多发性肌炎/皮肌炎心脏损害的影像学研究进展  

Progress of imaging studies of the patients with cardiac involvement in polymyositis/dermatomyositis

作　　者：王茸 李周乐 王永乐 王海军[1] 谢萍 WANG Rong;LI Zhoule;WANG Yongle;WANG Haijun;XIE Ping(Department of Nuclear Medicine,Gansu Provincial Hospital,Lanzhou 730000,China;The First Clinical Medical College of Lanzhou University,Lanzhou 730000,China;First Clinical Medical College of Gansu University of Chinese Medicine,Lanzhou 730000,China;Department of Cardiology,Gansu Provincial Hospital,Lanzhou 730000,China)

机构地区：[1]甘肃省人民医院核医学科,兰州730000 [2]兰州大学第一临床医学院,兰州730000 [3]甘肃中医药大学第一临床医学院,兰州730000 [4]甘肃省人民医院心内科,兰州730000

出　　处：《磁共振成像》2022年第11期141-144,共4页Chinese Journal of Magnetic Resonance Imaging

基　　金：国家自然科学基金(编号:81860047);甘肃省自然科学基金(编号:21JR1RA025);甘肃省人民医院院内基金项目(编号:20GSSY4-17)。

摘　　要：多发性肌炎(polymyositis, PM)/皮肌炎(dermatomyositis, DM)是一种自身免疫性疾病,心脏损害是其主要死亡原因。心脏受累的发病通常是隐匿的,早期诊断有助于启动有效的治疗和改善预后。目前常规影像对于亚临床心脏受累的应用价值有限,功能影像具有潜在价值。多模态功能影像在PM/DM患者心脏受累的早期诊断及疗效评估中的价值不断被发现。本文就多模态影像在PM/DM患者心脏损害的早期诊断及定量评估方面的应用及研究进展进行综述。Polymyositis(PM) and dermatomyositis(DM) are autoimmune diseases. Cardiac involvement has become the leading cause of death in patients with PM/DM. The onset of cardiac involvement is usually hidden. Early diagnosis is helpful to start effective treatment and improve prognosis. At present, the application value of conventional imaging for subclinical cardiac involvement is limited, and functional imaging has potential value. Multimodal functional imaging plays an important role in the early diagnosis and efficacy evaluation of cardiac involvement in PM/DM. This article reviews the application and research progress of multimodal imaging in the early diagnosis and quantitative assessment of cardiac damage in patients with PM/DM.

关 键 词：多发性肌炎 皮肌炎 特发性炎性肌病 心脏 早期诊断 疗效评估 磁共振成像 心脏磁共振 单光子发射断层显像 

分 类 号：R445.2[医药卫生—影像医学与核医学] R685.2[医药卫生—诊断学] R593.26[医药卫生—临床医学]