Sakuma H, Takeda K, Nakagawa T
Department of Radiology, Mie University School of Medicine.
Nihon Rinsho. 1997 Jul;55(7):1833-8.
Physiological significance of coronary artery stenosis can be evaluated by measuring coronary flow reserve(CFR). Segmented k-space cine phase-contrast(PC) MR method has been used for measuring coronary blood flow and CFR. MR measurement of the CFR ratio(1.62 +/- 0.50, n = 10) in patients with coronary arterial stenosis was significantly lower than that measured in healthy subjects(3.14 +/- 0.59, n = 10, p < .01). The CFR measured by MRI demonstrated a good linear correlation with the CFR directly measured by Doppler flow wire during X-ray angiography(r = 0.91, n = 19). MR measurement of flow volume in the coronary sinus and myocardial mass can provide evaluation of blood flow rate per myocardial mass for the entire left ventricle, which was substantially decreased in patients with hypertrophic cardiomyopathy.
冠状动脉狭窄的生理意义可通过测量冠状动脉血流储备(CFR)来评估。分段k空间电影相位对比(PC)磁共振方法已用于测量冠状动脉血流和CFR。冠状动脉狭窄患者的CFR比值的磁共振测量值(1.62±0.50,n = 10)显著低于健康受试者(3.14±0.59,n = 10,p < 0.01)。磁共振成像测量的CFR与X射线血管造影期间用多普勒血流导线直接测量的CFR显示出良好的线性相关性(r = 0.91,n = 19)。磁共振测量冠状窦血流量和心肌质量可为评估整个左心室每心肌质量的血流速率提供依据,肥厚型心肌病患者的该血流速率显著降低。