Late Gadolinium Enhancement Imaging in Assessment of Myocardial Viability: Techniques and Clinical Applications

被引:24
作者
Juan, Laura Jimenez [1 ,2 ]
Crean, Andrew M. [1 ,3 ,4 ,5 ]
Wintersperger, Bernd J. [1 ,3 ]
机构
[1] Univ Toronto, Dept Med Imaging, Toronto, ON, Canada
[2] Sunnybrook Hlth Sci Ctr, Dept Med Imaging, Toronto, ON M4N 3M5, Canada
[3] Toronto Gen Hosp, Peter Munk Cardiac Ctr, Dept Med Imaging, Toronto, ON M5G 2N2, Canada
[4] Univ Toronto, Dept Med, Toronto, ON, Canada
[5] Toronto Gen Hosp, Peter Munk Cardiac Ctr, Div Cardiol, Toronto, ON M5G 2N2, Canada
关键词
Magnetic resonance imaging; Heart; Myocardial viability; Late gadolinium enhancement; Delayed enhancement; Microvascular obstruction; Thrombus; Revascularization; CARDIOVASCULAR MAGNETIC-RESONANCE; CORONARY-ARTERY-DISEASE; SENSITIVE-INVERSION-RECOVERY; EMISSION-COMPUTED-TOMOGRAPHY; LEFT-VENTRICULAR DYSFUNCTION; DELAYED ENHANCEMENT; GADOPENTETATE-DIMEGLUMINE; MICROVASCULAR OBSTRUCTION; HIBERNATING MYOCARDIUM; FUNCTIONAL RECOVERY;
D O I
10.1016/j.rcl.2014.11.004
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Assessment of myocardial viability is of ever-evolving interest in cardiovascular imaging, with major societies having incorporated viability imaging as class I or class IIa indications in their guidelines to better guide patient management. As with late gadolinium enhancement cardiac magnetic resonance (MR), assessment of residual myocardial viability or the extent of myocardial infarction is straightforward and this technique may easily be combined with other cardiac MR modules. In clinical routine functional assessment and myocardial perfusion imaging if often used in conjunction allow for a comprehensive assessment of ischemic heart disease.
引用
收藏
页码:397 / +
页数:17
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