心血管MR成像在缺血性心脏病中的应用  

Application of cardiovascular magnetic resonance imaging in ischemic heart disease

作　　者：何秀超[1,2] 关青艳 郭顺林[1,2] 陈梓娴[1] 辛文龙 魏柯香 张莉[1,2] HE Xiuchao;GUANQingyan;GUO Shunlin;CHEN Zixian;XIN Wenlong;WEI Kexiang;ZHANG Li(Department of Radiology,FirstHospital of Lanzhou University,Lanzhou 730000,China;Department of Radiology,First Clinical College of LanzhouUniversity;Department of Gynaecology,Fourth Affiliated Hospital of Xinjiang Medical University)

机构地区：[1]兰州大学第一医院放射科,兰州730000 [2]兰州大学第一临床医学院放射科 [3]新疆医科大学第四附属医院妇科

出　　处：《国际医学放射学杂志》2018年第5期563-567,共5页International Journal of Medical Radiology

摘　　要：缺血性心脏病(IHD)不同阶段的病理组织学改变与病人预后和生活质量密切相关。心血管MR(CMR)成像技术具有多参数、多成像序列,能对IHD进行早期诊断,评价微血管阻塞、心肌内出血、瘢痕心肌和舒张末期心室壁厚度,通过对急慢性心肌梗死进行早期诊断和远期风险评估,为病人的早期治疗及降低预后风险提供信息。就CMR在急慢性IHD心肌组织特征、风险评估和病人远期预后方面的应用予以综述。Histopathological changes at different stages of ischemic heart disease（IHD） are closely related to patient prognosis and quality of life. Cardiovascular magnetic resonance（CMR） imaging technology with multi-parameter and multiimaging sequences can be used to made early diagnosis of IHD and evaluate microvascular obstruction, intramyocardial hemorrhage, scarring myocardium and end-diastolic ventricular wall thickness. Early diagnosis and risk assessment of acute and chronic myocardial infarction can provide information for early treatment and reduce the risks for a good prognosis. The applications of CMR in evaluation of myocardial tissue characteristics, risk assessment and long-term prognosis in patients with acute and chronic IHD were reviewed.

关 键 词：心肌梗死 缺血性心脏病 心血管磁共振成像 灌注成像 钆延迟强化 

分 类 号：R725.4[医药卫生—儿科] R445.2[医药卫生—临床医学]