多模式成像在未确定重要性的单克隆性乳腺病变和ATTR野生型心脏氨基粉症中的多模式成像
Amalia Peix1, Aylen Perez1, Yrving Figueredo2
1Institute of Cardiology and Cardiovascular Surgery, La Habana 10400, Cuba.
本病例报告详细介绍了使用先进成像技术诊断心脏粉症 (ATTR) 与单克隆性胃病变 (MGUS) 的情况. 准确的诊断对于这些疾病的独特治疗至关重要.
科学领域:
- 心脏病学 心脏病学
- 血液学 血液学 血液学
- 医疗成像医学成像
背景情况:
- 氨基粉症涉及错误折叠的蛋白质纤维在组织中的沉积.
- 心脏 Amyloidosis 带来了诊断挑战,特别是当它与其他血液状况同时发生时.
研究的目的:
- 报告一个具有不确定的意义 (MGUS) 的单克隆性胃病变和野生类型的过素粉样化症 (ATTR) 心脏粉样化症的同时存在的病例.
- 强调多模式成像在诊断MGUS患者心脏粉样性病的作用.
主要方法:
- 诊断使用了血清学测试,心电图,心声图和心脏磁共振 (CMR).
- 技术-99m酸盐 (Tc-99m PYP) 扫描证实了ATTR心脏粉症.
- 骨髓活检证实了MGUS.
主要成果:
- 一名西班牙裔男性患者出现呼吸短促和心脏异常.
- 多模式成像成功地确定了并发的MGUS和ATTR心脏粉症.
- 在随访期间,患者在利尿剂治疗中保持无症状.
结论:
- 由于预后和治疗策略不同,精确区分AL,ATTR和MGUS粉样性粉症至关重要.
- 多模式成像对于诊断心脏粉症至关重要,特别是在MGUS存在时.
更多相关视频
05:32Multimodal Bioluminescent and Positronic-emission Tomography/Computational Tomography Imaging of Multiple Myeloma Bone Marrow Xenografts in NOG Mice
Published on: January 7, 2019
06:29Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
相关概念视频
Imaging Studies for Cardiovascular System IV: CMRI
Imaging Studies for Cardiovascular System V: CT
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Acute Coronary Syndrome III: Diagnostic Studies
Imaging Studies for Cardiovascular System III: X-Ray
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
