Resonance Imaging in Ischaemic Heart Disease （ASM 2011）磁共振成像在缺血性心脏病（ASM 2011）课件.pptVIP

下载本文档

2
0
约1.08万字
约 43页
2018-06-22 发布于贵州
举报
版权申诉

Resonance Imaging in Ischaemic Heart Disease （ASM 2011）磁共振成像在缺血性心脏病（ASM 2011）课件.ppt

1、本文档共43页，可阅读全部内容。
2、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。
3、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
5、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
6、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
7、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
8、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Resonance Imaging in Ischaemic Heart Disease （ASM 2011）磁共振成像在缺血性心脏病（ASM 2011）课件

* * * * * * * * * * * * * * * * * * * * * * * * * * * * Contraindications of Adenosine Acute Myocardial infarction within few days Asthma Second- or third-degree atrio-ventricular block Sick sinus syndrome Symptomatic bradycardia Patient Preparation for Adenosine Stress MRI Exam. Refrain from caffeinated food and drink for 24 hours Such as coffee, tea, coke and chocolate Adenosine antagonist Interfere with the ability of Adenosine to dilate arteries False negative examination result Adenosine Stress Cardiac MRI Exam. Adenosine at 140?g/kg/min intravenously for 4 mins Gadolinium-DTPA (0.05 mmol/kg) is rapidly infused (4ml/sec) First-pass imaging is performed using gradient echo pulse sequence on multiple short axis slices (basal, middle, and apex) of the left ventricle during a breath hold Adenosine Stress Cardiac MRI Exam. Normal myocardium shows a “blush” of bright signal throughout the cardiac cycle Ischaemic or infarcted myocardium will show a persistent dark signal, either subendocardial or transmural in location The perfusion defect shall follow the supply territory of the coronary arteries Myocardial Viability Differentiation between viable and non-viable myocardium is important Transmural extent Viable myocardium may benefit from revascularization and resume normal cardiac function Function cannot be restored to nonviable tissue Myocardial Infarction Post-gadolinium myocardial delay enhancement technique Areas of infarct or scar have increased volume of distribution of gadolinium as compared to normal myocardium There is more efficient egress of gadolinium from normal myocardium compared to infarcted tissue Hyperenhancement of infarcted myocardium 10-20mins after contrast administration Ischaemia vs Infarction Ischaemic and infarcted myocardium can be differentiated by first-pass myocardial perfusion and myocardial delay enhancement techniques Ischaemic but viable myocardium Non-viable myocardium Rest perfusion Normal signal Signal loss Stre