Johnston D L, Rokey R, Okada R D
Herz. 1987 Feb;12(1):51-67.
Nuclear magnetic resonance (NMR) imaging provides a noninvasive method of detecting and characterizing several clinically important cardiac diseases. These include hypertrophic cardiomyopathy, several congenital disorders, especially those with abnormalities of the surrounding great vessels and those with surgical shunts in place, intra and extra cardiac masses and constrictive pericarditis. NMR imaging is becoming useful in the visualization of aortic disease, particular for the serial management of coarctation, and for the diagnosis of thoracic and abdominal aneurysms and dissections. Other peripheral vascular lesions such as portal shunts and arterial-venous malformations are detected. With further experience and improved technology, NMR imaging will become a valuable tool for the detection and characterization of recent infarction, monitoring of cardiac transplantation patients for the presence of rejection, detection of myocardial iron overload and the visualization of peripheral vascular disease. For NMR imaging to become firmly entrenched as a cardiovascular imaging tool, however, it will be necessary to carefully document its advantage over already well established and less expensive methods, such as radionuclide imaging techniques and 2-D echocardiography. Moreover, NMR imaging will need to be compared to developing technology like cine computerized X-ray tomography before the best noninvasive imaging technique is finally established for a particular cardiovascular disease.
核磁共振（NMR）成像提供了一种检测和表征几种临床上重要的心脏疾病的非侵入性方法。这些疾病包括肥厚型心肌病、几种先天性疾病，尤其是那些周围大血管有异常的疾病以及那些有手术分流的疾病、心脏内外肿块和缩窄性心包炎。NMR成像在主动脉疾病的可视化方面正变得有用，特别是对于主动脉缩窄的系列管理，以及胸主动脉瘤和腹主动脉瘤及夹层的诊断。还能检测到其他周围血管病变，如门体分流和动静脉畸形。随着经验的进一步积累和技术的改进，NMR成像将成为检测和表征近期梗死、监测心脏移植患者是否存在排斥反应、检测心肌铁过载以及可视化周围血管疾病的有价值工具。然而，要使NMR成像作为一种心血管成像工具牢固确立，有必要仔细记录它相对于已经成熟且成本较低的方法（如放射性核素成像技术和二维超声心动图）的优势。此外，在最终确定针对特定心血管疾病的最佳非侵入性成像技术之前，NMR成像需要与动态计算机X线断层扫描等正在发展的技术进行比较。
