T2-weighted cardiovascular magnetic resonance in acute cardiac disease

被引:161
作者
Eitel, Ingo [1 ,2 ,3 ]
Friedrich, Matthias G. [1 ,2 ]
机构
[1] Univ Calgary, Stephenson Cardiovasc Magnet Resonance Ctr, Libin Cardiovasc Inst Alberta, Dept Cardiac Sci, Calgary, AB, Canada
[2] Univ Calgary, Stephenson Cardiovasc Magnet Resonance Ctr, Libin Cardiovasc Inst Alberta, Dept Radiol, Calgary, AB, Canada
[3] Univ Leipzig, Ctr Heart, Dept Internal Med Cardiol, Leipzig, Germany
关键词
ACUTE MYOCARDIAL-INFARCTION; ACUTE CORONARY SYNDROME; LEFT-VENTRICULAR FUNCTION; CARDIOPULMONARY BYPASS; PROGNOSTIC-SIGNIFICANCE; DIFFERENTIAL-DIAGNOSIS; ISCHEMIC AREA; EDEMA; RISK; SALVAGE;
D O I
10.1186/1532-429X-13-13
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiovascular magnetic resonance (CMR) using T2-weighted sequences can visualize myocardial edema. When compared to previous protocols, newer pulse sequences with substantially improved image quality have increased its clinical utility. The assessment of myocardial edema provides useful incremental diagnostic and prognostic information in a variety of clinical settings associated with acute myocardial injury. In patients with acute chest pain, T2-weighted CMR is able to identify acute or recent myocardial ischemic injury and has been employed to distinguish acute coronary syndrome (ACS) from non-ACS as well as acute from chronic myocardial infarction. T2-weighted CMR can also be used to determine the area at risk in reperfused and non-reperfused infarction. When combined with contrast-enhanced imaging, the salvaged area and thus the success of early coronary revascularization can be quantified. Strong evidence for the prognostic value of myocardial salvage has enabled its use as a primary endpoint in clinical trials. The present article reviews the current evidence and clinical applications for T2-weighted CMR in acute cardiac disease and gives an outlook on future developments. "The principle of all things is water" Thales of Miletus (624 BC - 546 BC)
引用
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页数:11
相关论文
共 88 条
[1]   Diagnostic performance of cardiovascular magnetic resonance in patients with suspected acute myocarditis -: Comparison of different approaches [J].
Abdel-Aty, H ;
Boyé, P ;
Zagrosek, A ;
Wassmuth, R ;
Kumar, A ;
Messroghli, D ;
Bock, P ;
Dietz, R ;
Friedrich, MG ;
Schulz-Menger, J .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2005, 45 (11) :1815-1822
[2]   Delayed enhancement and T2-weighted cardiovascular magnetic resonance imaging differentiate acute from chronic myocardial infarction [J].
Abdel-Aty, H ;
Zagrosek, A ;
Schulz-Menger, J ;
Taylor, AJ ;
Messroghli, D ;
Kumar, A ;
Gross, M ;
Dietz, R ;
Friedrich, MG .
CIRCULATION, 2004, 109 (20) :2411-2416
[3]   T2-weighted cardiovascular magnetic resonance imaging [J].
Abdel-Aty, Hassan ;
Simonetti, Orlando ;
Friedrich, Matthias G. .
JOURNAL OF MAGNETIC RESONANCE IMAGING, 2007, 26 (03) :452-459
[4]   Edema as a Very Early Marker for Acute Myocardial Ischemia A Cardiovascular Magnetic Resonance Study [J].
Abdel-Aty, Hassan ;
Cocker, Myra ;
Meek, Cheryl ;
Tyberg, John V. ;
Friedrich, Matthias G. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2009, 53 (14) :1194-1201
[5]   Myocardial edema is a feature of Tako-Tsubo cardiomyopathy and is related to the severity of systolic dysfunction: Insights from T2-weighted cardiovascular magnetic resonance [J].
Abdel-Aty, Hassan ;
Cocker, Myra ;
Friedrich, Matthias G. .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2009, 132 (02) :291-293
[6]   Retrospective determination of the area at risk for reperfused acute myocardial infarction with T2-weighted cardiac magnetic resonance imaging - Histopathological and displacement encoding with stimulated echoes (DENSE) functional validations [J].
Aletras, AH ;
Tilak, GS ;
Natanzon, A ;
Hsu, LY ;
Gonzalez, FM ;
Hoyt, RF ;
Arai, AE .
CIRCULATION, 2006, 113 (15) :1865-1870
[7]   ACUT2E TSE-SSFP:: A hybrid method for T2-weighted Imaging of edema in the heart [J].
Aletras, Anthony H. ;
Kellman, Peter ;
Derbyshire, J. Andrew ;
Arai, Andrew E. .
MAGNETIC RESONANCE IN MEDICINE, 2008, 59 (02) :229-235
[8]   Using magnetic resonance imaging to characterize recent myocardial injury - Utility in acute coronary syndrome and other clinical scenarios [J].
Arai, Andrew E. .
CIRCULATION, 2008, 118 (08) :795-796
[9]   The role of cardiovascular magnetic resonance in patients resenting with chest pain, raised troponin, and unobstructed coronary arteries [J].
Assomull, Ravi G. ;
Lyne, Jonathan C. ;
Keenan, Niall ;
Gulati, Ankur ;
Bunce, Nicholas H. ;
Davies, Simon W. ;
Pennell, Dudley J. ;
Prasad, Sanjay K. .
EUROPEAN HEART JOURNAL, 2007, 28 (10) :1242-1249
[10]   Intramyocardial hemorrhage and microvascular obstruction after primary percutaneous coronary intervention [J].
Beek, A. M. ;
Nijveldt, R. ;
van Rossum, A. C. .
INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING, 2010, 26 (01) :49-55