Magnetic resonance imaging in the assessment of ventricular remodeling and viability

被引：9

作者：

Jerosch-Herold M. ^{[1
]}

Kwong R.Y. ^{[1
]}

机构：

[1] Brigham and Women's Hospital, Boston, MA 02115

来源：

Current Heart Failure Reports | 2008年 / 5卷 / 1期

关键词：

Late Gadolinium Enhancement; Ventricular Volume; Wall Stress; Ventricular Remodel; Microvascular Obstruction;

D O I：

10.1007/s11897-008-0002-4

中图分类号：

学科分类号：

摘要：

Cardiovascular MRI has effectively become a reference standard for quantifying ventricular volumes and function and for measuring the myocardial scar burden after myocardial infarction. Imaging of late gadolinium enhancement and microvascular obstruction carries strong prognostic information for identifying patients who would benefit from anti-remodeling therapy. The combination of gadolinium enhancement, perfusion, and cine imaging should make MRI the modality of choice in the assessment of left ventricular dysfunction and remodeling. The use of MRI in clinical trials of heart failure could help reduce sample size requirements because of its accuracy and reproducibility. This review describes the use of MRI in assessing ventricular remodeling and viability and summarizes the few studies that have relied on MRI for image-based markers of ventricular remodeling. © Springer Science+Business Media, LLC 2008.

引用

页码：5 / 10

页数：5

共 38 条

[1]

Pelliccia A., Athlete's heart and hypertrophic cardiomyopathy, Curr Cardiol Rep, 2, pp. 166-171, (2000)

[2]

Pfeffer M.A., Braunwald E., Ventricular remodeling after myocardial infarction. Experimental observations and clinical implications, Circulation, 81, pp. 1161-1172, (1990)

[3]

Cohn J.N., Ferrari R., Sharpe N., Cardiac remodeling - Concepts and clinical implications: A consensus paper from an international forum on cardiac remodeling, J Am Coll Cardiol, 35, pp. 569-582, (2000)

[4]

Kim R.J., Wu E., Rafael A., Et al., The use of contrast-enhanced magnetic resonance imaging to identify reversible myocardial dysfunction, N Engl J Med, 343, pp. 1445-1453, (2000)

[5]

Friedrich J., Apstein C.S., Ingwall J.S., 31P nuclear magnetic resonance spectroscopic imaging of regions of remodeled myocardium in the infarcted rat heart, Circulation, 92, pp. 3527-3538, (1995)

[6]

Neubauer S., Cardiac magnetic resonance spectroscopy: Potential clinical applications, Herz, 25, pp. 452-460, (2000)

[7]

Zhang J., Wilke N., Wang Y., Et al., Functional and bioenergetic consequences of postinfarction left ventricular remodeling in a new porcine model. MRI and 31 P-MRS study, Circulation, 94, pp. 1089-1100, (1996)

[8]

Francois C.J., Fieno D.S., Shors S.M., Fin J.P., Left ventricular mass: Manual and automatic segmentation of true FISP and FLASH cine MR images in dogs and pigs, Radiology, 230, pp. 389-395, (2004)

[9]

Stillman A.E., Wilke N., Jerosch-Herold M., Use of an intravascular T1 contrast agent to improve MR cine myocardial-blood pool definition in man, J Magn Reson Imaging, 7, pp. 765-767, (1997)

[10]

Pennell D.J., Underwood S.R., Longmore D.B., Improved cine MR imaging of left ventricular wall motion with gadopentetate dimeglumine, J Magn Reson Imaging, 3, pp. 13-19, (1993)

← 1 2 3 4 →