从医学影像到临床诊疗:2023年心血管磁共振进展  

From medical image to clinical diagnosis and treatment:Advances in cardiovascular magnetic resonance in 2023

作　　者：连心桥 张华莹 赵世华[1] 陆敏杰[1,3] LIAN Xinqiao;ZHANG Huaying;ZHAO Shihua;LU Minjie(Department of Magnetic Resonance Imaging,Peking Union Medical College&Chinese Academy of Medical Sciences,Fuwai Hospital,National Center for Cardiovascular Diseases,Beijing 100037,China;Department of Clinical Medicine,Capital Medical University,Beijing 100069,China;Key Laboratory of Cardiovascular Imaging,Chinese Academy of Medical Sciences,Beijing 100037,China)

机构地区：[1]国家心血管病中心北京协和医学院中国医学科学院阜外医院磁共振影像科,北京100037 [2]首都医科大学临床医学系,北京100069 [3]中国医学科学院心血管影像重点实验室,北京100037

出　　处：《磁共振成像》2024年第7期184-190,215,共8页Chinese Journal of Magnetic Resonance Imaging

基　　金：北京市自然科学基金项目(编号:7242110);中国医学科学院心血管影像重点实验室(培育)建设项目(编号:2019PT310025);北京协和医学院2023年中央高校教育教学改革专项资金支持项目(编号:2023zlgl026)。

摘　　要：心血管磁共振(cardiovascular magnetic resonance, CMR)具有无创、无辐射、多参数成像的优势,能够实现对心脏形态、功能和组织学信息的“一站式”评估,在心血管疾病的精准医疗中发挥着无可替代的重要作用。2023年CMR研究取得了长足的进展:组织特征成像、心肌应变分析等技术不断推陈出新,探索更多临床适应证,并逐步完成标准化应用转化;非缺血性心脏病、缺血性心脏病等领域的CMR应用在新版指南中备受重视,且优质循证证据不断涌现,鼓励其更多地参与到心血管临床管理之中。本文将从技术和临床应用两方面系统性回顾其中代表性成果,以期为现阶段医疗实践提供实时有效的指导。Cardiovascular magnetic resonance(CMR)offers the advantages of non-invasive,radiation-free and multi-parameter imaging.It enables a"one-stop"examination of cardiac morphology,function,and histology,playing an irreplaceable role in the precision medicine of cardiovascular diseases.In 2023,significant advancements are made in CMR research:technologies such as tissue characterization imaging and myocardial strain analysis have been continually innovated,exploring more clinical indications and gradually achieving standardized application and translation.The applications of CMR in non-ischemic heart disease and ischemic heart disease have been highly emphasized in the new guidelines,and high-quality evidence has continually emerged,encouraging its greater involvement in cardiovascular clinical management.This review will systematically summarize the representative achievements in both technology and clinical application,aiming to provide the latest and effective guidance for current medical practice.

关 键 词：磁共振成像 心血管磁共振 组织特征成像 心肌应变 四维血流磁共振成像 非缺血性心脏病 缺血性心脏病 

分 类 号：R445.2[医药卫生—影像医学与核医学] R541.7[医药卫生—诊断学]