对于心脏沙丘病的心脏成像的全球实践:国际专家的调查研究与德尔菲共识
Tahir S Kafil1, Manuel L Ribeiro Neto2, Marc A Judson3
1Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio, USA; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
对于沙尔科病的心脏成像指导方针正在出现. 一项涉及全球专家的德尔菲研究确定了关于初步诊断和随访的共识,突出了未来研究心脏沙丘症管理的领域.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 免疫学 免疫学 免疫学
背景情况:
- 心脏成像对于诊断和管理心脏沙尔科毒症至关重要.
- 在成像协议和后续策略中存在全球差异.
研究的目的:
- 建立关于疑似或确诊心脏沙丘病的心脏成像实践的共识.
- 确定需要在现场进行进一步调查的领域.
主要方法:
- 与国际专家一起进行了经过修改的2轮Delphi研究.
- 该研究侧重于心脏成像的临床决策,包括值,解释和随访间隔.
- 共识被定义为≥70%的同意或不同意.
主要成果:
- 在第一轮48%的项目和第二轮72%的项目达成共识.
- 专家们一致认为,在出现新的心律失常或功能障碍的情况下,先进成像的门较低.
- F-氧葡萄糖 (F-fluorodeoxyglucose,FDG) 定子发射断层扫描和心磁共振 (CMR) 是关键的诊断工具,并对它们的联合使用提出了具体建议.
- 虽然关于晚期加多增强和FDG吸收对治疗反应的重要性存在共识,但量化方法缺乏共识.
结论:
- 确定了心脏沙丘病症心脏成像的关键共识领域.
- 该研究强调了未来多中心研究的优先事项,以改进诊断和管理策略.
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