CMR First-Pass Perfusion for Suspected Inducible Myocardial Ischemia

被引：55

作者：

Hendel, Robert C. ^{[1
]}

Friedrich, Matthias G. ^{[2
,3
,4
,5
,6
,7
]}

Schulz-Menger, Jeanette ^{[8
,9
,10
]}

Zemmrich, Claudia ^{[11
]}

Bengel, Frank ^{[12
]}

Berman, Daniel S. ^{[13
]}

Camici, Paolo G. ^{[14
,15
]}

Flamm, Scott D. ^{[16
,17
]}

Le Guludec, Dominique ^{[18
,19
]}

Kim, Raymond ^{[20
]}

Lombardi, Massimo ^{[21
]}

Mahmarian, John ^{[22
]}

Sechtem, Udo ^{[23
]}

Nagel, Eike ^{[24
]}

机构：

[1] Univ Miami, Miller Sch Med, Cardiovasc Div, Miami, FL 33136 USA

[2] McGill Univ, Dept Med, Hlth Ctr, Montreal, PQ, Canada

[3] McGill Univ, Dept Radiol, Hlth Ctr, Montreal, PQ, Canada

[4] Heidelberg Univ, Dept Med, Heidelberg, Germany

[5] Univ Montreal, Dept Radiol, Montreal, PQ, Canada

[6] Univ Calgary, Dept Cardiac Sci, Calgary, AB, Canada

[7] Univ Calgary, Dept Radiol, Calgary, AB, Canada

[8] Univ Med Berlin, ECRC Joint Inst, Charite Campus Buch, Berlin, Germany

[9] Klin & Poliklin Kardiol & Nephrol, MDC, Berlin, Germany

[10] Klin & Poliklin Kardiol & Nephrol, HELIOS Klinikum Berlin Buch, Berlin, Germany

[11] Inst Pharmacol & Prevent Med, Mahlow, Germany

[12] Hannover Med Sch, Klin Nukl Med, Hannover, Germany

[13] Cedars Sinai Med Ctr, West Hollywood, CA USA

[14] Univ Vita Salute San Raffaele, Milan, Italy

[15] Hosp San Raffaele, Milan, Italy

[16] Cleveland Clin, Imaging Inst, Cleveland, OH 44106 USA

[17] Cleveland Clin, Inst Heart & Vasc, Cleveland, OH 44106 USA

[18] Hop Xavier Bichat, AP HP, Dept Nucl Med, Paris, France

[19] Paris Diderot Univ, DHU FIRE, INSERM, U1148, Paris, France

[20] Duke Univ, Med Ctr, Duke Cardiovasc Magnet Resonance Ctr, Durham, NC USA

[21] IRCCS Policlin San Donato, Multimodal Cardiac Imaging Sect, Milan, Italy

[22] Houston Methodist Hosp, Houston, TX USA

[23] Robert Bosch Krankenhaus Stuttgart, Abt Kardiol, Stuttgart, Germany

[24] Univ Hosp Frankfurt Main, DZHK Ctr Cardiovasc Imaging, Inst Expt & Translat Cardiovasc Imaging, Frankfurt, Germany

来源：

JACC-CARDIOVASCULAR IMAGING | 2016年 / 9卷 / 11期

关键词：

cardiac MRI; diagnosis; ischemic heart disease; CARDIOVASCULAR MAGNETIC-RESONANCE; CORONARY-ARTERY-DISEASE; EMISSION COMPUTED-TOMOGRAPHY; FRACTIONAL FLOW RESERVE; ADENOSINE STRESS PERFUSION; OPTIMAL MEDICAL THERAPY; CE-MARC; HEART-DISEASE; PROGNOSTIC VALUE; DIAGNOSTIC PERFORMANCE;

D O I：

10.1016/j.jcmg.2016.09.010

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cardiovascular magnetic resonance (CMR) has evolved from a pioneering research tool to an established noninvasive imaging method for detecting inducible myocardial perfusion deficits. In this consensus document, experts of different imaging techniques summarize the existing body of evidence regarding CMR perfusion as a viable complement to other established noninvasive tools for the assessment of perfusion and discuss the advantages and pitfalls of the technique. A rapid, standardized CMR perfusion protocol is described, which is safe, clinically feasible, and cost-effective for centers with contemporary magnetic resonance equipment. CMR perfusion can be recommended as a routine diagnostic tool to identify inducible myocardial ischemia. (C) 2016 by the American College of Cardiology Foundation.

引用

页码：1338 / 1348

页数：11

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