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全心4D流MRI临床实施的先决条件:德尔菲分析

Joost van Schuppen^1,2, Annelies E van der Hulst³, J Michiel den Harder^1,4

¹Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, The Netherlands.

Journal of magnetic resonance imaging : JMRI

|August 21, 2024

概括

全心4D流MRI提供先进的心血管血流分析,但面临实施障碍. 专家指出,长时间的扫描和复杂的后处理是关键挑战,需要多学科的团队进行临床整合.

科学领域:

心血管成像 - 心血管成像
医学物理医学物理
放射学放射学是指放射学

背景情况:

全心4D流MRI提供了先进的可视化和血液流量的量化.
临床采用受到工作流中的许多挑战的限制.

研究的目的:

评估目前全心4D流MRI的临床实施情况.
确定阻碍其广泛临床使用的障碍.
在成功实施的要求上建立共识.

主要方法:

德尔菲分析涉及18名全心4D流MRI专家. 全心4D流MRI.
综合的专家经验和意见 (平均13年).

主要成果:

专家使用全心4D流MRI用于临床和研究目的.
主要障碍包括漫长的扫描时间,缺乏标准化,以及耗时的细分/后处理.
专家们一致认为,这些重大挑战阻碍了实施.

结论:

全心4D流MRI的临床实施是可行的,但复杂的.
需要一个专注的,多学科的团队和预先定义的计划,包括风险评估和验证.
共识声明可以指导工具的开发,并促进更广泛的临床采用.

关键词:

4D 流式MRI 4D 流式MRI 德尔菲技术德尔菲技术是什么?心血管疾病心血管疾病

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Magnetic Resonance Imaging

Magnetic Resonance Imaging

Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...