MRI评估肝硬化继发心脑肾损害的研究进展  

Research progress on MRI assessment of secondary heart,brain,and kidney damage in patients with liver cirrhosis

作　　者：秦佳明 谢双双 沈文(审校)[1,2] QIN Jiaming;XIE Shuangshuang;SHEN Wen(The School of Medicine,Nankai University,Tianjin 300071,China;Department of Radiology,Tianjin First Central Hospital,Tianjin Institute of Imaging Medicine)

机构地区：[1]南开大学医学院,天津300071 [2]天津市第一中心医院放射科,天津市影像医学研究所

出　　处：《国际医学放射学杂志》2024年第6期690-695,共6页International Journal of Medical Radiology

基　　金：国家自然科学基金(82271971);天津市科委自然科学基金(21JCYBJC01640);天津市重点医学学科(专科)建设项目(TJYXZDXK-041A)。

摘　　要：MRI作为评估肝硬化多器官损害的手段,不仅可以准确识别组织微观结构异常,还能有效检测器官功能,其结合临床及实验室指标可监测疾病的进展过程及治疗疗效,从而为临床制定诊疗策略提供依据。通过总结MRI在肝硬化多器官损伤诊疗过程中的应用现状,探讨常规及功能MRI在肝性脑病、肝硬化肾损伤及肝心综合征的疾病监测、治疗效果评价及远期预后预测中的应用进展及价值,进而明确未来发展方向。Magnetic resonance imaging(MRI),as a tool for evaluating multi-organ impairment due to liver cirrhosis,enables precise identification of microstructural abnormalities and effective evaluation of organ function.When combined with clinical and laboratory indicators,MRI facilitates monitoring of disease progression and treatment efficacy,supporting the development of diagnostic and therapeutic strategies.This article reviews the current applications of MRI in diagnosing and managing multi-organ damage resulting from liver cirrhosis,highlighting advancements and value of both conventional and functional MRI in monitoring disease,evaluating treatment effectiveness,and predicting long-term outcomes for hepatic encephalopathy,cirrhosis-related injury,and hepatocardiac syndrome.Finally,it discusses future directions for development.

关 键 词：磁共振成像 肝硬化 肝性脑病 肾损伤 心肌病 

分 类 号：R575.2[医药卫生—消化系统] R445.2[医药卫生—内科学]