在1.5T时使用质子NMR成像评估回后心肌出血
C S Lotan1, A Bouchard, G B Cranney
1Department of Medicine, University of Alabama, Birmingham 35294.
Circulation
|September 1, 1992
概括
核磁共振 (NMR) 成像可以检测和量化急性心肌梗塞中转血后的心脏内出血. 这种非侵入性技术有助于描述心脏病发作病理学,并评估出血的作用.
科学领域:
- 心血管成像 - 心血管成像
- 生物医学工程 生物医学工程
- 病理学 病理学 病理学
背景情况:
- 在急性心肌梗塞再注射后,心内出血很常见.
- 由于检测方法有限,它的意义尚不清楚.
- 核磁共振 (NMR) 成像的检测潜力被评估.
研究的目的:
- 评估核磁共振 (NMR) 成像用于检测和量化心内出血后的输血.
- 建立一种非侵入性方法来评估心肌梗塞中出血.
主要方法:
- 在切除的狗心脏上进行了ex vivo旋回回声NMR成像 (1.5-T).
- 冠状动脉封闭,然后再输血.
- 与组织学和放射标记的微球/红细胞进行对出血评估的比较.
主要成果:
- 在14/16个重灌心脏中,NMR检测到心肌内出血.
- 在NMR上降低信号强度 (SI) 区域与宏观出血相关.
- 通过NMR进行的出血大小与组织学 (r=0.96) 和51Cr标记 (r=0.78) 方法相关性很好.
- 在出血区 (58±9毫秒) 和非出血心脏病发作区 (98±13毫秒) 中,T2放松时间显著缩短.
结论:
- 核磁共振成像为检测和量化心内出血提供了一种非侵入性方法.
- 这种技术可以帮助鉴定急性心肌梗塞病理.
- 核磁共振可能有助于评估出血在再注射治疗结果中的作用.
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