【摘要】：心肌微循環(huán)功能不全被認(rèn)為是冠心病以及不同類型心血管疾病發(fā)病的病理生理基礎(chǔ)。侵入性冠狀動(dòng)脈(冠脈)造影被認(rèn)為是診斷冠心病的"金標(biāo)準(zhǔn)",但該項(xiàng)檢查并不能很好地對(duì)冠脈病變嚴(yán)重性進(jìn)行功能評(píng)估。非侵入性心肌灌注成像技術(shù)能夠評(píng)估冠脈微血管的功能,幫助提高疾病診斷的準(zhǔn)確性及協(xié)助指導(dǎo)臨床治療決策,其中心臟磁共振(cardiac magnetic resonance,CMR)灌注成像是一種可靠且穩(wěn)定的檢查方式,能夠?yàn)榫植啃募」嘧⑻峁?zhǔn)確的定量評(píng)估。由于具有多參數(shù)、多方位成像,空間分辨率高,非侵入性,無(wú)電離輻射等優(yōu)點(diǎn),CMR已經(jīng)用于臨床相關(guān)冠心病的診斷及鑒別診斷。本文綜述CMR灌注成像在冠脈血管病變中的應(yīng)用進(jìn)展。
[Abstract]:Myocardial microcirculation insufficiency is considered as the pathophysiological basis of coronary heart disease and different types of cardiovascular diseases. Invasive coronary angiography is considered to be the "golden standard" for the diagnosis of coronary artery disease, but this examination does not provide a functional assessment of the severity of coronary artery disease. Non-invasive myocardial perfusion imaging can evaluate the function of coronary microvessels, help to improve the accuracy of disease diagnosis and help to guide clinical treatment decisions. Cardiac magnetic resonance (cardiac magnetic resonance,CMR) perfusion imaging is a reliable and stable examination method. It can provide accurate quantitative evaluation for regional myocardial perfusion. CMR has been used in the diagnosis and differential diagnosis of clinically related coronary heart disease due to its advantages of multi-parameter, multi-directional imaging, high spatial resolution, non-invasive and non-ionizing radiation. This paper reviews the application of CMR perfusion imaging in coronary artery disease.
【作者單位】： 成都市第六人民醫(yī)院心內(nèi)科;四川大學(xué)華西醫(yī)院心內(nèi)科;
【基金】：四川省科技廳應(yīng)用基礎(chǔ)重點(diǎn)項(xiàng)目(No:2017JY0026)
【分類號(hào)】：R541.4
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本文編號(hào)：2229003