Aakansha Ajay Vir Singh, Shi-Joon Yoo, Mike Seed, Christopher Z. Lam, Israel Valverde
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引用次数: 0
摘要
综述目的在不断发展的医学影像领域,本综述重点介绍了过去 18 个月中法洛氏四联症 (TOF) 和双出口右心室 (DORV) 术前和术后成像的重大进展。最新发现本综述展示了超声心动图的创新技术,如用于评估右心室-肺动脉耦合(RVPAC)的三维斑点追踪超声心动图(3DSTE)和用于心内血流场评估的多普勒速度重建(DoVeR)。此外,使用计算机断层扫描(CT)评估心血管解剖结构的进步也改善了消融手术中的成像整合。此外,将心脏磁共振(CMR)参数作为发病率、死亡率和肺动脉瓣置换术(PVR)时机的风险评分预测指标,表明了其在临床管理中的重要性。利用四维血流技术进行术后血流动力学评估有望为压力图谱带来新的见解。最后,3D 打印和 3D 虚拟现实等新兴技术有望在术前规划中提高图像质量和手术信心。
Recent advances in multimodal imaging in tetralogy of fallot and double outlet right ventricle.
PURPOSE OF REVIEW
In the ever-evolving field of medical imaging, this review highlights significant advancements in preoperative and postoperative imaging for Tetralogy of Fallot (TOF) and double outlet right ventricle (DORV) over the past 18 months.
RECENT FINDINGS
This review showcases innovations in echocardiography such as 3D speckle tracking echocardiography (3DSTE) for assessing right ventricle-pulmonary artery coupling (RVPAC) and Doppler velocity reconstruction (DoVeR) for intracardiac flow fields evaluation. Furthermore, advances in assessment of cardiovascular anatomy using computed tomography (CT) improve the integration of imaging in ablation procedures. Additionally, the inclusion of cardiac magnetic resonance (CMR) parameters as risk score predictors for morbidity, and mortality and for timing of pulmonary valve replacement (PVR) indicates its significance in clinical management. The utilization of 4D flow techniques for postoperative hemodynamic assessment promises new insights into pressure mapping. Lastly, emerging technologies such as 3D printing and 3D virtual reality are expected to improve image quality and surgical confidence in preoperative planning.
SUMMARY
Developments in multimodality imaging in TOF and DORV are poised to shape the future of clinical practice in this field.
期刊介绍:
Current Opinion in Cardiology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With fourteen disciplines published across the year – including arrhythmias, molecular genetics, HDL cholesterol and clinical trials – every issue also contains annotated reference detailing the merits of the most important papers.