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胎儿心血管磁共振成像:历史、现状与未来方向。

Fetal Cardiovascular Magnetic Resonance: History, Current Status, and Future Directions.

作者信息

Suchá Dominika, Bohte Anneloes E, van Ooij Pim, Leiner Tim, Schrauben Eric M, Grotenhuis Heynric B

机构信息

Department of Radiology and Nuclear Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.

Department of Pediatric Cardiology, Wilhelmina Children's Hospital, Utrecht, The Netherlands.

出版信息

J Magn Reson Imaging. 2025 Jun;61(6):2357-2375. doi: 10.1002/jmri.29664. Epub 2024 Nov 23.

DOI:10.1002/jmri.29664
PMID:39578988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12063768/
Abstract

Fetal cardiovascular magnetic resonance imaging (MRI) has emerged as a complementary modality for prenatal imaging in suspected congenital heart disease. Ongoing technical improvements extend the potential clinical value of fetal cardiovascular MRI. Ascertaining equivocal prenatal diagnostics obtained with ultrasonography allows for appropriate parental counseling and planning of postnatal surgery. This work summarizes current acquisition techniques and clinical applications of fetal cardiovascular MRI in the prenatal diagnosis and follow-up of fetuses with congenital heart disease. LEVEL OF EVIDENCE: 3 TECHNICAL EFFICACY: Stage 3.

摘要

胎儿心血管磁共振成像(MRI)已成为疑似先天性心脏病产前成像的一种补充方式。不断的技术改进扩展了胎儿心血管MRI的潜在临床价值。确定超声检查获得的不明确产前诊断有助于为家长提供适当的咨询并规划产后手术。本文总结了胎儿心血管MRI在先天性心脏病胎儿产前诊断和随访中的当前采集技术及临床应用。证据级别:3 技术效能:3级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9279/12063768/023f15efb77b/JMRI-61-2357-g010.jpg
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本文引用的文献

1
Structural and functional fetal cardiac imaging using low field (0.55 T) MRI.使用低场(0.55T)磁共振成像进行胎儿心脏结构和功能成像。
Front Pediatr. 2024 Sep 3;12:1418645. doi: 10.3389/fped.2024.1418645. eCollection 2024.
2
Fetal cardiovascular magnetic resonance feature tracking myocardial strain analysis in congenital heart disease.先天性心脏病胎儿心血管磁共振特征追踪心肌应变分析
J Cardiovasc Magn Reson. 2024;26(2):101094. doi: 10.1016/j.jocmr.2024.101094. Epub 2024 Sep 13.
3
The onset of coarctation of the aorta before birth: Mechanistic insights from fetal arch anatomy and haemodynamics.
主动脉缩窄在胎儿期发病:胎儿弓解剖和血液动力学的发病机制见解。
Comput Biol Med. 2024 Nov;182:109077. doi: 10.1016/j.compbiomed.2024.109077. Epub 2024 Sep 11.
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Double aortic arch: a comparison of fetal cardiovascular magnetic resonance, postnatal computed tomography and surgical findings.双主动脉弓:胎儿心血管磁共振成像、产后计算机断层扫描与手术结果的比较
J Cardiovasc Magn Reson. 2024;26(2):101053. doi: 10.1016/j.jocmr.2024.101053. Epub 2024 Jul 1.
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Safety and feasibility pilot study of continuous low-dose maternal supplemental oxygen in fetal single ventricle heart disease.胎儿单心室心脏病连续低剂量母亲补充氧气的安全性和可行性初步研究。
Ultrasound Obstet Gynecol. 2024 Oct;64(4):493-503. doi: 10.1002/uog.27657.
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Fetal MRI-Based Mediastinal Shift Angle (MSA) and Percentage Area of Left Ventricle (pALV) as Prognostic Parameters for Congenital Diaphragmatic Hernia.基于胎儿磁共振成像的纵隔移位角(MSA)和左心室面积百分比(pALV)作为先天性膈疝的预后参数
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Myocardial strain assessment in the human fetus by cardiac MRI using Doppler ultrasound gating and feature tracking.利用多普勒超声门控和特征追踪技术,通过心脏磁共振成像对人类胎儿进行心肌应变评估。
Eur Radiol. 2024 Aug;34(8):4920-4927. doi: 10.1007/s00330-023-10551-0. Epub 2024 Jan 10.
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Fetal cardiac magnetic resonance imaging of the descending aorta in suspected left-sided cardiac obstructions.疑似左侧心脏梗阻时降主动脉的胎儿心脏磁共振成像
Front Cardiovasc Med. 2023 Dec 1;10:1285391. doi: 10.3389/fcvm.2023.1285391. eCollection 2023.
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J Physiol. 2023 Dec;601(23):5413-5436. doi: 10.1113/JP285097. Epub 2023 Oct 31.
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Reference Values for Fetal Cardiac Dimensions, Volumes, Ventricular Function and Left Ventricular Longitudinal Strain Using Doppler Ultrasound Gated Cardiac Magnetic Resonance Imaging in Healthy Third Trimester Fetuses.应用超声心动图门控心脏磁共振成像技术测量健康晚期胎儿的心脏结构、容积、心室功能及左室长轴应变的参考值。
J Magn Reson Imaging. 2024 Jul;60(1):365-374. doi: 10.1002/jmri.29077. Epub 2023 Oct 19.