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对于每个成像模式,他们都有自己的疯狂

Kamil Stankowski^1,2, Georgios Georgiopoulos³, Maria Lo Monaco⁴

¹IRCCS Humanitas Research Hospital, Via Alessandro Manzoni, Rozzano, Milano, Italy.

Echocardiography (Mount Kisco, N.Y.)

|March 19, 2025

概括

中心环状断裂 (MAD) 经常通过心磁共振 (CMR) 检测到,但很少通过横心回声 (TTE) 检测到. 提高诊断值可以提高MAD的这些成像方法之间的一致性.

科学领域:

心脏病学心脏病学
医疗成像医学成像
心声回声扫描 (Echocardiography) 是一种心声回声扫描.

背景情况:

中心环状断裂 (MAD) 是一个鲜为人知的心声回声学发现.
MAD的患病率可能因所使用的成像方式而异.
马德的临床意义仍然不确定.

研究的目的:

为了评估MAD的患病率,使用跨胸腔心声学 (TTE) 和心磁共振 (CMR) 来评估MAD的患病率.
评估TTE和CMR之间用于MAD检测的跨模式协议.
调查诊断标准对MAD患病率和同意的影响.

主要方法:

观察性回顾性研究,包括124名在6个月内接受TTE和CMR治疗的患者.
MAD定义为左心室壁与左心室壁之间的缩距离≥1mm.
测量了最大的MAD纵向范围;使用科恩的卡帕和ICC分析了跨模式协议.

主要成果:

通过CMR (n=60) 检测到48%的MAD患者,而通过TTE (n=10) 检测到8%的患者.
当诊断切线增加到5mm (kappa = 0.66) 时,低间模式协议 (科恩的kappa = 0.17) 显著改善.
中位数MAD长度:CMR2.0毫米,TTE4.0毫米;中等协议 (ICC=0.66).

结论:

在CMR中,有限程度的MAD是常见的,大多数病例被TTE遗漏.
将MAD的诊断值从1毫米提高到5毫米,提高了TTE-CMR协议.
在MAD评估方法中的差异导致了不同的流行率和临床意义报告.

关键词:

心脏磁共振是一种心脏磁共振.超声心电图 (Echocardiography) 是一种心声回声仪.额头环状断层断层是什么意思 mitrale 门的发生多模式成像技术多模式成像技术

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