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首页> 外文期刊>Der Radiologe >MRT bei arrhythmogener rechtsventrikulärer Dysplasie/Kardiomyopathie (ARVD/C)
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MRT bei arrhythmogener rechtsventrikulärer Dysplasie/Kardiomyopathie (ARVD/C)

机译：MRI在致心律失常性右室发育不良/心肌病（ARVD / C）中

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摘要

Arrhythmogenic right ventricular dysplasia/cardiomyopathy is a congenital disease that may present with sudden cardiac death as the first manifestation. Standards for the difficult clinical diagnosis are the so-called modified Task Force criteria that incorporate imaging-based, electrocardiographic and anamnestic information. Cardiac magnetic resonance imaging (MRI) is the standard technique for imaging of the right ventricle and can compliment the recent ARVD/C diagnosis criteria by providing exact information on right ventricular size and function. It is the most reliable modality available for the detection of right ventricular aneurysms and the quantification of ventricular size. Furthermore, MRI is able to identify areas of fatty or fibrous replacement within the right ventricular myocardium in a non-invasive way. However, a suspicion of ARVD/C cannot be confirmed or excluded based on MRI findings alone. In clinical routine cardiac MRI is an enormously important component in the ARVD/C diagnostic toolbox; however, MRI can only act as one part of the diagnostic puzzle and should exclusively be performed by experienced centers using specifically tailored protocols.
机译：心律失常性右室发育不良/心肌病是一种先天性疾病，可能以心源性猝死为首发表现。难以进行临床诊断的标准是所谓的修改后的特别工作组标准，该标准结合了基于成像的心电图和遗忘信息。心脏磁共振成像（MRI）是右心室成像的标准技术，通过提供有关右心室大小和功能的准确信息，可以补充最新的ARVD / C诊断标准。这是可用于检测右心室动脉瘤和量化心室大小的最可靠方式。此外，MRI能够以非侵入性方式识别右心室心肌内的脂肪或纤维替代区域。但是，仅凭MRI发现不能证实或排除对ARVD / C的怀疑。在临床常规中，心脏MRI是ARVD / C诊断工具箱中极为重要的组成部分。但是，MRI只能作为诊断难题的一部分，并且应由经验丰富的中心使用专门定制的协议专门执行。

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