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高密度电解剖绘图和MRI的比较:在非缺血性心肌病的肌肉心脏表征方面迈出了一步

Michela Casella¹, Leonardo D'Angelo², Maria L Narducci³

¹Cardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy; Department of Clinical Specialistic and Odontostomatologic Sciences, Marche Polytechnic University, Ancona, Italy; Maria Cecilia Hospital, GVM Care & Research, Cotignola, Italy.

JACC. Clinical electrophysiology

|March 12, 2026

概括

电解剖学电压映射 (EVM) 显示与非血性心肌病 (NICM) 患者的晚期加多增强心磁共振 (LGE-CMR) 痕图高度一致. 这支持EVM.

科学领域:

心脏病学心脏病学
医疗成像医学成像
电子生理学电子生理学

背景情况:

在非缺血性心肌病 (NICM) 中,突然心脏死亡 (SCD) 风险分层取决于确定心肌痕.
晚期加多增强心磁共振 (LGE-CMR) 是痕评估的标准.
来自LGE-CMR的3D痕图可以与电解剖学电压映射 (EVM) 集成.

研究的目的:

评估LGE-CMR衍生的痕地图与EVM之间的一致性和可靠性.
用高密度导管EVM评估心肌组织的表征.

主要方法:

一项多中心的观察性研究包括36名接受EVM的NICM患者.
进行LGE-CMR并进行处理,以划分痕核心和边界区域.
EVM使用了全极技术 (OT),双极 (BIP) 和单极 (UNI) 模式;科恩的kappa和Bland-Altman方法评估了一致性和可靠性.

主要成果:

UNI的配置与心下LGE-CMR图表 (κ: 0.93) 有着很强的一致性.
全极技术 (OT) 对心下内脏层的双极技术 (BIP) 的表现优于双极技术 (κ: 0.97 vs 0.74).
OT表现出与LGE-CMR痕地图一致的最少偏差和最窄的界限.

结论:

EVM与LGE-CMR具有很高的一致性,准确地划分了内心中心肌底.
在NICM患者中,EVM显示了基质表征的潜力.
这种技术对于不适合LGE-CMR的患者是有价值的.

关键词:

阿达斯3D是什么意思顾问高清电网顾问高清电网心脏磁共振是一种心脏磁共振.电解剖学电压映射绘制心肌瘤的痕在心肌瘤的痕.没有缺血性心肌病变性突然的心脏病死亡.

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