in Pericardial Diseases.

作者信息

Aldweib Nael, Farah Victor, Biederman Robert W W

机构信息

Division of Cardiology, Center for Cardiac MRI. Allegheny General Hospital, East North Ave, Pittsburgh, PA, United States.

出版信息

Curr Cardiol Rev. 2018;14(3):200-212. doi: 10.2174/1573403X14666180619104515.

Abstract

BACKGROUND

Pericardial diseases are relatively common in clinical practice and encountered in various clinical settings with consequent significant morbidity and mortality. However, the diagnosis as well as management can be complex and challenging, as the clinical presentation is usually non-specific. Therefore, there is an increasing role for Cardiac Magnetic Resonance Imaging (CMR) as an imaging tool to facilitate the diagnosis of pericardial diseases.

CONCLUSION

Herein we describe conventional and unique CMR approaches to provide an increased non-invasive understanding of the pericardium in health and disease including a novel method to diagnose constrictive pericarditis via radio-frequency tissue tagging by defining unique visceralparietal adherence patterns easily learned by the cardiologist and radiologist.

摘要

背景

心包疾病在临床实践中相对常见,在各种临床情况下均可遇到,会导致显著的发病率和死亡率。然而,由于临床表现通常不具有特异性,其诊断和管理可能复杂且具有挑战性。因此,心脏磁共振成像(CMR)作为一种有助于心包疾病诊断的成像工具,其作用日益凸显。

结论

在此,我们描述了传统的和独特的CMR方法,以增强对健康和疾病状态下心包的非侵入性理解,包括一种通过射频组织标记诊断缩窄性心包炎的新方法,该方法可定义独特的心外膜-脏层粘连模式,心脏病专家和放射科医生可轻松掌握。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080a/6131401/368d8484aec5/CCR-14-200_F1.jpg

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