心肌病磁共振成像40年发展——更精准、更智能

Development of MRI of cardiomyopathy in the last 40 years:More precise and intelligent

自从20世纪80年代我国将MRI技术应用于心肌病成像以来,心血管MRI技术的进步极大地提高了人们识别心肌病及其亚型的能力。本文首先介绍心肌病的定义及分类演变过程,然后讨论MR定量技术、影像组学和人工智能技术在各种心肌病的鉴别诊断、危险分层和预后评估中的应用价值,最后阐述新技术应用存在的机遇与挑战。未来,我们期望通过多中心、大样本的队列研究、荟萃分析及综述,建立标准的成像方法和参考标准,服务于临床诊疗过程,保障人民的健康。

Since the 1980s when MRI technology was applied to the cardiomyopathy imaging in China,the ability to identify cardiomyopathies and their subtypes has been greatly enhanced by advances in cardiovascular MRI.In this article,we first introduce the classification and evolution of cardiomyopathies and then discuss the value of quantitative MRI,the use of radiomics and artificial intelligence technologies in differential diagnosis,risk stratification,and prognostic evaluation of various cardiomyopathies,and concludes by describing the opportunities and challenges of applying new technologies.We expect to establish standard imaging methods and reference values in the future through large-scale,multicenter cohort studies,meta-analyses,and reviews with large sample sizes in order to serve the clinical treatment process and protect individuals'health.