磁共振成像在家猪心梗存活心肌诊断中的实验及临床初步应用
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

江苏省卫生厅自然科学基金资助项目(J200220)


MRI in myocardial infarction:experimental trial and preliminary clinical report
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:评估心肌灌注成像、心肌活力及运动分析磁共振成像(MRI)在家猪心肌梗死存活心肌诊断中的实验和临床应用价值。方法:心肌梗死3天模型14例、3周模型12例及心肌梗死患者17例进行心脏磁共振(MR)检查。平衡梯度回波序列(BFFE)用于观察心肌运动,快速梯度回波序列(T1TFE)用于观察首过心肌灌注表现;反转恢复梯度回波序列用于观察延迟时相心肌活力表现。结果: 家猪心肌梗死3天、3周MR检查及患者可见心肌内的首过灌注缺损区,发现率为100.0%、92.0%和82.3%。心肌活力分析示,左心室心肌内存在不同范围的强化灶,发现率为7.0%、50.0%和88.2%。心肌运动减弱节段与强化节段基本一致。明显纤维化或瘢痕心肌表现为心肌变薄,并始终保持低信号。结论:通过综合分析延迟强化,运动能力显著降低和可能存在的首过灌注缺损,可以更有效地识别梗死或瘢痕心肌。

    Abstract:

    Objective:To evaluation the role of myocardial perfusion ,viability and MRI cine in myocardial infarction of pig model and patients. Methods:14 pigs with myocardial infarction(3 days),12 pigs with myocardial infarction(3 weeeks) and 17 patients underwent MR scanning. MR cine imaging acquaired by BFFE sequence were used to analyze the motion of heart. T1TFE sequence was used to detect the first pass perfusion after injection of Gd-DTPA(0.1 mmol/kg). Inversion recovery viability sequence was used to recognize the high signal in the infarct myocardia. Results:The incidence of the low signal detected in the first pass perfusion weighted images in the infarct myocardia of 3-days pigs,3-weeks pigs and 17 patients were respectively 100%,92%and 82.3%. The incidence of enhancement region detected in the delayed viability sequence images in the infarct myocardia of 3-days pigs,3-weeks pigs and 17 patients were respectively 7%, 50%and 88.2%. The myocardial wall of hyper enhancement had a weaken motion in MR cine images. The symptom of attenuation and keeping low signal of myocardial wall in viability images was detected in the obvious fibrosis myocardia or scar. Conclusion:The combination of all image findings in the first pass perfusion, viability imaging and cine MR might discriminate the true infarction and scar of heart effectirely.

    参考文献
    相似文献
    引证文献
引用本文

袁丽华,张 冰,朱 斌.磁共振成像在家猪心梗存活心肌诊断中的实验及临床初步应用[J].南京医科大学学报(自然科学版),2007,(6):590-593605

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2006-11-15
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期:
  • 出版日期: