Didier D, Terrier F, Grossholz M
Département Radiologie, Universitätsspital Genf.
Radiologe. 1993 Feb;33(2):87-94.
Evaluation of the pericardium has been rediscovered with the advent of sectional imaging modalities such as magnetic resonance. Owing to the improved image quality, faster imaging and cine display, MRI has proved to have a useful role in assessment of the pericardium. This article illustrates the authors' wide experience with MRI of normal and abnormal pericardium in numerous patients. The anatomy of the normal pericardium is reviewed, as are the different MR imaging techniques used Advantages of MRI in specific situations are discussed. Congenital anomalies are covered but particular attention is paid to acquired diseases, such as pericardial effusions, with emphasis on the characterization of the different pericardiac fluid collections. Pericardial thickening and constrictive pericarditis, which are easily differentiated from restrictive cardiomyopathy, are also discussed. Finally, primary and metastatic tumors are described.
随着磁共振等断层成像技术的出现,对心包的评估又重新受到关注。由于图像质量的提高、成像速度加快以及电影显示功能,磁共振成像已被证明在评估心包方面具有重要作用。本文展示了作者在众多患者中对正常和异常心包进行磁共振成像的丰富经验。回顾了正常心包的解剖结构以及所使用的不同磁共振成像技术,并讨论了磁共振成像在特定情况下的优势。文中涵盖了先天性异常,但特别关注了后天性疾病,如心包积液,重点在于不同心包积液的特征描述。还讨论了容易与限制性心肌病相鉴别的心包增厚和缩窄性心包炎。最后,描述了原发性和转移性肿瘤。