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DOI: 10.1055/s-0042-118225
3-D-Perfusion – höhere Auflösung, bessere Aussagekraft?
3D Perfusion – Higher Resolution, Better Diagnostic Accuracy?Publication History
Publication Date:
20 December 2016 (online)
![](https://www.thieme-connect.de/media/aktkardio/201606/lookinside/thumbnails/10-1055-s-0042-118225_ka086-1.jpg)
Zusammenfassung
Die 3-D-CMR-Perfusion kann klinisch erfolgreich und mit hoher diagnostischer Genauigkeit zur Erkennung einer relevanten koronaren Herzkrankheit eingesetzt werden kann. Darüber hinaus bietet die 3-D-CMR-Perfusion im Vergleich zur Standard-2-D-CMR-Perfusion (nur 3 Kurzachsenschichten, s. Abb. 2) den großen Vorteil einer kompletten myokardialen Abdeckung und ermöglicht somit erstmals eine reproduzierbare Erfassung der globalen myokardialen Ischämie. Darüber hinaus besteht die Möglichkeit der Hybridbildgebung mit Fusion der koronaren MR-Angiographie oder koronaren CT-Angiographie.
Abstract
3D CMR perfusion offers high diagnostic accuracy in the diagnosis of relevant coronary artery disease. It provides, compared to standard 2D CMR Perfusion (only 3 short axis slices), whole-heart coverage with a reproducible assessment of myocardial ischemic burden. Furthermore the fusion of coronary MR or CT angiography with 3D CMR perfusion offers the possibility of hybrid imaging and improved diagnostic accuracy.
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