Cardiac MRI in Ischemic Heart Disease
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概要
- 論文の詳細を見る
Considerable progress has been made in cardiac magnetic resonance imaging (MRI). Cine MRI is recognized as the most accurate method for evaluating ventricular function. Late gadolinium-enhanced MRI can clearly delineate subendocardial infarction, and the assessment of transmural extent of infarction on MRI is widely useful for predicting myocardial viability. Stress myocardial perfusion MRI allows for detection of subendocardial myocardial ischemia, and the diagnostic accuracy of stress perfusion MRI is superior to stress perfusion single-photon emission computed tomography in patients with multivessel coronary artery disease (CAD). In recent years, image quality, volume coverage, acquisition speed and arterial contrast of 3-dimensional coronary magnetic resonance angiography (MRA) have been substantially improved with use of steady-state free precession sequences and parallel imaging techniques, permitting the acquisition of high-quality, whole-heart coronary MRA within a reasonably short imaging time. It is now widely recognized that cardiac MRI has tremendous potential for the evaluation of ischemic heart disease. However, cardiac MRI is technically complicated and its use in clinical practice is relatively limited. With further improvements in education and training, as well as standardization of appropriate study protocols, cardiac MRI will play a central role in managing patients with CAD. (Circ J 2009; 73: 1577-1588)
- 社団法人 日本循環器学会の論文
- 2009-08-20
著者
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Ishida Masaki
Department Of Physiology Mie University School Of Medicine
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SAKUMA Hajime
Department of Radiology, Mie University Graduate School of Medicine
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Kato Shingo
Department of Pathology and Applied Neurobiology, Graduate School of Medical Science, Kyoto Prefectu
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Sakuma Hajime
Department Of Radiology Mie University Hospital
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Sakuma Hajime
Department Of Radiology Graduate School Of Medicine Mie University
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Ishida Masaki
Department Of Radiology Mie University Hospital
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Ishida Masaki
Department Of Chemistry Graduate School Of Engineering Science And Research Center For Photoenergeti
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Kato Shingo
Department Of Gastroenterology And Hepatology Saitama Medical Center Saitama Medical University
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Kato Shingo
Department Of Radiology Mie University Hospital
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Kato Shingo
Department of Cardiology, Kanagawa Cardiovascular and Respiratory Center
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