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Aktuelle Kardiologie 2016; 5(06): 417-423
DOI: 10.1055/s-0042-118225
Übersichtsarbeit
Georg Thieme Verlag KG Stuttgart · New York

3-D-Perfusion – höhere Auflösung, bessere Aussagekraft?

3D Perfusion – Higher Resolution, Better Diagnostic Accuracy?
R. Manka
1   Klinik für Kardiologie, Universitäres Herzzentrum, UniversitätsSpital Zürich, Schweiz
2   Institut für Diagnostische und Interventionelle Radiologie, UniversitätsSpital Zürich, Schweiz
3   Institut für Biomedizinische Technik, Eidgenössische Technische Hochschule Zürich, Schweiz
,
S. Oebel
2   Institut für Diagnostische und Interventionelle Radiologie, UniversitätsSpital Zürich, Schweiz
,
A. Gotschy
1   Klinik für Kardiologie, Universitäres Herzzentrum, UniversitätsSpital Zürich, Schweiz
,
S. Kozerke
3   Institut für Biomedizinische Technik, Eidgenössische Technische Hochschule Zürich, Schweiz
› Author Affiliations
Further Information

Publication History

Publication Date:
20 December 2016 (online)

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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.

Schlüsselwörter

koronare Herzkrankheit - Magnetresonanztomographie - Ischämie

Key words

coronary artery disease - magnetic resonance imaging - ischemia
 

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