在先天性心脏病中对全身右心室的多模式成像
Amalia Baroutidou1, Despoina Ntiloudi2, Nearchos Kasinos2,3
1First Department of Cardiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Echocardiography (Mount Kisco, N.Y.)
|January 29, 2024
概括
在患有先天性心脏病的成年人中评估全身右心室 (sRV) 需要先进的成像. 虽然心脏MRI是标准的,但使用斑点跟踪和3D成像等技术的心声回声学为终身监测提供了宝贵的见解.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 对患有先天性心脏病 (ACHD) 的成年人进行终身监测,需要对全身右心室 (sRV) 进行全面的成像.
- 由于复杂的形态和与系统左心室的差异,sRV评估具有挑战性.
- 目前的成像实践往往依赖于定性评估,标准化的定量参数仍在开发中.
研究的目的:
- 审查挑战和可用的成像工具,以评估大动脉完全转移 (TGA) 和大动脉先天纠正转移 (ccTGA) 的患者的sRV.
- 突出先进的心声回声技术在sRV评估中的作用.
主要方法:
- 关于用于sRV评估的心血管成像方法的当前文献的综述.
- 讨论心磁共振 (CMR) 作为黄金标准.
- 探索回声心脏学,包括斑点跟踪回声心脏学 (STE) 和三维回声心脏学 (3DE).
主要成果:
- 心脏磁共振 (CMR) 被认为是sRV成像的黄金标准.
- 在临床实践中,对sRV缩功能的定性评估是常见的.
- 先进的心声回声技术,STE和3DE,为SRV功能提供了更好的洞察力.
结论:
- 在ACHD中对sRV进行最佳终身监测,需要采用结构化成像方法.
- 虽然CMR是黄金标准,但高级心声回声学为SRV评估提供了有价值的工具.
- 需要进一步的形态测量和机械学研究来验证sRV的标准化定量参数和参考范围.
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