心血管影像学在预防医学中的价值和发展前景  

The value and perspective of cardiovascular imaging in preventive medicine

作　　者：张龙江 周帆 卢光明(审校) ZHANG Longjiang;ZHOU Fan;LU Guangming(Department of Diagnostic Radiology,General Hospital of Eastern Theater Command/Jinling Hospital,Medical School of Nanjing University,Nanjing 210002,China)

机构地区：[1]东部战区总医院/南京大学医学院附属金陵医院放射诊断科,南京210002

出　　处：《国际医学放射学杂志》2021年第2期174-178,共5页International Journal of Medical Radiology

基　　金：国家重点研发计划项目(2017YFC0113400)。

摘　　要：冠状动脉粥样硬化性心脏病(简称冠心病)的防治已成为全球关注的重大公共卫生问题。传统的基于风险评分的一级预防能否准确识别高危人群仍存在争议。先进的影像学技术不仅能检出亚临床动脉粥样硬化病变,并且可以评估其性质及血流动力学意义,有助于优化病人的危险分层,有很大的潜力应用于心血管疾病的二级预防。随着近年临床影像学与预防医学交叉融合的深入,影像学的作用越来越大,就心血管影像学在疾病预防中的价值及发展方向进行综述。The prevention and treatment of coronary atherosclerotic heart disease has become a major global public health concern.Whether conventional primary prevention methods based on risk scores can accurately identify high risk individuals remains controversial.Advanced imaging techniques can not only detect subclinical atherosclerotic lesions,but also evaluate its components and surrounding hemodynamics to optimize the patients’risk stratification,which has a promising potential to be used in secondary prevention of cardiovascular disease.With the deep multidisciplinary intersection between clinical imaging and preventive medicine in recent years,imaging plays an increasing role.This paper reviews the value and perspective of cardiovascular imaging in disease prevention.

关 键 词：冠状动脉粥样硬化性心脏病 预防医学 心血管影像学 

分 类 号：R445.2[医药卫生—影像医学与核医学] R543.3[医药卫生—诊断学]