医学
磁共振成像
心脏病学
内科学
心脏磁共振
炎症
心脏磁共振成像
放射科
心肌梗塞
作者
Vanessa M. Ferreira,Jeanette Schulz‐Menger,Godtfred Holmvang,Christopher M. Kramer,Iacopo Carbone,Udo Sechtem,Ingrid Kindermann,Matthias Gutberlet,Leslie T. Cooper,Peter Liu,Matthias G. Friedrich
标识
DOI:10.1016/j.jacc.2018.09.072
摘要
Abstract This JACC Scientific Expert Panel provides consensus recommendations for an update of the cardiovascular magnetic resonance (CMR) diagnostic criteria for myocardial inflammation in patients with suspected acute or active myocardial inflammation (Lake Louise Criteria) that include options to use parametric mapping techniques. While each parameter may indicate myocardial inflammation, the authors propose that CMR provides strong evidence for myocardial inflammation, with increasing specificity, if the CMR scan demonstrates the combination of myocardial edema with other CMR markers of inflammatory myocardial injury. This is based on at least one T2-based criterion (global or regional increase of myocardial T2 relaxation time or an increased signal intensity in T2-weighted CMR images), with at least one T1-based criterion (increased myocardial T1, extracellular volume, or late gadolinium enhancement). While having both a positive T2-based marker and a T1-based marker will increase specificity for diagnosing acute myocardial inflammation, having only one (i.e., T2-based OR T1-based) marker may still support a diagnosis of acute myocardial inflammation in an appropriate clinical scenario, albeit with less specificity. The update is expected to improve the diagnostic accuracy of CMR further in detecting myocardial inflammation.
科研通智能强力驱动
Strongly Powered by AbleSci AI