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在患有各种心脏植入式电子设备的患者中,使用心血管磁共振进行第一通透输液成像

Claudia Meier^1,2, Michael Bietenbeck³, Maria Theofanidou³

¹Department of Cardiology I, Division of Cardiovascular Imaging, University Hospital Münster, Albert-Schweitzer-Campus 1, Building A1, 48149, Münster, Germany. claudia.meier@ukmuenster.de.

Clinical research in cardiology : official journal of the German Cardiac Society

|April 14, 2025

概括

带有血管扩展应激的心血管磁共振 (CMR) 对心脏植入式电子设备 (CIED) 的患者是安全的. 修改后的spoiled gradient-echo (sGE) 协议将文物最小化,确保 perfusion 应力测试的图像质量良好.

科学领域:

心血管成像 - 心血管成像
医疗器械技术医疗器械技术
诊断心脏病学诊断心脏病学

背景情况:

心脏植入式电子设备 (CIED) 的普及率不断增加,需要评估它们对心血管磁共振 (CMR) 的影响.
有限的数据存在于血管扩张压力CMR和影响 perfusion 成像质量的设备相关文物.
在各种CIED类型中评估CMR图像质量对于有效的压力测试至关重要.

研究的目的:

在血管扩展器-压力输液测试期间,确定各种CIED患者的CMR图像的质量.
评估CMR perfusion图像上的不同CIED诱导的工件的范围和位置.
为了比较传统的稳定状态无前行 (SSFP) 和修改的破坏梯度回声 (sGE) 协议之间的文物水平.

主要方法:

156名活跃CIED患者接受了1.5特斯拉CMR与血管扩张应激.
两种SSFP和sGE协议都用于压力和休息 perfusion 成像.
使用16段心脏模型评估图像文物,对CIED类型进行分类,包括心脏起器 (PM),CRT-P,ICD,CRT-D和S-ICD.

主要成果:

心脏起器 (PM) 携带者经历了轻微的手工制品;植入式心脏转换器-除器 (ICD) 和皮下ICD (S-ICD) 引起了更显著的手工制品,特别是在特定的左心室段.
S-ICD显示了最广泛的文物,主要是前侧侧的.
与SSFP序列相比,sGE协议显著减少了人工物范围.

结论:

血管扩张应激CMR在所有CIED类型中是安全的和可行的,产生中等到高的图像质量.
为改善图像质量,建议为患有左侧ICD,CRT-D或S-ICD的患者使用基于sGE的输液协议.
在患有CIED的患者中,包括非条件装置,可以可靠地进行CMR perfusion成像.

关键词:

艺术品文物文物心血管磁共振是一种心血管磁共振.perfusion 输液是一种输液.破坏的梯度回声稳定状态的自由前景.压力测试是一种压力测试.

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