心脏磁共振特征追踪技术在心血管疾病中的应用进展
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摘要
心脏磁共振特征追踪技术(FT-CMR)技术是在心脏磁共振电影序列图像基础上测量心肌应变参数的一种新兴技术,其无需加扫其他特殊序列,能无创性定量评估心肌整体及局部运动功能。FT-CMR技术操作简单、方便,具有较好的可行性及可重复性。目前FT-CMR技术在左心室、左心房及右心室心肌应变方面的研究正迅速发展,现对FT-CMR技术在心血管疾病中的应用进展进行综述。
Feature tracking cardiac magnetic resonance technology,which is based on the images of cardiac magnetic resonance cine sequence, is emerging as a method for measuring myocardial strain parameters without the need to acquire additional images. FT-CMR technology is simple and convenient to operate, and has a good feasibility and repeatability. Researches on the measurement of strain parameters in the left ventricle, left atrium and right ventricle is rapidly evolving currently,the application of FT-CMR technique in cardiovascular diseases is reviewed.
Feature tracking cardiac magnetic resonance technology,which is based on the images of cardiac magnetic resonance cine sequence, is emerging as a method for measuring myocardial strain parameters without the need to acquire additional images. FT-CMR technology is simple and convenient to operate, and has a good feasibility and repeatability. Researches on the measurement of strain parameters in the left ventricle, left atrium and right ventricle is rapidly evolving currently,the application of FT-CMR technique in cardiovascular diseases is reviewed.
引文
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[28]李志伟,马晓海,刘晶哲,等.心脏磁共振成像特征性追踪技术评价健康人左心房应变及应变率的可行性研究[J].中国医药,2016,11(5):741-745.DOI:10.3760/cma.j.issn.1673-4777.2016.05.030.
[29]Truong VT,Safdar KS,Kalra DK,et al.Cardiac magnetic resonance tissue tracking in right ventricle:Feasibility and normal values[J].Magn Reson Imaging,2017,38:189-195.DOI:10.1016/j.mri.2017.01.007.
[30]Kowallick JT,Morton G,Lamata P.Quantification of atrial dynamics using cardiovascular magnetic resonance:inter-study reproducibility.J Cardiovasc Magn Reson,2015,17(1):17:36.DOI:10.1186/s12968-015-0140-2.
[2]Ibrahimel SH.Myocardial tagging by cardiovascular magnetic resonance:evolution of techniques--pulse sequences,analysis algorithms,and applications[J].J Cardiovasc Magn Reson,2011,13(1):36.DOI:10.1186/1532-429X-13-36.
[3]Schneeweis C,Qiu J,Schnackenburg B,et al.Value of additional strain analysis with feature tracking in dobutamine stress cardiovascular magnetic resonance for detecting coronary artery disease[J].J Cardiovasc Magn Reson,2014,16(1):72.DOI:10.1186/s12968-014-0072-2.
[4]Schuster A,Paul M,Bettencourt N,et al.Cardiovascular magnetic resonance myocardial feature tracking for quantitative viability assessment in ischemic cardiomyopathy[J].Int J Cardiol,2013,166(2):413-420.DOI:10.1016/j.ijcard.2011.10.137.
[5]Khan JN,Singh A,Nazir SA,et al.Comparison of cardiovascular magnetic resonance feature tracking and tagging for the assessment of left ventricular systolic strain in acute myocardial infarction[J].Eur J Radiol,2015,84(5):840-848.DOI:10.1016/j.ejrad.2015.02.002.
[6]Obokata M,Negishi K,Kurosawa K,et al.Incremental diagnostic value of LA strain with leg lifts in heart failure with preserved ejection fraction[J].JACC Cardiovasc Imaging,2013,6(7):749-758.DOI:10.1016/j.jcmg.2013.04.006.
[7]Kowallick JT,Kutty S,Edelmann F,et al.Quantification of left atrial strain and strain rate using cardiovascular magnetic resonance myocardial feature tracking:a feasibility study[J].J Cardiovasc Magn Reson,2014,16(1):60.DOI:10.1186/s12968-014-0060-6.
[8]Habibi M,Chahal H,Opdahl A,et al.Association of CMR-measured LA function with heart failure development:results from the MESA study[J].JACC Cardiovasc Imaging,2014,7(6):570-579.DOI:10.1016/j.jcmg.2014.01.016.
[9]Japp AG,Gulati A,Cook SA,et al.The Diagnosis and evaluation of dilated cardiomyopathy[J].J Am Coll Cardiol,2016,67(25):2996-3010.DOI:10.1016/j.jacc.2016.03.590.
[10]Buss SJ,Breuninger K,Lehrke S,et al.Assessment of myocardial deformation with cardiac magnetic resonance strain imaging improves risk stratification in patients with dilated cardiomyopathy[J].Eur Heart J Cardiovasc Imaging,2015,16(3):307-315.DOI:10.1093/ehjci/jeu181.
[11]Motoki H,Borowski AG,Shrestha K,et al.Incremental prognostic value of assessing left ventricular myocardial mechanics in patients with chronic systolic heart failure[J].J Am Coll Cardiol,2012,60(20):2074-2081.DOI:10.1016/j.jacc.2012.07.047.
[12]Ochs A,Schuster A,Riffel J,et al.LV rotational mechanics in patients with dilated cardiomyopathy compared to healthy individuals:Experience from the European CMR Registry[J].Jornal of Cardiovascular Magnetic Resonance,2015,17(S1):1-2.DOI:10.1186/1532429X-17-S1-Q69.
[13]Williams LK,Chan RH,Carasso S,et al.Effect of left ventricular outflow tract obstructron on left atrial mechanics in hypertrophic cardiomyopathy[J].Biomed Res Int,2015,2015(6):81-94.481245.DOI:10.1155/2015/481245.
[14]Bogarapu S,Puchalski MD,Everitt MD,et al.Novel cardiac magnetic resonance feature tracking(CMR-FT)analysis for detection of myocardial fibrosis in pediatric hypertrophic cardiomyopathy[J].Pediatr Cardiol,2016,37(4):663-673.DOI:10.1007/s00246-015-1329-8.
[15]Nucifora G,Muser D,Gianfagna P,et al.Systolic and diastolic myocardial mechanics in hypertrophic cardiomyopathy and their link to the extent of hypertrophy,replacement fibrosis and interstitial fibrosis[J].Int J Cardiovasc Imaging,2015,31(8):1603-1610.DOI:10.1007/s10554-015-0720-0.
[16]Andre F,Kammerer R,Breuninger K,et al.Cardiac magnetic reso-.nance strain imaging in systemic light chain amyloidosis[J].Journal of Cardiovascular Magnetic Resonance,2014,16(1):321.DOI:10.1186/1532 429X-16-SI-P321.
[17]Kammerer R,Breuninger K,Matheis P,et al.Feature tracking cardiac magnetic resonance in systemic light chain amyloidosis[J].Journal of Cardiovascular Magnetic Resonance,2013.15(1):1.DOI:10.1186/1532-429X-15-S1-P97.
[18]Nucifora G,Muser D,Morocutti G,et al.Disease-specific differences of left ventricular rotational mechanics between cardiac amyloidosis and hypertrophic cardiomyopathy[J].Am J Physiol Heart Circ Physiol,2014,307(5):H680-688.DOI:10.1152/ajpheart.00251.2014.
[19]Amaki M,Savino J,Ain DL,et al.Diagnostic concordance of echocardiography and cardiac magnetic resonance-based tissue tracking for differentiating constrictive pericarditis from restrictive cardiomyopathy[J].Circ Cardiovasc Imaging,2014,7(5):819-827.DOI:10.1161/CIRCIMAGING.114.002103.
[20]Corrado D,Wichter T,Link MS,et al.Treatment of arrhythmogenic right ventricular cardiomyopathy/dysplasia:an international task force consensus statement[J].Eur Heart J,2015,36(46):3227-3237.DOI:10.1093/eurheartj/ehv162.
[21]Heermann P,Hedderich DM,Paul M,et al.Biventricular myocardial strain analysis in patients with arrhythmogenic right ventricular cardiomyopathy(ARVC)using cardiovascular magnetic resonance feature tracking[J].J Cardiovasc Magn Reson,2014,16(1):75.DOI:10.1186/s12968-014-0075-z.
[22]Vigneault DM,te Riele AS,James CA,et al.Right ventricular strain by MR quantitatively identifies regional dysfunction in patients with arrhythmogenic right ventricular cardiomyopathy[J].J Magn Reson Imaging,2016,43(5):1132-1139.DOI:10.1002/jmri.25068.
[23]Orwat S,Diller GP,Kempny A,et al.Myocardial deformation parameters predict outcome in patients with repaired tetralogy of Fallot[J].Heart,2016,102(3):209-215.DOI:10.1136/heartjnl-2015-308569.
[24]de Siqueira ME,Pozo E,Fernandes VR,et al.Characterization and clinical significance of right ventricular mechanics in pulmonary hypertension evaluated with cardiovascular magnetic resonance feature tracking[J].J Cardiovasc Magn Reson,2016,18(1):39.DOI:10.1186/s12968-016-0258-x.
[25]Meyer CG,Frick M,Lotfi S,et al.Regional left ventricular function after transapical vs.transfemoral transcatheter aortic valve implantation analysed by cardiac magnetic resonance feature tracking[J].Eur Heart J Cardiovasc Imaging,2014,15(10):1168-1176.DOI:10.1093/ehjci/jeu103.
[26]Andre F,Steen H,Matheis P,et al.Age-and gender-related normal left ventricular deformation assessed by cardiovascular magnetic resonance feature tracking[J].J Cardiovasc Magn Reson,2015,17(1):25.DOI:10.1186/s12968-015-0123-3.
[27]Taylor RJ,Moody WE,Umar F,et al.Myocardial strain measurement with feature-tracking cardiovascular magnetic resonance:normal values[J].Eur Heart J Cardiovasc Imaging,2015,16(8):871-881.DOI:10.1093/ehjci/jev006.
[28]李志伟,马晓海,刘晶哲,等.心脏磁共振成像特征性追踪技术评价健康人左心房应变及应变率的可行性研究[J].中国医药,2016,11(5):741-745.DOI:10.3760/cma.j.issn.1673-4777.2016.05.030.
[29]Truong VT,Safdar KS,Kalra DK,et al.Cardiac magnetic resonance tissue tracking in right ventricle:Feasibility and normal values[J].Magn Reson Imaging,2017,38:189-195.DOI:10.1016/j.mri.2017.01.007.
[30]Kowallick JT,Morton G,Lamata P.Quantification of atrial dynamics using cardiovascular magnetic resonance:inter-study reproducibility.J Cardiovasc Magn Reson,2015,17(1):17:36.DOI:10.1186/s12968-015-0140-2.