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关于十项影像学研究需了解的十件事:预防心脏病学视角(“美国预防心脏病学会十大影像学”)

Ten things to know about ten imaging studies: A preventive cardiology perspective ("ASPC top ten imaging").

作者信息

Bays Harold E, Khera Amit, Blaha Michael J, Budoff Matthew J, Toth Peter P

机构信息

Louisville Metabolic and Atherosclerosis Research Center, 3288 Illinois Avenue, Louisville KY 40213 USA.

UT Southwestern Medical Center, Dallas, TX USA.

出版信息

Am J Prev Cardiol. 2021 Mar 27;6:100176. doi: 10.1016/j.ajpc.2021.100176. eCollection 2021 Jun.

Abstract

Knowing the patient's current cardiovascular disease (CVD) status, as well as the patient's current and future CVD risk, helps the clinician make more informed patient-centered management recommendations towards the goal of preventing future CVD events. Imaging tests that can assist the clinician with the diagnosis and prognosis of CVD include imaging studies of the heart and vascular system, as well as imaging studies of other body organs applicable to CVD risk. The American Society for Preventive Cardiology (ASPC) has published "Ten Things to Know About Ten Cardiovascular Disease Risk Factors." Similarly, this "ASPC Top Ten Imaging" summarizes ten things to know about ten imaging studies related to assessing CVD and CVD risk, listed in tabular form. The ten imaging studies herein include: (1) coronary artery calcium imaging (CAC), (2) coronary computed tomography angiography (CCTA), (3) cardiac ultrasound (echocardiography), (4) nuclear myocardial perfusion imaging (MPI), (5) cardiac magnetic resonance (CMR), (6) cardiac catheterization [with or without intravascular ultrasound (IVUS) or coronary optical coherence tomography (OCT)], (7) dual x-ray absorptiometry (DXA) body composition, (8) hepatic imaging [ultrasound of liver, vibration-controlled transient elastography (VCTE), CT, MRI proton density fat fraction (PDFF), magnetic resonance spectroscopy (MRS)], (9) peripheral artery / endothelial function imaging (e.g., carotid ultrasound, peripheral doppler imaging, ultrasound flow-mediated dilation, other tests of endothelial function and peripheral vascular imaging) and (10) images of other body organs applicable to preventive cardiology (brain, kidney, ovary). Many cardiologists perform cardiovascular-related imaging. Many non-cardiologists perform applicable non-cardiovascular imaging. Cardiologists and non-cardiologists alike may benefit from a working knowledge of imaging studies applicable to the diagnosis and prognosis of CVD and CVD risk - both important in preventive cardiology.

摘要

了解患者当前的心血管疾病(CVD)状况以及患者当前和未来的CVD风险,有助于临床医生做出更明智的、以患者为中心的管理建议,以实现预防未来CVD事件的目标。可协助临床医生进行CVD诊断和预后评估的影像学检查包括心脏和血管系统的成像研究,以及适用于CVD风险评估的其他身体器官的成像研究。美国预防心脏病学会(ASPC)已发布了《关于十种心血管疾病危险因素需了解的十件事》。同样,这份“ASPC十大影像学检查”以表格形式总结了关于与评估CVD和CVD风险相关的十种影像学检查需了解的十件事。本文中的十种影像学检查包括:(1)冠状动脉钙化成像(CAC),(2)冠状动脉计算机断层扫描血管造影(CCTA),(3)心脏超声(超声心动图),(4)核素心肌灌注成像(MPI),(5)心脏磁共振成像(CMR),(6)心导管检查[有无血管内超声(IVUS)或冠状动脉光学相干断层扫描(OCT)],(7)双能X线吸收法(DXA)身体成分分析,(8)肝脏成像[肝脏超声、振动控制瞬时弹性成像(VCTE)、CT、MRI质子密度脂肪分数(PDFF)、磁共振波谱(MRS)],(9)外周动脉/内皮功能成像(如颈动脉超声、外周多普勒成像、超声血流介导的血管扩张、其他内皮功能检查和外周血管成像)以及(10)适用于预防心脏病学的其他身体器官的影像(脑、肾、卵巢)。许多心脏病专家进行与心血管相关的成像检查。许多非心脏病专家进行适用的非心血管成像检查。心脏病专家和非心脏病专家都可能从适用于CVD诊断和预后以及CVD风险评估的影像学检查的实用知识中受益——这两者在预防心脏病学中都很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4204/8315431/c331c09d4397/gr1.jpg

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