双能 X 射线吸收测定法在亚临床心血管疾病预测中的重要作用

IF 2.8 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Frontiers in Cardiovascular Medicine Pub Date : 2024-08-30 DOI:10.3389/fcvm.2024.1377299
Sisi Yang, Qin Chen, Yang Fan, Cuntai Zhang, Ming Cao
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引用次数: 0

摘要

亚临床心血管疾病(亚心血管疾病)是心血管疾病的早期阶段,通常没有症状。高血压、糖尿病、肥胖和生活方式等风险因素对亚临床心血管疾病有很大影响。成像技术的进步促进了疾病表型的及时识别和风险分类。双能 X 射线吸收测量(DXA)在预测亚心血管疾病方面的关键作用是本研究的主题。DXA 最初用于评估骨矿物质密度,现在已发展成为评估身体成分不可或缺的工具,而身体成分是估计心血管风险的关键决定因素。DXA 可以精确测量体脂、瘦肌肉质量、骨密度和腹主动脉钙化,是评估亚心血管疾病的重要工具。本研究探讨了 DXA 在将各种风险因素整合到综合评估中的功效,以及机器学习的应用如何提高早期发现和控制心血管风险的能力。与超声波、计算机断层扫描、磁共振成像和正电子发射断层扫描等其他成像模式相比,DXA 具有明显的优势和局限性。本综述提倡将 DXA 纳入心血管健康评估,强调其在早期识别和管理亚心血管疾病中的关键作用。
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The essential role of dual-energy x-ray absorptiometry in the prediction of subclinical cardiovascular disease
Subclinical cardiovascular disease (Sub-CVD) is an early stage of cardiovascular disease and is often asymptomatic. Risk factors, including hypertension, diabetes, obesity, and lifestyle, significantly affect Sub-CVD. Progress in imaging technology has facilitated the timely identification of disease phenotypes and risk categorization. The critical function of dual-energy x-ray absorptiometry (DXA) in predicting Sub-CVD was the subject of this research. Initially used to evaluate bone mineral density, DXA has now evolved into an indispensable tool for assessing body composition, which is a pivotal determinant in estimating cardiovascular risk. DXA offers precise measurements of body fat, lean muscle mass, bone density, and abdominal aortic calcification, rendering it an essential tool for Sub-CVD evaluation. This study examined the efficacy of DXA in integrating various risk factors into a comprehensive assessment and how the application of machine learning could enhance the early discovery and control of cardiovascular risks. DXA exhibits distinct advantages and constraints compared to alternative imaging modalities such as ultrasound, computed tomography, magnetic resonance imaging, and positron emission tomography. This review advocates DXA incorporation into cardiovascular health assessments, emphasizing its crucial role in the early identification and management of Sub-CVD.
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来源期刊
Frontiers in Cardiovascular Medicine
Frontiers in Cardiovascular Medicine Medicine-Cardiology and Cardiovascular Medicine
CiteScore
3.80
自引率
11.10%
发文量
3529
审稿时长
14 weeks
期刊介绍: Frontiers? Which frontiers? Where exactly are the frontiers of cardiovascular medicine? And who should be defining these frontiers? At Frontiers in Cardiovascular Medicine we believe it is worth being curious to foresee and explore beyond the current frontiers. In other words, we would like, through the articles published by our community journal Frontiers in Cardiovascular Medicine, to anticipate the future of cardiovascular medicine, and thus better prevent cardiovascular disorders and improve therapeutic options and outcomes of our patients.
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