心脏CT在心肌病中的研究进展  

Research Progress of Cardiac CT in Cardiomyopathy

作　　者：孟庆超 赵丽[1] 高扬[1] 吕滨[1] MENG Qingchao;ZHAO Li;GAO Yang;LYU Bin(Department of Radiology,Fuwai Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College/National Center for Cardiovascular Diseases,Bejing 100037,China)

机构地区：[1]中国医学科学院北京协和医学院、国家心血管病中心阜外医院放射影像科,北京100037

出　　处：《中国分子心脏病学杂志》2024年第1期5923-5927,共5页Molecular Cardiology of China

摘　　要：心脏CT诊断冠状动脉粥样硬化性心脏病的价值已经得到诸多研究证实和指南推荐,其在心肌病中的价值尚未确定。随着CT技术、计算机硬软件的进步,心脏CT在心肌病中的研究越来越多,其不仅可以评价心脏解剖、分析心脏功能,还可以分析心肌及心外膜脂肪组织等。目前心脏CT评价心肌病的方法主要有延迟强化、细胞外容积、碘图、心肌灌注、心肌应变、影像组学,本文就以上方法在心肌病的诊断、治疗及预后评估中的研究进展进行综述。The value of cardiac CT in diagnosis of coronary atherosclerotic heart disease has been established by numerous studies and endorsed by guidelines. However, the value of cardiac CT in cardiomyopathy is yet to be determined. With the advancement of CT technology, hardware and software of computer, cardiac CT has become a growing area of study in cardiomyopathy. In addition to evaluating cardiac anatomy and analyzing cardiac function, cardiac CT also analyses myocardial and epicardial adipose tissue. At present, various methods of cardiac CT are available for assessing cardiomyopathy such as delayed enhancement, extracellular volume, iodine map, myocardial perfusion, myocardial strain, and radiomics. This article reviews the research progress of the above methods in the diagnosis, treatment, and prognosis in cardiomyopathy.

关 键 词：体层摄影术 X线计算机 心肌病 诊断 治疗 预后 

分 类 号：R542.2[医药卫生—心血管疾病] R816.2[医药卫生—内科学]