Jing Mengyuan, Li Dong, Xi Huaze, Zhang Yuting, Zhou Junlin
Department of Radiology, Lanzhou University Second Hospital, 730030 Lanzhou, Gansu, China.
Second Clinical School, Lanzhou University, 730030 Lanzhou, Gansu, China.
Rev Cardiovasc Med. 2023 Aug 18;24(8):241. doi: 10.31083/j.rcm2408241. eCollection 2023 Aug.
Catheter ablation (CA) is the first-line treatment for atrial fibrillation (AF) patients. However, the risk of recurrence associated with CA treatment should not be ignored. Therefore, the preoperative identification of patients at risk of recurrence is essential for identifying patients who will benefit from non-invasive surgery. Echocardiography, computed tomography (CT), and magnetic resonance imaging (MRI) are essential for the preoperative non-invasive prediction of AF recurrence after CA. Compared to laboratory examinations and other examination methods, these modalities can identify structural changes in the heart and assess functional variations. Accordingly, in past studies, morphological features, quantitative parameters, and imaging information of the heart, as assessed by echocardiography, CT, and MRI, have been used to predict AF recurrence after CA noninvasively. This review summarizes and discusses the current research on echocardiography, CT, MRI, and machine learning for predicting AF recurrence following CA. Recommendations for future research are also presented.
导管消融术（CA）是心房颤动（AF）患者的一线治疗方法。然而，与CA治疗相关的复发风险不容忽视。因此，术前识别复发风险患者对于确定将从非侵入性手术中获益的患者至关重要。超声心动图、计算机断层扫描（CT）和磁共振成像（MRI）对于CA术后AF复发的术前非侵入性预测至关重要。与实验室检查和其他检查方法相比，这些检查方式可以识别心脏的结构变化并评估功能变化。因此，在过去的研究中，通过超声心动图、CT和MRI评估的心脏形态特征、定量参数和成像信息已被用于非侵入性预测CA术后AF复发。本综述总结并讨论了目前关于超声心动图、CT、MRI和机器学习预测CA术后AF复发的研究。还提出了对未来研究的建议。
