从医学影像到临床诊疗:2023年心血管磁共振进展

From medical image to clinical diagnosis and treatment:Advances in cardiovascular magnetic resonance in 2023

心血管磁共振(cardiovascular magnetic resonance, CMR)具有无创、无辐射、多参数成像的优势,能够实现对心脏形态、功能和组织学信息的“一站式”评估,在心血管疾病的精准医疗中发挥着无可替代的重要作用。2023年CMR研究取得了长足的进展:组织特征成像、心肌应变分析等技术不断推陈出新,探索更多临床适应证,并逐步完成标准化应用转化;非缺血性心脏病、缺血性心脏病等领域的CMR应用在新版指南中备受重视,且优质循证证据不断涌现,鼓励其更多地参与到心血管临床管理之中。本文将从技术和临床应用两方面系统性回顾其中代表性成果,以期为现阶段医疗实践提供实时有效的指导。

Cardiovascular magnetic resonance(CMR)offers the advantages of non-invasive,radiation-free and multi-parameter imaging.It enables a"one-stop"examination of cardiac morphology,function,and histology,playing an irreplaceable role in the precision medicine of cardiovascular diseases.In 2023,significant advancements are made in CMR research:technologies such as tissue characterization imaging and myocardial strain analysis have been continually innovated,exploring more clinical indications and gradually achieving standardized application and translation.The applications of CMR in non-ischemic heart disease and ischemic heart disease have been highly emphasized in the new guidelines,and high-quality evidence has continually emerged,encouraging its greater involvement in cardiovascular clinical management.This review will systematically summarize the representative achievements in both technology and clinical application,aiming to provide the latest and effective guidance for current medical practice.