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用心脏植入式电子设备对儿童进行心血管成像

Benjamin Zielonka¹, Ashwin Prakash², Douglas Y Mah²

¹Department of Cardiology, Boston Children's Hospital and Department of Pediatrics, Harvard Medical School, Boston, MA, 02115, USA. Benjamin.zielonka@cardio.chboston.org.

Pediatric radiology

|January 21, 2025

概括

带有心脏植入式电子设备 (CIED) 的儿童需要仔细考虑心脏MRI和CT扫描. 适当的安全措施和人工物减少技术对于这些患者的安全和高质量的心血管成像至关重要.

科学领域:

心血管成像 - 心血管成像
儿童心脏病学儿童心脏病学
医疗器械安全医疗器械安全

背景情况:

在儿科患者中,心脏磁共振 (MR) 和心脏计算机断层扫描 (CT) 的使用越来越多.
越来越多的儿童使用心脏植入式电子设备 (CIED).
CIED对心血管成像安全性和质量提出了重大挑战.

研究的目的:

为患有CIED的儿童进行心血管成像的战略方法概述.
强调根据临床指示选择适当的成像方法的重要性.
在患有CIED的患者中详细说明心脏MR和CT的安全措施和人工物减轻技术.

主要方法:

对患有CIED的儿科患者进行心血管成像的临床指示的综述.
分析与MR和CT安全相关的设备特征.
在CIED的存在下进行心脏MR和CT检查的安全协议的评估.
识别技术,以最大限度地减少由CIEDs引起的图像工件.

主要成果:

需要采用系统的成像方法,从临床适用性评估开始.
了解设备的特点是实施安全措施的关键.
尽管有人工物潜力,但仍有技术可以保持诊断图像质量.
安全有效的心脏MRI和CT成像可以在患有CIED的儿科患者中实现.

结论:

患有CIED的儿童的心血管成像需要积极主动和明智的策略.
精心规划,包括模式选择和安全协议,确保患者的福祉.
有效的技术可以克服CIED相关的文物,保持心脏MR和CT的诊断准确性.

关键词:

心脏计算机断层扫描 (CT) 是一种心脏计算机断层扫描.心脏磁共振是一种心脏磁共振.遗传性心脏病是一种先天性心脏病.可植入的心脏转换器-除器起器是一种心脏起器.

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