上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2017, Vol. 37 ›› Issue (11): 1558-.doi: 10.3969/j.issn.1674-8115.2017.11.019

• 综述 • 上一篇    下一篇

心脏磁共振成像技术在冠状动脉粥样硬化性心脏病诊疗中的应用进展

顾伟峰 1, 2，卜军 2   

  1. 上海交通大学 医学院  1. 附属同仁医院急诊内科，上海 200336；2. 附属仁济医院心内科，上海 200127
  • 出版日期:2017-11-28 发布日期:2018-01-10
  • 通讯作者: 卜军，电子信箱：pujun310@hotmail.com
  • 作者简介:顾伟峰（1983—），男，主治医师，硕士生；电子信箱：cetsixkiller@hotmail.com
  • 基金资助:
    国家杰出青年科学基金（8162500）；上海市教育委员会高峰高原学科建设计划（20152209）；上海市科学技术委员会项目（14JC1404500， 15411963600）；上海申康医院发展中心促进市级医院临床技能与临床创新三年行动计划（16CR3034A）

Application progress of cardiovascular magnetic resonance for coronary atherosclerotic heart disease#br#

Gu Wei-feng1, 2, Pu Jun2   

  1. 1.Emergency Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200336, China;2.Cardiovascular Medicine, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
  • Online:2017-11-28 Published:2018-01-10
  • Supported by:
    National Science Fund for Distinguished Young Scholars, 8162500; Shanghai Municipal Education Commission—Gaofeng Clinical Medicine Grant Support, 20152209; Project of Science and Technology Commission of Shanghai Municipality, 14JC1404500, 15411963600; Clinical Research Plan of Shanghai Hospital Development Center, 16CR3034A

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摘要： 冠状动脉粥样硬化性心脏病 (CHD) 是危害人类生命健康的重要疾病。心脏磁共振（CMR）作为一种多参数、多维度的无创成 像技术，具有高空间分辨率，可以多平面、多维度评估心脏功能，并对心肌灌注、心肌存活等心肌组织特征提供准确信息。随着技术 的不断进步，CMR 的应用范围越来越广，并在 CHD 诊断中扮演越来越重要的角色。基于延迟钆剂成像技术对心肌活力的评估对急性 心肌梗死的诊疗和预后判断起到了重要指导作用。该文对 CMR 在 CHD 中的应用现状与进展进行了综述。

关键词: 心脏磁共振, 冠状动脉粥样硬化性心脏病, 心肌灌注, 心肌存活, 预后

Abstract:

Coronary atherosclerotic heart disease (CHD) is a leading cause of death and disability worldwide. Cardiovascular magnetic resonance (CMR) is a multi-parametric imaging modality that yields high spatial resolution images that can be acquired in any plane for the assessment of global and regional cardiac function, myocardial perfusion and viability, anatomy and tissue characterization, all within a single study protocol and without exposure to ionising radiation. With the development of new technologies, CMR has been much more widely used in diagnosing CHD. The evaluation of myocardial viability based on late gadolinium enhancement CMR is very important in diagnosis and treatment of acute myocardial infarction. This article is a medical review about the application progress of CMR in CHD.

Key words: cardiovascular magnetic resonance, coronary atherosclerotic heart disease, myocardial perfusion, viability, prognosis

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