Cardiovascular Division and the Cardiovascular Imaging Center, Department of Medicine, University of Virginia Health System, Box 800158, 1215 Lee Street, Charlottesville, VA, 22908, USA.
Department of Radiology, University of Virginia Health System, Charlottesville, VA, USA.
Curr Cardiol Rep. 2019 Jul 1;21(8):79. doi: 10.1007/s11886-019-1155-3.
This review is aimed at summarizing recent advances in functional, anatomical, and hybrid imaging techniques used in the assessment of ischemic complaints in patients with known coronary artery disease (CAD).
Cardiovascular imaging has seen significant growth over the last decade in the fields of coronary computed tomography angiography (CCTA), FFR derived from CCTA, cardiac magnetic resonance, radionuclide myocardial perfusion imaging, and hybrid imaging for the purposes of evaluating symptoms concerning for ischemia. This growth stems from refinement of imaging techniques and hardware and software advances that have made current techniques more accurate with less acquisition time. However, every anatomic and functional imaging modality has important technical and patient-specific limitations. This review assesses these issues, guides a patient-centered imaging approach, and identifies important research questions to resolve. Recent advances in non-invasive cardiovascular imaging can provide important information in patients with known CAD beyond traditional imaging techniques; the use of these novel tools refines the clinical management of complex patients with ischemic symptoms and known CAD.
本综述旨在总结用于评估已知冠心病 (CAD) 患者缺血性症状的功能、解剖和混合成像技术的最新进展。
在过去十年中，心血管成像在冠状动脉计算机断层扫描血管造影术 (CCTA)、CCTA 衍生的 FFR、心脏磁共振、放射性核素心肌灌注成像以及用于评估疑似缺血症状的混合成像领域取得了显著发展。这种增长源于成像技术的改进和硬件及软件的进步，使当前的技术更准确，采集时间更短。然而，每种解剖和功能成像方式都有重要的技术和患者特异性限制。本综述评估了这些问题，指导了以患者为中心的成像方法，并确定了需要解决的重要研究问题。最近在无创心血管成像方面的进展可以为已知 CAD 的患者提供比传统成像技术更重要的信息；这些新工具的使用可以改善有缺血症状和已知 CAD 的复杂患者的临床管理。
