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心磁图在成人及胎儿心脏疾病应用中的进展

Advances of magnetocardiography in application of adult and fetal cardiac diseases.

作者信息

Li Junting, Shen Yaqian, Shen Chengxing, Ning Xiaolin, Xiang Min

机构信息

Key Laboratory of Ultra-Weak Magnetic Field Measurement Technology, Ministry of Education, School of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China.

Department of Cardiology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Front Cardiovasc Med. 2025 Jul 16;12:1522467. doi: 10.3389/fcvm.2025.1522467. eCollection 2025.

Abstract

Magnetocardiography (MCG) is a highly sensitive, non-invasive, and functional imaging technique that records and examines magnetic fields generated by the electrical activity of the heart to reflect cardiac electrophysiological changes, including the first superconducting quantum interference device and optically pumped magnetometers-MCG. The 60-year research process yields new understanding in the areas of signal extraction, processing, and clinical application for the detection and treatment of cardiac diseases. Especially, the significant advancements in magnetic sensor technology, preprocessing methods and denoising methods have promoted the development of MCG. This article systematically reviews 83 studies to provide the latest and general overview of MCG in acute chest pain (6 studies), acute coronary syndrome (10 studies), ischemic heart disease (13 studies), non-ischemic cardiomyopathies (3 studies), arrhythmia (9 studies), and fetal congenital arrhythmia (11 studies). We highlight its incremental value in the triage of acute chest pain, diagnosis and prognosis prediction of chronic and acute coronary syndromes. We also discuss the limitations of this field and directions of future development.

摘要

磁心动图(MCG)是一种高度灵敏、无创的功能成像技术,它记录并检测心脏电活动产生的磁场,以反映心脏电生理变化,包括第一代超导量子干涉装置和光泵磁力计 - MCG。60年的研究过程在心脏疾病检测与治疗的信号提取、处理及临床应用领域带来了新的认识。特别是,磁传感器技术、预处理方法和去噪方法的重大进展推动了MCG的发展。本文系统回顾了83项研究,以提供MCG在急性胸痛(6项研究)、急性冠状动脉综合征(10项研究)、缺血性心脏病(13项研究)、非缺血性心肌病(3项研究)、心律失常(9项研究)和胎儿先天性心律失常(11项研究)方面的最新总体概述。我们强调其在急性胸痛分诊、慢性和急性冠状动脉综合征的诊断及预后预测中的增量价值。我们还讨论了该领域的局限性和未来发展方向。

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