State of the art paper: Cardiac computed tomography of the left atrium in atrial fibrillation.
State of the art paper: Cardiac computed tomography of the left atrium in atrial fibrillation.
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DOI：
10.1016/j.jcct.2023.03.002
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发表时间：
2023-05
影响因子：
5.4
通讯作者：
Williams, Steven E.
中科院分区：
文献类型：
--
作者：
Bodagh, Neil;Williams, Michelle C.;Vickneson, Keeran;Gharaviri, Ali;Niederer, Steven;Williams, Steven E.
心房颤动的临床谱意味着需要采取针对患者的个体化方法以确保最佳治疗。心脏计算机断层扫描可以准确描绘心房的结构和功能，并有助于为房颤患者提供个性化护理途径。该成像方式具有出色的空间分辨率，已用于房颤患者的术前、术中和术后护理。时间分辨率、采集时间和分析技术的进步表明心脏计算机断层扫描在房颤患者未来治疗中的潜在作用不断扩大。本综述的目的是讨论心脏计算机断层扫描在心房颤动术前、术中和术后环境中的应用。讨论了心脏计算机断层扫描的潜在未来应用，包括心房壁厚度评估和心外膜脂肪体积量化，以及新兴的分析技术，包括计算建模和机器学习，并关注这些发展如何有助于房颤管理的个性化方法。
The clinical spectrum of atrial fibrillation means that a patient-individualized approach is required to ensure optimal treatment. Cardiac computed tomography can accurately delineate atrial structure and function and could contribute to a personalized care pathway for atrial fibrillation patients. The imaging modality offers excellent spatial resolution and has been utilised in pre-, peri- and post-procedural care for patients with atrial fibrillation. Advances in temporal resolution, acquisition times and analysis techniques suggest potential expanding roles for cardiac computed tomography in the future management of patients with atrial fibrillation. The aim of the current review is to discuss the use of cardiac computed tomography in atrial fibrillation in pre-, peri- and post-procedural settings. Potential future applications of cardiac computed tomography including atrial wall thickness assessment and epicardial fat volume quantification are discussed together with emerging analysis techniques including computational modelling and machine learning with attention paid to how these developments may contribute to a personalized approach to atrial fibrillation management.
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