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心脏磁共振成像在评估右心功能损害中的应用

Cardiac Magnetic Resonance Imaging in the Evaluation of Functional Impairments in the Right Heart.

作者信息

Negru Andra, Tarcău Bogdan M, Agoston-Coldea Lucia

机构信息

Department of Internal Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania.

Doctoral School of Biomedical Science, University of Oradea, 1 University Street, 410087 Oradea, Romania.

出版信息

Diagnostics (Basel). 2024 Nov 17;14(22):2581. doi: 10.3390/diagnostics14222581.

DOI:10.3390/diagnostics14222581
PMID:39594247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11593124/
Abstract

Cardiac magnetic resonance (cMRI) imaging has recently become essential in cardiology. cMRI is widely recognized as the most reliable imaging technique for assessing the size and performance of the right ventricle. It allows for objective and functional cardiac tissue evaluations. Early in disease progression, cardiac structure and activity decrease subclinically. Late-phase clinically visible signs have been associated with less favourable outcomes. Subclinical alterations ought to be recognized for rapid evaluations and accurate treatment. An increasing amount of evidence supports cMRI deformation parameter quantification. Strain imaging enables cardiologists to assess heart function beyond traditional measurements. Prognostic information for cardiovascular disease patients is obtained through the right ventricle (RV) strain, including information primarily about the left ventricle (LV). Right atrial (RA) function evaluations using RA strain have been promising in recent studies. Therefore, this narrative review aims to present an overview of the data that are currently available for assessing right myocardial strain and biomechanics using cMRI.

摘要

心脏磁共振成像(cMRI)最近在心脏病学中变得至关重要。cMRI被广泛认为是评估右心室大小和功能的最可靠成像技术。它能够对心脏组织进行客观和功能性评估。在疾病进展早期,心脏结构和活动会在亚临床水平下降。晚期出现的临床可见体征与较差的预后相关。亚临床改变应被识别,以便进行快速评估和准确治疗。越来越多的证据支持cMRI变形参数定量分析。应变成像使心脏病专家能够超越传统测量方法来评估心脏功能。通过右心室(RV)应变可获得心血管疾病患者的预后信息,包括主要关于左心室(LV)的信息。最近的研究表明,使用右心房(RA)应变评估RA功能很有前景。因此,本叙述性综述旨在概述目前可用于通过cMRI评估右心肌应变和生物力学的数据。

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