磁共振成像在肺动脉高压评估中的应用研究

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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.

Key words： Pulmonary hypertension Magnetic resonance imaging Rght heart catheterization

Received: 19 June 2017

PACS:

R544.1

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	Articles by authors
	XU Yan
	LUO Xin
	LIU Li-qiong
	HU Liang-liang

Cite this article:

XU Yan,LUO Xin,LIU Li-qiong, et al. Application of magnetic resonance imaging in the evaluation of pulmonary hypertension[J]. 中国当代医药, 2017, 24(25): 116-118.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I25/116

[1]	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.
[4]	Alunni JP,Degano B,Arnaud C,等.心脏MRI评价肺动脉高压：形态学与功能参数及有创性测量间的相关性[J].国际医学放射学杂志,2010（4）：547-548.
[5]	张颖,夏思良.超声心动图评估血液透析患者并发肺动脉高压的研究[J].中华全科医学,2012,10（4）：630-631.
[6]	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.
[9]	张伟,俞同福,徐海,等.CT肺动脉成像对急性肺栓塞患者肺动脉高压严重程度的评估[J].放射学实践,2013,28（3）：324-328.
[10]	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.
[12]	夏琨,孙东明,王瑞耕,等.肺动脉高压先天性心脏病患者降肺动脉压的预后效果[J].重庆医学,2016,45（30）：4265-4266.
[13]	崔倩,葛夕洪,于静,等.心脏磁共振成像评估肺动脉高压患者右心室功能的Meta分析[J].中华危重病急救医学,2015,27（12）：998-1001.
[14]	王蒙,张璋,杨振文,等.心脏MRI评估肺动脉高压病人严重程度及预后的临床价值[J].国际医学放射学杂志,2016,39（3）：226-230.
[15]	韩艳,杨振文,于铁链,等.1.5T MRI评估肺动脉高压患者右心功能及肺动脉血液动力学[J].中国肺癌杂志,2012, 15（8）：471-475.