Right heart imaging in patients with heart failure: a tale of two ventricles.
Right heart imaging in patients with heart failure: a tale of two ventricles.
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DOI：
10.1097/hco.0000000000000315
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发表时间：
2016-09
影响因子：
2.3
通讯作者：
Haddad F
中科院分区：
文献类型：
--
作者：
Amsallem M;Kuznetsova T;Hanneman K;Denault A;Haddad F
介绍右心成像的最新进展，包括变形成像、共振成像（MRI）的组织和血流表征以及分子成像。最近在右心变形成像领域取得了进展，这可能会改善心力衰竭和肺动脉高压患者的风险分层。此外，更多的注意力已经给予右心的负荷适应性指标;然而，这些简化的指数仍然面临着从概念的角度来看的挑战。新的MRI序列的出现，如天然T1标测，可以更好地检测和量化心肌纤维化，并可以更好地预测右心手术后的恢复。MRI的其他进展包括四维血流成像，这可能对先天性心脏病或早期肺血管疾病的检测特别有用。这篇综述将在临床护理和研究的背景下，右心成像的最新进展。
To describe the recent advances made in imaging of the right heart, including deformation imaging, tissue and flow characterization by resonance imaging (MRI), and molecular imaging. Recent developments have been made in the field of deformation imaging of the right heart, which may improve risk stratification of patients with heart failure and pulmonary hypertension. In addition, more attention has been given to load adaptability metrics of the right heart; these simplified indices however still face challenges from a conceptual point of view. The emergence of novel MRI sequences, such as native T1 mapping, allows better detection and quantification of myocardial fibrosis and could allow better prediction of post-surgical recovery of the right heart. Other advances in MRI include four-dimensional flow imaging, which may be particularly useful in congenital heart disease or for the detection of early stages of pulmonary vascular disease. This review will place the recent developments in right heart imaging in the context of clinical care and research.