Lisi Costanza, Moser Lukas J, Mergen Victor, Klambauer Konstantin, Uçar Eda, Eberhard Matthias, Alkadhi Hatem
Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Department of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini 4, Pieve Emanuele, 20072, Milan, Italy.
Int J Cardiovasc Imaging. 2024 Sep 6. doi: 10.1007/s10554-024-03229-1.
Non-invasive imaging with characterization and quantification of the myocardium with computed tomography (CT) became feasible owing to recent technical developments in CT technology. Cardiac CT can serve as an alternative modality when cardiac magnetic resonance imaging and/or echocardiography are contraindicated, not feasible, inconclusive, or non-diagnostic. This review summarizes the current and potential future role of cardiac CT for myocardial characterization including a summary of late enhancement techniques, extracellular volume quantification, and strain analysis. In addition, this review highlights potential fields for research about myocardial characterization with CT to possibly include it in clinical routine in the future.
由于CT技术的最新进展，利用计算机断层扫描（CT）对心肌进行无创成像并进行特征描述和定量分析变得可行。当心脏磁共振成像和/或超声心动图存在禁忌证、不可行、结果不确定或无法诊断时，心脏CT可作为一种替代方式。本综述总结了心脏CT在心肌特征描述方面当前及未来可能发挥的作用，包括延迟强化技术、细胞外容积定量分析和应变分析的概述。此外，本综述强调了关于利用CT进行心肌特征描述的潜在研究领域，以便未来可能将其纳入临床常规。
