Houston Methodist Hospital, Houston, Texas, US.
Semmelweis University, Budapest, Hungary.
Methodist Debakey Cardiovasc J. 2023 Mar 7;19(2):4-14. doi: 10.14797/mdcvj.1172. eCollection 2023.
The past decade has seen significant advances in dynamic imaging of the aorta. Today's vascular surgeons have the opportunity to choose from a wide array of imaging modalities to evaluate different aortic pathologies. While vascular ultrasound and aortography are considered to be the bread and butter imaging modalities, newer dynamic imaging techniques provide time-resolved information in various aortic pathologies. However, despite growing evidence of their advantages in the literature, they have not been routinely adopted. In order to understand the role of these emerging modalities, one must understand their principles, advantages, and limitations in the context of various clinical scenarios. In this review, we provide an overview of dynamic imaging techniques for aortic pathologies and describe various dynamic computed tomography and magnetic resonance imaging protocols, clinical applications, and potential future directions.
在过去的十年中,主动脉的动态成像技术取得了重大进展。如今,血管外科医生有机会从多种成像方式中进行选择,以评估不同的主动脉病变。虽然血管超声和主动脉造影被认为是基本的成像方式,但新的动态成像技术为各种主动脉病变提供了时间分辨信息。然而,尽管文献中有越来越多的证据表明它们具有优势,但它们尚未被常规采用。为了了解这些新兴模式的作用,人们必须了解它们在各种临床情况下的原理、优势和局限性。在这篇综述中,我们提供了主动脉病变的动态成像技术概述,并描述了各种动态计算机断层扫描和磁共振成像方案、临床应用和潜在的未来方向。