心脏内和周围的脂肪组织:心脏磁共振的结构和功能洞察
Andrea Barison1,2, Giovanni Donato Aquaro3, Santo Dellegrottaglie4
1Fondazione Toscana Gabriele Monasterio, Pisa, Italy (A. Barison).
Circulation
|September 8, 2025
概括
通过心磁共振成像可以识别正常和病态的心脏脂肪沉积. 本综述详细介绍了导致心肌脂肪透和替代的情况,有助于诊断.
科学领域:
- 心脏病学
- 放射学
- 病理学
背景情况:
- 心脏脂肪组织通常存在于上心脏.
- 不同的数量可以透到心肌,特别是在特定的右心室区域.
- 在缺血性和非缺血性心脏病中都会发生病理性脂肪变化.
研究的目的:
- 检查心肌脂肪透或替代的常见情况.
- 突出心磁共振作为心脏脂肪的黄金标准.
- 讨论这些发现的临床意义.
主要方法:
- 对心脏脂肪成像的文献审查.
- 专注于检测脂肪的心磁共振 (CMR) 序列.
- 将CMR结果与组织学数据进行比较.
主要成果:
- 在辨别生理性和病理性心脏脂肪方面,CMR非常有效.
- 特定的CMR序列可以准确检测心肌脂肪透和替代.
- 确定的疾病包括心肌梗塞,心肌炎和各种心脏脂质性疾病.
结论:
- 心脏磁共振对于诊断心脏脂肪异常的情况至关重要.
- 了解这些脂肪透模式有助于临床管理.
- 准确地描述心脏脂肪可以改善患者的治疗结果.
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