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心血管磁共振在单心室生理中的作用：一项叙述性综述。

Impact of cardiovascular magnetic resonance in single ventricle physiology: a narrative review.

作者信息

Voges Inga, Gabbert Dominik Daniel, Panakova Daniela, Krupickova Sylvia

机构信息

Department of Congenital Heart Disease and Pediatric Cardiology, University Hospital Schleswig-Holstein, Kiel, Germany.

DZHK (German Centre for Cardiovascular Research), Partner Site Hamburg/Greifswald/Kiel/Lübeck, Kiel, Germany.

出版信息

Cardiovasc Diagn Ther. 2024 Dec 31;14(6):1161-1175. doi: 10.21037/cdt-24-409. Epub 2024 Dec 19.

DOI:10.21037/cdt-24-409
PMID:39790200
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11707479/
Abstract

BACKGROUND AND OBJECTIVE

Cardiovascular magnetic resonance (CMR) is a routine cross-sectional imaging modality in adults with congenital heart disease. Developing CMR techniques and the knowledge that CMR is well suited to assess long-term complications and to provide prognostic information for single ventricle (SV) patients makes CMR the ideal assessment tool for this patient cohort. Nevertheless, many of the techniques have not yet been incorporated into day-to-day practice. The aim of this review is to provide a comprehensive overview of CMR applications in SV patients together with recent scientific findings.

METHODS

Articles from 2009 to August 2024 retrieved from PubMed on CMR in SV patients were included. Case reports and non-English literature were excluded.

KEY CONTENT AND FINDINGS

CMR is essential for serial follow-up of SV patients and CMR-derived standard markers can improve patient management and prognosis assessment. Advanced CMR techniques likely will enhance our understanding of Fontan hemodynamics and are promising tools for a comprehensive patient evaluation and care.

CONCLUSIONS

There is increasing research that shows the advantages of CMR in Fontan patients. However, further research about the prognostic role of CMR in older Fontan patients and how new methods such as modeling and deep learning pipelines can be clinically implemented is warranted.

摘要

背景与目的

心血管磁共振成像（CMR）是先天性心脏病成人患者的常规横断面成像方式。CMR技术的发展以及CMR非常适合评估长期并发症并为单心室（SV）患者提供预后信息这一认知，使CMR成为该患者群体的理想评估工具。然而，许多技术尚未纳入日常实践。本综述的目的是全面概述CMR在SV患者中的应用以及近期的科学发现。

方法

纳入从2009年至2024年8月从PubMed检索到的关于SV患者CMR的文章。排除病例报告和非英文文献。

关键内容与发现

CMR对于SV患者的系列随访至关重要，CMR衍生的标准标志物可改善患者管理和预后评估。先进的CMR技术可能会增强我们对Fontan血流动力学的理解，并且是全面评估和护理患者的有前景的工具。

结论

越来越多的研究表明CMR在Fontan患者中的优势。然而，有必要进一步研究CMR在老年Fontan患者中的预后作用，以及如何在临床上实施建模和深度学习管道等新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f5/11707479/584c0f2ff936/cdt-14-06-1161-f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f5/11707479/6c1e817e218a/cdt-14-06-1161-f1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f5/11707479/584c0f2ff936/cdt-14-06-1161-f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f5/11707479/6c1e817e218a/cdt-14-06-1161-f1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f5/11707479/9397c6dc9c96/cdt-14-06-1161-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f5/11707479/8d3a7521f530/cdt-14-06-1161-f6.jpg
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Identifying high-risk Fontan phenotypes using K-means clustering of cardiac magnetic resonance-based dyssynchrony metrics.使用基于心脏磁共振的不同步指标的K均值聚类识别高风险Fontan表型。
J Cardiovasc Magn Reson. 2024 Winter;26(2):101060. doi: 10.1016/j.jocmr.2024.101060. Epub 2024 Jul 14.
3
Cardiovascular Outcomes in Fontan Patients With Right vs Left Univentricular Morphology: A Multicenter Study.
右心室与左心室单心室形态的Fontan患者的心血管结局：一项多中心研究
JACC Adv. 2024 Feb 20;3(4):100871. doi: 10.1016/j.jacadv.2024.100871. eCollection 2024 Apr.
4
Sequential MRI Evaluation of Lymphatic Abnormalities over the Course of Fontan Completion.Fontan 完成术后淋巴异常的连续 MRI 评估。
Radiol Cardiothorac Imaging. 2024 Jun;6(3):e230315. doi: 10.1148/ryct.230315.
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Patient-specific closed-loop model of the fontan circulation: Calibration and validation.法洛四联症循环的患者特异性闭环模型：校准与验证。
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