磁共振T2-Mapping成像对呼吸衰竭患者心肌损害的临床应用价值

doi:10.13418/j.issn.1001-165x.2020.01.018

Abstract

Abstract: 目的　探讨磁共振T2-Mapping成像对呼吸衰竭患者心肌损害的临床应用价值。方法　选择2016年8月到2018年12月本院内科诊治的呼吸衰竭患者122例作为研究组，同期无呼吸衰竭病史的78例内科患者作为对照组。所有患者给予超声心动图与磁共振T2-Mapping成像，记录成像参数并进行相关性分析。结果　衰竭组的DT值高于对照组（P<0.05）；两组E/A与Pulmonary S/D ratio值对比无统计学差异（P>0.05）；两组心磁共振图像质量Ⅲ级与Ⅳ级分别占比80.3%、9.8%和76.9%和12.8%，对比均无统计学差异（P>0.05）；衰竭组短轴位与长轴位的左心室前壁、后壁T2值均大于对照组（P<0.05）；衰竭组患者中，Pearson相关性分析显示短轴位、长轴位的左室前壁、后壁T2值与DT值均呈正相关性（P<0.05）。结论　磁共振T2-Mapping成像能反映呼吸衰竭患者心肌损害情况，通过定量评估心肌T2值可有效评估左心室心肌功能，对指导临床治疗方案的抉择和预后判断具有重要作用。

Key words: Magnetic resonance;　T2-Mapping imaging;　Respiratory failure　Myocardial damage, Ultrasound

CLC Number:

LIU Zhen-hua, YANG Li, AO Feng, Hu Pei, ZENG Zhao-jun, ZHANG Zi-li. The clinical application values of magnetic resonance T2-Mapping imaging in myocardial damage in patients with respiratory failure[J]. Chinese Journal of Clinical Anatomy, 2020, 38(1): 88-91.

References 15

[1]	Alkhalil M, Biasiolli L, Akbar N, et al. T2 mapping MRI technique quantifies carotid plaque lipid, and its depletion after statin initiation, following acute myocardial infarction[J]. Atherosclerosis, 2018, 279(2): 100-106.
[2]	刘钢, 张兴梅, 温兆赢, 等. 心脏磁共振定量组织标记技术对急性心肌炎的诊断价值[J].中国医药, 2017, 12(1): 41-45.
[3]	彭鹏, 杨光鑫, 张灵, 等. 3.0T和1.5TMRI定量心肌铁沉积的体外水模对比研究[J].实用放射学杂志, 2017, 33(12): 1951-1954.
[4]	Alkhalil M, Borlotti A, De Maria G L, et al. Dynamic changes in injured myocardium, very early after acute myocardial infarction, quantified using T1 mapping cardiovascular magnetic resonance[J]. J Cardiovasc Magn Reson, 2018, 20(1): 82.
[5]	Christodoulou AG, Shaw JL, Nguyen C, et al. Magnetic resonance multitasking for motion-resolved quantitative cardiovascular imaging[J]. Nat Biomed Eng, 2018, 2(4): 215-226.
[6]	Darcot E, Yerly J, Colotti R, et al. Accelerated and high-resolution cardiac T2 mapping through peripheral k-space sharing[J]. Magn Reson Med, 2019, 81(1): 220-233.
[7]	Dekkers IA, Lamb HJ. Clinical application and technical considerations of T1 & T2(*) mapping in cardiac, liver, and renal imaging[J]. Br J Radiol, 2018, 91(1092): 20170825.
[8]	刘京京, 陈铟铟, 恽虹, 等. BLADE技术在自由呼吸导航CMR T2WI中的应用价值[J].实用放射学杂志, 2018, 34(8): 1259-1262.
[9]	余刘玉. 心脏磁共振成像评估急性心肌梗死后心肌水肿的研究进展[J]. 心血管病学进展, 2018, 39(4): 579-583.
[10]	Dolan RS, Rahsepar AA, Blaisdell J, et al. Cardiac structure-function MRI in patients after heart transplantation[J]. J Magn Reson Imaging, 2019, 49(3): 678-687.
[11]	Fehrmann A, Treutlein M, Rudolph T, et al. Myocardial T1 and T2 mapping in severe aortic stenosis: potential novel insights into the pathophysiology of myocardial remodelling[J]. Eur J Radiol, 2018, 107(13): 76-83.
[12]	李燕, 黄凌波, 付兵, 等. 核磁T2 mapping技术定量评估2型糖尿病患者左心室心肌功能的临床应用价值[J]. 检验医学与临床, 2018, 15(11): 1549-1551, 1555.
[13]	杨智, 李睿, 付兵, 等. 心脏磁共振技术定量评价老年2型糖尿病患者亚临床期左心室肌T2*值的研究[J]. 中华老年心脑血管病杂志, 2018, 20(12): 1266-1269.
[14]	Grigoratos C, Di Bella G, Aquaro GD. Diagnostic and prognostic role of cardiac magnetic resonance in acute myocarditis[J]. Heart Fail Rev, 2019, 24(1): 81-90.
[15]	Guo R, Chen Z, Herzka DA, et al. A three-dimensional free-breathing sequence for simultaneous myocardial T1 and T2 mapping[J]. Magn Reson Med, 2019, 81(2): 1031-1043.

The clinical application values of magnetic resonance T2-Mapping imaging in myocardial damage in patients with respiratory failure

Knowledge

Abstract

Cite this article

share this article

References 15

Related Articles 15

Metrics

Comments

Recommended 0

[1]	Shi Jingfang, Wang Jun, Qu Tao, Yu Rong, Xiong Qingyu. Ultrasonic imaging features of tuberculous granulomas in upper retroperitoneal lymph nodes [J]. Chinese Journal of Clinical Anatomy, 2022, 40(3): 362-365.
[2]	. Study on the relationship between periventricular-intraventricular hemorrhages and cerebellar development in preterm infants [J]. Chinese Journal of Clinical Anatomy, 2021, 39(6): 654-659.
[3]	Lan Jiafu, Zhong Qiuhong, Lu Qisheng, Zhang Qiuyan. Application value of prenatal ultrasound in the diagnosis of congenital valgus foot [J]. Chinese Journal of Clinical Anatomy, 2021, 39(3): 359-362.
[4]	Liu Ruike, Li Guifang, Du Xueqian, Chen Shuai. Study on the relationship between cerebellum development and gestational age in neonatal infants [J]. Chinese Journal of Clinical Anatomy, 2021, 39(2): 140-144.
[5]	CHEN Wei-dong, QIAN Lei, QU Dong-bin, He Shan-li, LI Ze-yu, TAN Wei-hao, ZHONG Jin-tao, Yang Hang, OU-YANG Jun, ZHENG Ming-hui. Anatomical study on puncture depth of thoracic paravertebral nerve block [J]. Chinese Journal of Clinical Anatomy, 2020, 38(5): 545-548.
[6]	LI Lei, JU Ji-hui, ZHOU Zheng-hu, FANG Li-ping, XU Jun, DENG Wei. The application of DSA technique combined with color Doppler ultrasound in the location of the perforating branch of the anterolateral thigh flap [J]. Chinese Journal of Clinical Anatomy, 2020, 38(3): 331-334.
[7]	LU De-bin, ZHANG Yan, WU Feng-lin, GAO Fang, XUE Yao-ming, LIU Shi-qun. Effectiveness and safety of microwave ablation with "liquid isolation zone" in the treatment of high risk benign thyroid nodules [J]. Chinese Journal of Clinical Anatomy, 2019, 37(3): 331-334.
[8]	ZHEN Wei, WANGHong-Yu, CHEN Tian-ping, LI Xiang-yun, JI Dong-hui, ZHANG Tao, ZHANG Yan, ZUO Jiang-hua, CHENG Fang, HE Run-zhi. Study on application value of high frequency color Doppler ultrasound for exploring femoral anterior-medial side perforator artery flap [J]. Chinese Journal Of Clinical Anatomy, 2018, 36(1): 22-25.
[9]	YE Yun-yi, ZHANG Ming-sheng， LIANG Gui-ying， LI Xin-ping， ZHANG Lei. Respiratory electrical stimulation training improves diaphragmatic and abdominal muscle function that could treat functional constipation [J]. Chinese Journal Of Clinical Anatomy, 2017, 35(6): 691-694.
[10]	LV Heng-yong, LI Zhen, WANG Yue-xiang, LI Ying-xin, WU Jin-peng. Study of shear wave elastic modulus in a rat model of chronic myofascial trigger points [J]. Chinese Journal Of Clinical Anatomy, 2017, 35(1): 57-61.
[11]	ZHANG Ji-qing, KANG Ning, QIU Zhi, ZHANG Jun-hui. Flexible ureteroscope for management of calyceal diverticulum calculi with ultrasound guided puncture for 16 cases and literature review [J]. Chinese Journal Of Clinical Anatomy, 2016, 34(4): 460-463.
[12]	ZHANG Jian-xing，WANG Yan, ZHOU Guo-bin. Comparative study of postoperative analgesia effect with ultrasound guided fascia iliaca compartment nerve block used in arthroscopically-assisted knee operation [J]. Chinese Journal Of Clinical Anatomy, 2016, 34(4): 457-459.
[13]	. Ultrasound measurements of the amount of juice for prediction of the risk of occurrence of vomit during emergency surgery [J]. Chinese Journal Of Clinical Anatomy, 2015, 33(3): 364-367.
[14]	YU Yao-Beng, CHEN Da-Wei, SHU Guang-Rong, LI Bing, YANG Yun-Feng, ZHANG Feng, DAI Gong-Hua, SONG Ye. An image study on the plantar plates of the lesser metatarsophalangeal joints [J]. Chinese Journal of Clinical Anatomy, 2014, 32(5): 576-579.
[15]	ZHANG Jian-Xing, DENG Lian, WANG Xing, LI Gong-Yang. Effect of postoperative analgesia with ultrasound guided femoral nerve block used in arthroscopically-assisted knee operation [J]. Chinese Journal Of Clinical Anatomy, 2014, 32(3): 365-367.