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500例心血管磁共振成像经验及病例系统分析

Experience of 500 cardiovascular magnetic resonance imaging and systematic analysis of cases.

作者信息

Ozkok Sercin, Yucel Ilker Kemal, Sasmazel Ahmet, Celebi Ahmet

机构信息

Department of Radiology, Istanbul Medeniyet University, Goztepe Training and Research Hospital, Istanbul, Turkiye.

Department of Pediatric Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkiye.

出版信息

North Clin Istanb. 2023 Feb 16;10(1):108-121. doi: 10.14744/nci.2022.28445. eCollection 2023.

Abstract

OBJECTIVE

Cardiovascular magnetic resonance imaging (MRI) is a widely accepted reference imaging technique in routine cardiology clinics in many centers due to its advantages in providing preferable functional, morphologic information. However, there is little information about national experience in clinical application and findings of cardiovascular MRI. The objective of this study was to demonstrate the clinical and demographic characteristics of patients admitted to our cardiac imaging department.

METHODS

A total of 500 cardiovascular MRI examinations performed between 2016 and 2019 were enrolled in this retrospective study. Clinical indications, demographic, and cardiovascular MRI findings of the patients were retrospectively evaluated.

RESULTS

Five hundred patients (M/F=301/199) were included in this retrospective, single center study. The majority of the examinations were performed for the assessment of congenital heart disease (n=254, 50.8%). The other indications were for myocardial disease (n=160, 32%), cardiac mass (n=44, 8.8%), valvular heart disease (n=20, 4%), magnetic resonance angiography (n=12, 2.4% for aorta and pulmonary artery [n=9, 1.8%] and for coronary arteries [n=3, 0.6%]), and vasculitis (n=7, 1.7%), pericardial disease (n=3, 0.6%). Minor complication was seen during the contrast agent injection in three patients (0.06%).

CONCLUSION

Cardiovascular MRI is a reliable and accurate imaging tool in identifying the various cardiac pathology with widely accepted use in the clinical area. Our single-center experience of 500 cases demonstrates the varieties of clinical indications in daily practice that may contribute to the national data pool.

摘要

目的

心血管磁共振成像(MRI)在许多中心的常规心脏病诊所中是一种广泛接受的参考成像技术,因为它在提供更好的功能和形态学信息方面具有优势。然而,关于心血管MRI临床应用的全国经验和研究结果的信息很少。本研究的目的是展示入住我们心脏影像科患者的临床和人口统计学特征。

方法

本回顾性研究纳入了2016年至2019年间进行的500例心血管MRI检查。对患者的临床指征、人口统计学和心血管MRI检查结果进行回顾性评估。

结果

本回顾性单中心研究纳入了500例患者(男/女=301/199)。大多数检查是为了评估先天性心脏病(n=254,50.8%)。其他指征包括心肌病(n=160,32%)、心脏肿块(n=44,8.8%)、心脏瓣膜病(n=20,4%)、磁共振血管造影(n=12,主动脉和肺动脉占2.4%[n=9,1.8%],冠状动脉占2.4%[n=3,0.6%])、血管炎(n=7,1.7%)、心包疾病(n=3,0.6%)。3例患者(0.06%)在注射造影剂过程中出现轻微并发症。

结论

心血管MRI是一种可靠且准确的成像工具,可用于识别各种心脏病变,在临床领域得到广泛应用。我们单中心500例的经验证明了日常实践中临床指征的多样性,这可能有助于建立全国性数据库。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/333c/9996649/8a7639865c72/NCI-10-108-g001.jpg

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