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多模态影像在心血管领域的应用

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为进一步促进临床决策的标准化，1月7日，由ACC、AHA等正式联合发表了“ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease”。该适当使用准则通过模拟102种相互独立的结构性心脏病、心肌病、心衰、主动脉瘤/夹层、肺动脉高压、心律不齐/器械治疗、心脏移植等临床场景，对TTE、TEE、负荷超声、多普勒、超声应变率显像、CMR、CT等多模态影像手段进行评分，指出与非瓣膜心脏病诊断相匹配的影像手段。


评分最低1分，最高9分：

评分结果7-9分，该影像学被公认为适用于该临床场景；

评分结果4-6分，该影像学被公认为可用于该临床场景；

评分结果1-3分，该影响学很少用于该临床场景。


《欧洲心脏杂志》在2019年2月初刊登了欧洲心血管影像协会( European Association of Cardiovascular Imaging , EACVI)对多模态影像在心血管领域的应用声明“Multimodality imaging in cardiology: a statement on behalf of the Task Force on Multimodality Imaging of the European Association of Cardiovascular Imaging”，在介绍心脏超声、核磁共振成像(CMR）、CT、CT/CMR的原理、主要特性及心血管应用的基础上，通过多模态影像参与的临床实例，具体说明其在心血管疾病诊断及治疗策略中的参与深度。该声明的核心在于倡导在欧洲范围内广泛推广多模态影像，鉴于各医院间发展的不均衡性，其中的部分推荐仅起概念性引导作用。


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