肖秀梅,徐 辉

随着人口老龄化、生活方式的改变以及慢性病的增加，心脏疾病的发病率和死亡率持续上升，其已经成为全球健康的重大威胁，其早期诊断对改善预后至关重要。心脏磁共振成像（Cardiac magnetic resonance imaging，CMRI）因其高软组织分辨率、无辐射、多参数成像等优势，能够提供心脏结构、功能、血流动力学等详细信息，对心肌纤维化、水肿、灌注和微结构进行深入评估，在心脏疾病的诊断中发挥着核心作用。本文综述了CMRI的技术进展以及在心脏疾病诊断、评估和治疗监测中的应用进展。

磁共振成像；心脏疾病；影像学；综述

[1] Nallamothu T,Pradella M,Markl M,Greenland P,Passman R,Elbaz MS.Robust and fast stochastic 4D flow vector-field signature technique for quantifying composite flow dynamics from 4D flow MRI:Application to left atrial flow in atrial fibrillation.Med Image Anal.2024 Feb;92:103065. [2] X Morales Ferez,A Elsayed,D Zhao,F Loncaric,G Quill,K Gilbert,R Dunphy,M Ramos,A Doltra,M Sitges,B Lowe,A Young,M Nash,O Camara,B Bijnens,Left atrial haemodynamic evaluation using 4D flow cardiac magnetic resonance imaging:application to hypertension and hypertrophic cardiomyopathy,European Heart Journal,Volume 44,Issue Supplement_2,November 2023,ehad655.240. [3] Chan AT,Maya TR,Park C,Tak K,Liberman N,Jain RH,Park MJ,Park RY,Grizzard J,Kim G,Tap WD,Jessurun J,Liu J,Kim J,Steingart RM,Weinsaft JW.Incremental Utility of First-Pass Perfusion CMR for Prognostic Risk Stratification of Cancer-Associated Cardiac Masses.JACC Cardiovasc Imaging.2024 Feb;17(2):128-145. [4] 郑英杰,耿建芳,付力博,等.磁共振弥散加权成像及延迟强化技术评估缺血性心肌病预后的应用价值[J].中国CT和MRI杂志,2024, 22(07):77-79+89. [5] LI H J,ZHU H,YANG Z X,et al.The study of CMR for short-term follow up in fulminant myocarditis[J].Radiol Pract,2020,35(2):175-179. [6] Georgiopoulos G,Figliozzi S,Sanguineti F,Aquaro GD,di Bella G,Stamatelopoulos K,Chiribiri A,Garot J,Masci PG,Ismail TF.Prognostic Impact of Late Gadolinium Enhancement by Cardiovascular Magnetic Resonance in Myocarditis:A Systematic Review and Meta-Analysis. Circ Cardiovasc Imaging.2021 Jan;14(1):e011492. [7] S Mohamed,M Kunz,S Casey,W Katsiyiannis,R Abdelhadi,K Storey,A Berg,C Schmidt,J Sengupta,P1077 Late gadolinium enhancement with cardiac magnetic resonance imaging demonstrates left ventricular involvement is under-recognized in arrhythmogenic right ventricular cardiomyopathy,EP Europace,Volume 22,Issue Supplement_1,June 2020,euaa162.138, [8] Infante,T.,Cavaliere,C.,Punzo,B.,Grimaldi,V.,Salvatore,M.,&Napoli,C.(2021).Radiogenomics and Artificial Intelligence Approaches Applied to Cardiac Computed Tomography Angiography and Cardiac Magnetic Resonance for Precision Medicine in Coronary Heart Disease:A Systematic Review.Circulation:Cardiovascular Imaging,14,1133-1146. [9] Sugane H,Asaumi Y,Ogata S,Kimura M,Kanaya T,Hoshi T,Sato A,Miura H,Tomishima Y,Morita Y,Nakao K,Otsuka F,Kataoka Y,Kawasaki T,Nishimura K,Narula J,Yasuda S,Noguchi T.Evaluation of fractional flow reserve and atherosclerotic plaque characteristics on coronary non-contrast T1-weighted magnetic resonance imaging.Atherosclerosis.2024 May;392:117530. [10] He L,Zhao R,Wang Y,Liu H,Wang X.Research Progress on Catalpol as Treatment for Atherosclerosis.Front Pharmacol.2021 Jul 13;12:716125. [11] Bularga A,Hung J,Daghem M,et al.Coronary Artery and Cardiac Disease in Patients With Type 2 Myocardial Infarction:A Prospective Cohort Study.Circulation.2022 Apr;145(16):1188-1200. [12] Arai AE,Schulz-Menger J,Shah DJ,Han Y,Bandettini WP,Abraham A,Woodard PK,Selvanayagam JB,Hamilton-Craig C,Tan RS,Carr J,Teo L,Kramer CM,Wintersperger BJ,Harisinghani MG,Flamm SD,Friedrich MG,Klem I,Raman SV,Haverstock D,Liu Z,Brueggenwerth G,Santiuste M,Berman DS,Pennell DJ.Stress Perfusion Cardiac Magnetic Resonance vs SPECT Imaging for Detection of Coronary Artery Disease.J Am Coll Cardiol.2023 Nov 7;82(19):1828-1838. [13] A Schaefer,T Koenig,D Berliner,M Akin,T Pfeffer,J Bauersachs,Supersaturated oxygen therapy in patients with acute anterior myocardial infarction reduces infarct size,European Heart Journal,Volume 45,Issue Supplement_1,October 2024,ehae666.1646. [14] Qi H,Qian P,Tang L,Chen B,An D,Wu LM.Predicting Late Gadolinium Enhancement of Acute Myocardial Infarction in Contrast-Free Cardiac Cine MRI Using Deep Generative Learning.Circ Cardiovasc Imaging.2024 Sep;17(9):e016786. [15] 卢文杰,李品纯,黄小婷.MR扩散张量成像对急性心肌梗死后室性心律失常的评估价值[J].中国CT和MRI杂志,2024,22(04):59-62. [16] Dellborg,M.(2024).Adult Congenital Heart Disease.Circulation,149(14),1397-1399. [17] Salehi D,Fricke K,Bhat M,Arheden H,Liuba P,Hedström E.Utility of fetal cardiovascular magnetic resonance for prenatal diagnosis of complex congenital heart defects.JAMA Netw Open.2021;4(3):e213538. [18] A.L Constant Dit Beaufils,O Huttin,N Piriou,C Cueff,T Senage,M Marrec,K Warin-Fresse,C Banasiak,J.M Sellal,D Mandry,C Venner,L Filippetti,J.M Serfaty,C Selton-Suty,T Le Tourneau,Determinants and prognostic significance of focal myocardial fibrosis by cardiac magnetic resonance imaging in patients with mitral valve prolapse,European Heart Journal,Volume 41,Issue Supplement_2, November 2020,ehaa946.2006. [19] Pankaj Garg,Anna Giulia Pavon,Martin Penicka,Seth Uretsky,Cardiovascular magnetic resonance imaging in mitral valve disease, European Heart Journal,2024,ehae801. [20] Garg,P.,Swift,A.J.,Zhong,L.et al.Assessment of mitral valve regurgitation by cardiovascular magnetic resonance imaging.Nat Rev Cardiol 17,298–312(2020). [21] S Figliozzi,M Bernardi,A S Perera Molligoda Arachige,K Stankowski,V Battaglia,C Guarino,G Georgiopoulos,L Monti,R Bragato,G Stefanini,G Biondi-Zoccai,S Sciarretta,P G Masci,M Francone,G Condorelli,Systemic manifestations of connective tissue abnormalities in patients with Mitral Valve Prolapse assessed by Cardiac Magnetic Resonance,European Heart Journal,Volume 45,Issue Supplement_1, October 2024,ehae666.260 [22] Wen-dong CHEN,Jing HUANG,Yun-bo ZHAO,Yan-bo CHEN,Ai-yuan ZHANG.Research progress in left atrial function and ejection fraction preserved heart failure[J].Chinese Heart Journal,2022,34(2):228-231,238.

点击下载PDF