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使用四维(4D)血流对左心室流出道进行动态速度追踪以评估左心室流出道梗阻

Dynamic Velocity Tracking in the Left-Ventricular Outflow Track Using Four-Dimensional 4D Flow for the Assessment of Left Ventricular Outflow Track Obstruction.

作者信息

Sawh Chris, Garg Pankaj

机构信息

Norfolk and Norwich University Hospitals NHS Foundation Trust Norfolk UK.

Norwich Medical School University of East Anglia Norfolk UK.

出版信息

Clin Case Rep. 2025 Apr 21;13(4):e70465. doi: 10.1002/ccr3.70465. eCollection 2025 Apr.

DOI:10.1002/ccr3.70465
PMID:40264728
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12012000/
Abstract

Stress 4D flow CMR is a powerful non-invasive tool for diagnosing and localizing dynamic LVOT obstruction. By quantifying peak velocities and flow patterns under stress, it provides critical insights into hemodynamics, especially when echocardiography is limited, enabling accurate diagnosis and improved clinical decision-making in complex cases.

摘要

负荷4D流心脏磁共振成像(CMR)是一种用于诊断和定位动态左心室流出道梗阻的强大无创工具。通过量化负荷状态下的峰值速度和血流模式,它能提供有关血流动力学的关键见解,尤其是在超声心动图检查受限的情况下,有助于在复杂病例中进行准确诊断并改善临床决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/12012000/0062e875773f/CCR3-13-e70465-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/12012000/0062e875773f/CCR3-13-e70465-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5211/12012000/0062e875773f/CCR3-13-e70465-g001.jpg

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本文引用的文献

1
Validation of time-resolved, automated peak trans-mitral velocity tracking: Two center four-dimensional flow cardiovascular magnetic resonance study.时间分辨、自动化峰值二尖瓣瓣环速度跟踪的验证:两个中心四维血流心血管磁共振研究。
Int J Cardiol. 2022 Oct 1;364:148-156. doi: 10.1016/j.ijcard.2022.06.032. Epub 2022 Jun 16.
2
Cardiovascular magnetic resonance imaging: emerging techniques and applications.心血管磁共振成像:新兴技术与应用。
Heart. 2021 May;107(9):697-704. doi: 10.1136/heartjnl-2019-315669. Epub 2021 Jan 5.
3
Advanced Analysis Techniques for Intra-cardiac Flow Evaluation from 4D Flow MRI.
基于4D流磁共振成像的心脏内血流评估的先进分析技术
Curr Radiol Rep. 2016;4:38. doi: 10.1007/s40134-016-0167-7. Epub 2016 May 20.