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胎儿磁共振成像在先天性心脏异常诊断中的演变及发展重要性:一项系统综述

The Evolution and Developing Importance of Fetal Magnetic Resonance Imaging in the Diagnosis of Congenital Cardiac Anomalies: A Systematic Review.

作者信息

Mamalis Marios, Bedei Ivonne, Schoennagel Bjoern, Kording Fabian, Reitz Justus G, Wolter Aline, Schenk Johanna, Axt-Fliedner Roland

机构信息

Division of Prenatal Medicine & Fetal Therapy, Department of Obstetrics & Gynecology, Justus-Liebig-University Giessen, 35390 Giessen, Germany.

Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany.

出版信息

J Clin Med. 2022 Nov 28;11(23):7027. doi: 10.3390/jcm11237027.

DOI:10.3390/jcm11237027
PMID:36498602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9738414/
Abstract

Magnetic Resonance Imaging (MRI) is a reliable method, with a complementary role to Ultrasound (US) Echocardiography, that can be used to fully comprehend and precisely diagnose congenital cardiac malformations. Besides the anatomical study of the fetal cardiovascular system, it allows us to study the function of the fetal heart, remaining, at the same time, a safe adjunct to the classic fetal echocardiography. MRI also allows for the investigation of cardiac and placental diseases by providing information about hematocrit, oxygen saturation, and blood flow in fetal vessels. It is crucial for fetal medicine specialists and pediatric cardiologists to closely follow the advances of fetal cardiac MRI in order to provide the best possible care. In this review, we summarize the advance in techniques and their practical utility to date.

摘要

磁共振成像(MRI)是一种可靠的方法,对超声心动图起到补充作用,可用于全面理解和精确诊断先天性心脏畸形。除了对胎儿心血管系统进行解剖学研究外,它还能让我们研究胎儿心脏的功能,同时仍是经典胎儿超声心动图的安全辅助手段。MRI还可通过提供有关胎儿血管中血细胞比容、氧饱和度和血流的信息,用于研究心脏和胎盘疾病。胎儿医学专家和儿科心脏病专家密切关注胎儿心脏MRI的进展以提供最佳护理至关重要。在本综述中,我们总结了迄今为止技术方面的进展及其实际应用。

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引用本文的文献

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Arch Gynecol Obstet. 2024 Apr;309(4):1353-1367. doi: 10.1007/s00404-023-06997-8. Epub 2023 Mar 27.

本文引用的文献

1
Analysis of 3-Dimensional Arch Anatomy, Vascular Flow, and Postnatal Outcome in Cases of Suspected Coarctation of the Aorta Using Fetal Cardiac Magnetic Resonance Imaging.使用胎儿心脏磁共振成像分析疑似主动脉缩窄病例的三维拱解剖结构、血管血流和出生后结果。
Circ Cardiovasc Imaging. 2021 Jul;14(7):e012411. doi: 10.1161/CIRCIMAGING.121.012411. Epub 2021 Jun 30.
2
Utility of Fetal Cardiovascular Magnetic Resonance for Prenatal Diagnosis of Complex Congenital Heart Defects.胎儿心血管磁共振在复杂先天性心脏缺陷产前诊断中的应用。
JAMA Netw Open. 2021 Mar 1;4(3):e213538. doi: 10.1001/jamanetworkopen.2021.3538.
3
Fetal whole heart blood flow imaging using 4D cine MRI.
使用 4D 电影 MRI 进行胎儿全心血流成像。
Nat Commun. 2020 Oct 5;11(1):4992. doi: 10.1038/s41467-020-18790-1.
4
Fetal cardiac MRI: a single center experience over 14-years on the potential utility as an adjunct to fetal technically inadequate echocardiography.胎儿心脏 MRI:14 年来作为胎儿技术不足超声心动图辅助手段的潜在应用的单中心经验。
Sci Rep. 2020 Jul 23;10(1):12373. doi: 10.1038/s41598-020-69375-3.
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Fetal whole-heart 4D imaging using motion-corrected multi-planar real-time MRI.使用运动校正多平面实时 MRI 进行胎儿全心 4D 成像。
Magn Reson Med. 2019 Sep;82(3):1055-1072. doi: 10.1002/mrm.27798. Epub 2019 May 12.
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Three-dimensional visualisation of the fetal heart using prenatal MRI with motion-corrected slice-volume registration: a prospective, single-centre cohort study.使用带运动校正的层面容积配准的产前 MRI 对胎儿心脏进行三维可视化:一项前瞻性、单中心队列研究。
Lancet. 2019 Apr 20;393(10181):1619-1627. doi: 10.1016/S0140-6736(18)32490-5. Epub 2019 Mar 22.
7
Multidimensional fetal flow imaging with cardiovascular magnetic resonance: a feasibility study.多维度胎儿血流成像的心血管磁共振:一项可行性研究。
J Cardiovasc Magn Reson. 2018 Nov 29;20(1):77. doi: 10.1186/s12968-018-0498-z.
8
MR imaging of subaortic and retroesophageal anomalous courses of the left brachiocephalic vein in the fetus.胎儿降主动脉和食管后异常左头臂静脉走行的磁共振成像。
Sci Rep. 2018 Oct 3;8(1):14781. doi: 10.1038/s41598-018-33033-6.
9
Fetal Cardiac Functional Assessment by Fetal Heart Magnetic Resonance Imaging.胎儿心脏磁共振成像对胎儿心脏功能的评估
J Comput Assist Tomogr. 2019 Jan/Feb;43(1):104-108. doi: 10.1097/RCT.0000000000000781.
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J Cardiovasc Magn Reson. 2018 Mar 12;20(1):17. doi: 10.1186/s12968-018-0440-4.