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应用 CMR 特征追踪技术对心肌变形进行定量分析——仅仅是针对左心室吗?

Quantification of Myocardial Deformation Applying CMR-Feature-Tracking-All About the Left Ventricle?

机构信息

Department of Cardiology and Pneumology, Georg-August University Göttingen and German Centre for Cardiovascular Research (DZHK), partner site Göttingen, University Medical Center Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany.

出版信息

Curr Heart Fail Rep. 2021 Aug;18(4):225-239. doi: 10.1007/s11897-021-00515-0. Epub 2021 May 1.

Abstract

PURPOSE OF REVIEW

Cardiac magnetic resonance-feature-tracking (CMR-FT)-based deformation analyses are key tools of cardiovascular imaging and applications in heart failure (HF) diagnostics are expanding. In this review, we outline the current range of application with diagnostic and prognostic implications and provide perspectives on future trends of this technique.

RECENT FINDINGS

By applying CMR-FT in different cardiovascular diseases, increasing evidence proves CMR-FT-derived parameters as powerful diagnostic and prognostic imaging biomarkers within the HF continuum partly outperforming traditional clinical values like left ventricular ejection fraction. Importantly, HF diagnostics and deformation analyses by CMR-FT are feasible far beyond sole left ventricular performance evaluation underlining the holistic nature and accuracy of this imaging approach. As an established and continuously evolving technique with strong prognostic implications, CMR-FT deformation analyses enable comprehensive cardiac performance quantification of all cardiac chambers.

摘要

目的综述

心脏磁共振(CMR)-斑点追踪(FT)的变形分析是心血管成像的关键工具,其在心力衰竭(HF)诊断中的应用正在不断扩展。在这篇综述中,我们概述了该技术目前的应用范围及其在诊断和预后方面的意义,并对该技术的未来趋势提供了一些观点。

最近的发现

通过在不同的心血管疾病中应用 CMR-FT,越来越多的证据证明 CMR-FT 衍生的参数是 HF 连续体中强大的诊断和预后成像生物标志物,在某些方面优于传统的临床指标,如左心室射血分数。重要的是,CMR-FT 的 HF 诊断和变形分析不仅可以评估左心室的性能,还可以在很大程度上评估整体心脏功能,突出了这种成像方法的全面性和准确性。作为一种具有强大预后意义的成熟且不断发展的技术,CMR-FT 变形分析能够全面量化所有心腔的心脏功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3189/8342400/00e1527fa080/11897_2021_515_Fig1_HTML.jpg

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