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缺血性慢性心肌病的多模态成像

Multimodality Imaging in Ischemic Chronic Cardiomyopathy.

作者信息

Muscogiuri Giuseppe, Guglielmo Marco, Serra Alessandra, Gatti Marco, Volpato Valentina, Schoepf Uwe Joseph, Saba Luca, Cau Riccardo, Faletti Riccardo, McGill Liam J, De Cecco Carlo Nicola, Pontone Gianluca, Dell'Aversana Serena, Sironi Sandro

机构信息

Department of Radiology, Istituto Auxologico Italiano IRCCS, San Luca Hospital, University Milano Bicocca, 20149 Milan, Italy.

Department of Cardiology, Division of Heart and Lungs, Utrecht University, Utrecht University Medical Center, 3584 Utrecht, The Netherlands.

出版信息

J Imaging. 2022 Feb 1;8(2):35. doi: 10.3390/jimaging8020035.

DOI:10.3390/jimaging8020035
PMID:35200737
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8877428/
Abstract

Ischemic chronic cardiomyopathy (ICC) is still one of the most common cardiac diseases leading to the development of myocardial ischemia, infarction, or heart failure. The application of several imaging modalities can provide information regarding coronary anatomy, coronary artery disease, myocardial ischemia and tissue characterization. In particular, coronary computed tomography angiography (CCTA) can provide information regarding coronary plaque stenosis, its composition, and the possible evaluation of myocardial ischemia using fractional flow reserve CT or CT perfusion. Cardiac magnetic resonance (CMR) can be used to evaluate cardiac function as well as the presence of ischemia. In addition, CMR can be used to characterize the myocardial tissue of hibernated or infarcted myocardium. Echocardiography is the most widely used technique to achieve information regarding function and myocardial wall motion abnormalities during myocardial ischemia. Nuclear medicine can be used to evaluate perfusion in both qualitative and quantitative assessment. In this review we aim to provide an overview regarding the different noninvasive imaging techniques for the evaluation of ICC, providing information ranging from the anatomical assessment of coronary artery arteries to the assessment of ischemic myocardium and myocardial infarction. In particular this review is going to show the different noninvasive approaches based on the specific clinical history of patients with ICC.

摘要

缺血性慢性心肌病（ICC）仍然是导致心肌缺血、梗死或心力衰竭的最常见心脏疾病之一。多种成像方式的应用可以提供有关冠状动脉解剖结构、冠状动脉疾病、心肌缺血和组织特征的信息。特别是，冠状动脉计算机断层扫描血管造影（CCTA）可以提供有关冠状动脉斑块狭窄、其成分的信息，以及使用血流储备分数CT或CT灌注对心肌缺血进行可能的评估。心脏磁共振成像（CMR）可用于评估心脏功能以及缺血的存在。此外，CMR可用于表征冬眠或梗死心肌的心肌组织。超声心动图是获取心肌缺血期间心脏功能和心肌壁运动异常信息最广泛使用的技术。核医学可用于定性和定量评估灌注。在本综述中，我们旨在概述用于评估ICC的不同无创成像技术，提供从冠状动脉解剖评估到缺血心肌和心肌梗死评估的信息。特别是，本综述将展示基于ICC患者特定临床病史的不同无创方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/9904144d9b6b/jimaging-08-00035-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/84977b3c9e2a/jimaging-08-00035-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/7c9ec909183d/jimaging-08-00035-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/65698c9285a9/jimaging-08-00035-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/63c48a1f9a79/jimaging-08-00035-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/bbbb92764183/jimaging-08-00035-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/50e6b0057ef0/jimaging-08-00035-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/37100c1b1627/jimaging-08-00035-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/39e17898306e/jimaging-08-00035-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/9904144d9b6b/jimaging-08-00035-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/84977b3c9e2a/jimaging-08-00035-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/7c9ec909183d/jimaging-08-00035-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/65698c9285a9/jimaging-08-00035-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/63c48a1f9a79/jimaging-08-00035-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/bbbb92764183/jimaging-08-00035-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/50e6b0057ef0/jimaging-08-00035-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/37100c1b1627/jimaging-08-00035-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/39e17898306e/jimaging-08-00035-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1df/8877428/9904144d9b6b/jimaging-08-00035-g009.jpg

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