Abstract:Objective To study the value of magnetic resonance imaging(MRI) in the evaluation of pulmonary hypertension (PAH).Methods 60 cases of PAH patients from September 2014 to March 2017 in our hospital were seleted as experimental research object,12 healthy volunteers were seleted as control group.All subjects were performed MRI and right cardiac catheterization examination.The correlation of MRI anatomy and right cardiac catheterization detection indicators were analyzed.Results The Pearson correlation analysis showed that the main pulmonary artery diameter/right across the top plane of the chest diameter (MPA/T),right ventricular anterior wall thickness /right across the top plane of the chest diameter(RVW/T) and pulmonary artery collection was correlated with systolic pressure,average pressure and total pulmonary resistance (P<0.01),the right pulmonary artery diameter (RPA) pressure and mean pressure was correlated with pulmonary artery systolic (P<0.05).Conclusion The anatomic indexes of MPA/T MRI,RVW/T can be used to determine the degree of pulmonary hypertension and quantitative analysis of pulmonary hypertension.
徐艳, 罗欣, 刘莉琼, 胡亮亮. 磁共振成像在肺动脉高压评估中的应用研究[J]. 中国当代医药, 2017, 24(25): 116-118.
XU Yan, LUO Xin, LIU Li-qiong, HU Liang-liang. Application of magnetic resonance imaging in the evaluation of pulmonary hypertension. 中国当代医药, 2017, 24(25): 116-118.
Kiely DG,Elliot CA,Sabroe I, et al. Pulmonary hypertension:diagnosis and management[M]//.Diagnosis and Management of Pulmonary Hypertension.New York:Springer,2013:953-958.
[2]
Ley S,Mereles D,Puderbach M, et al .Value of MR phase-contrast flow measurements for functional assessment of pulmonary arterial hypertension[J].Eur Radiol,2007,17(7):1892-1897.
[3]
Sorrell VL.Bringing MRI to the cardiologist:can we learn from echocardiography?[J].Curr Cardiol Rep,2005,7(1):65-69.
Davood S,Abolfazl D,Ahmad A, et al .Pulmonary vascular capacitance as a predictor of vasoreactivity in idiopathic pulmonary arterial hypertension tested by adenosine[J].Res Cardiovas Med,2015,4(4):e28945.
[7]
Sanz J,Dellegrottaglie S,Kariisa M, et al .Prevalence and correlates of septal delayed contrast enhancement in patients with pulmonary hypertension[J].Am J Cardiol,2007,100(4):731-735.
[8]
Sanz J,Kuschnir P,Rius T, et al .Pulmonary arterial hypertension: noninvasive detection with phase-contrast MR imaging[J].Radiology,2007,243(1):70.
Wirth G,Brüggemann K,Bostel T, et al .Chronic thromboembolic pulmonary hypertension(CTEPH)-potential role of multidetector-row CT (MD-CT) and MR imaging inthe diagnosis and differential diagnosis of the disease[J].Foso,2014,186(8):751-761.
[11]
Fitzgerald B,Bashford J,Newbiggin K, et al .Regression of cardiac amyloidosis:comparison between echocardiography and MRI[J].Heart Lung Circ,2016,25:S247.