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复杂先天性心脏病MRI与心血管造影对照分析
引用本文:李森华 杨光钊. 复杂先天性心脏病MRI与心血管造影对照分析[J]. 中华放射学杂志, 1994, 28(7): 452-455
作者姓名:李森华 杨光钊
作者单位:杭州浙江医科大学附属第二医院放射科
摘    要:笔者对13例复杂先天性心脏病采用永磁型低磁场机器进行心电门控MRI检查并与心血管造影(CAG)对照分析。结果8例诊断完全符合,5例有差异。在观察心房内脏位置关系、大血管位置关系方面MRI比较准确;在确定心室位置、房室连接及心室大血管连接关系等方面,本组病例提示MRI与CAG效果相似。但MRI存在层厚较厚,定位较难掌握以及难以观察瓣膜结构与功能,易受运动伪影影响等不足。认为低磁场的MRI可用于复杂先天性心脏病的检查。

关 键 词:心脏缺损,先天性,磁共振成像,心血管造影术

Comparison of MRI and Angiocardiography in Complex Congenital Heart Diseases
Li Sen-hua,Yang Guang-zhao,He Wei-liang,et al.. Comparison of MRI and Angiocardiography in Complex Congenital Heart Diseases[J]. Chinese Journal of Radiology, 1994, 28(7): 452-455
Authors:Li Sen-hua  Yang Guang-zhao  He Wei-liang  et al.
Affiliation:Li Sen-hua,Yang Guang-zhao,He Wei-liang,et al. Department of Radiology,The Second Affiliated Hospital,Zhejiang Medical University,Hangzhou 310009)
Abstract:ECG gated low field MRI was compared with angiocardiography in 13 cases of com-plex congenital heart diseases.The results showed complete agreement of diagnosis in 8 cases and some discrepancies in 5 cases.Compared with angiocardiography,MRI was superior in displaying anatomical relationship of atriumviscera and the great vessels;MRI was comparable to angiocardiography in demon-strating location and relationship of atrium-viscera,the great vessels,atrio-ventricular junction as well as venticle-vessel junction.However,MRI had shortcomings.Such as thick slice,difficulty in lo-calization,limitation in evaluation of valvular structure and function and susceptibility to motion arti-fact.The study indicated that low field MRI can be used in evaluation of complex congenital heart dis-eases.
Keywords:Cardiac defect  congenital resonance imaging Angiocardiography  
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