多模式成像用于评估右心室功能在严重的三回中
Francesco Melillo1,2, Dario Fabiani2, Alessandro Santoro3
1Heart and Vascular Centre, Cardiovascular Research Institute, University of Maastricht, 6221 Maastricht, The Netherlands.
Journal of clinical medicine
|September 14, 2024
概括
严重的三回 (TR) 带来风险,使得右心室 (RV) 功能障碍评估至关重要. 本综述详细介绍了先进的成像技术,用于准确评估TR患者的RV功能,以指导及时干预.
科学领域:
- 心脏病学 心脏病学
- 心血管成像 - 心血管成像
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 严重的三回 (TR) 与不良的心血管结果有关.
- 在TR患者中,右心室 (RV) 功能障碍显著影响预后和手术风险.
- 准确的RV功能评估对于患者的选择和干预时间至关重要.
研究的目的:
- 审查和全面评估各种成像技术,以评估RV功能在严重TR的背景下.
- 突出了由于TR诱导的血液动力学变化,评估RV功能所面临的挑战.
- 强调高级成像在识别微妙的RV功能障碍中的作用.
主要方法:
- 关于心声回声 (包括3D和斑点跟踪),心脏磁共振 (CMR) 和心脏计算机断层扫描 (CCT) 的当前文献的综述.
- 讨论重症TR中常规回声心脏指数的局限性.
- 专注于特定技术的实用性,如RV-FWLS,3D RV卷和CMR,用于精确的RV评估.
主要成果:
- 传统的心声回声学在评估严重TR的RV功能方面存在局限性.
- 先进的心声回声技术 (3D,RV-FWLS) 显示出有希望的结果.
- 心脏磁共振 (CMR) 是RV体积和喷射率的黄金标准,提供预后数据.
- 心脏计算机断层扫描 (CCT) 通过测量RV和环形尺寸来帮助跨导管干预.
结论:
- 在严重的TR中准确评估RV功能具有挑战性,但至关重要.
- 多模式成像方法通常是必要的,以检测微妙的RV功能障碍.
- 早期识别RV功能障碍指导医疗管理和及时干预之间的决定,改善患者的结果.
相关概念视频
01:20Imaging Studies for Cardiovascular System II:Types of Echocardiography
234
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
234
01:17Imaging Studies for Cardiovascular System I:Echocardiography
299
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
299
01:20Imaging Studies for Cardiovascular System III: X-Ray
151
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
151