心肌炎和心脏成像的作用
Matthew Sadler1,2, Gautam Sen1,2, Aamir Shamsi1,2
1School of Cardiovascular and Metabolic Medicine & Sciences, King's College London British Heart Foundation Centre of Excellence, James Black Centre, SE5 9NU London, UK.
心血管磁共振 (CMR) 对于诊断心肌炎,心肌炎症至关重要. 先进的CMR技术提高了确定心肌损伤和指导患者管理的准确性.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 生物医学工程 生物医学工程
背景情况:
- 心肌炎,心肌炎炎症,呈现变化,从轻微的症状到严重的结果.
- 心内膜活检 (EMB) 是具有有限敏感性的侵入性,促使人们转向非侵入性方法.
- 心血管磁共振 (CMR) 对心肌炎的诊断越来越重要.
研究的目的:
- 审查成像,特别是CMR在诊断和治疗心肌炎中的作用.
- 突出CMR技术的进展,用于心肌评估.
- 讨论改善心肌炎预后的新兴技术.
主要方法:
- 关于心肌炎诊断和成像的当前文献的综述.
- 重点是心血管磁共振 (CMR) 技术:T1/T2映射和晚期加多增强 (LGE).
- 讨论2018年路易斯湖标准和新兴的放射学/机器学习应用.
主要成果:
- CMR为心肌炎诊断提供了高灵敏度和特异性.
- T1/T2映射量化了心肌胀和损伤;LGE确定了缩/痕.
- 2018年易斯湖标准,整合绘图,提高诊断准确度.
结论:
- 肌心炎的CMR对肌心炎的诊断和管理至关重要.
- 先进的CMR技术为心肌组织特征提供了关键的见解.
- 未来的创新,包括放射学,有望提高诊断精度和患者的结果.
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