Radiofrequency ablation guided by real-time cardiovascular magnetic resonance.

IF 9.7 1区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiologia Medica Pub Date : 2024-11-07 DOI:10.1007/s11547-024-01911-x

Armando Fusco, Domenico De Santis, Ermenegildo De Ruvo, Leonardo Calò, Alessio Borrelli, Damiano Caruso, Giuseppe Tremamunno, Andrea Laghi, Giovanni Simonetti, Matteo Stefanini

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引用次数: 0

Abstract

Cardiovascular magnetic resonance (CMR) is gaining ground in guiding electrophysiology (EP)-based ablation procedures of typical atrial flutter and atrial fibrillation, allowing for the avoidance of radiation exposure for patients and operators and reducing the risk of occupational illnesses. CMR allows comprehensive assessment of cardiac anatomy and provides tissue characterization by identifying pathological substrates, such as myocardial scars and edema, identified with the implementation of late gadolinium enhancement and T2-weighted short-tau inversion recovery sequences. Intraprocedural imaging is useful for real-time catheter tracking during the ablation procedure while simultaneously providing visualization of cardiac anatomy. Additionally, CMR facilitates the evaluation of the ablation procedure accuracy by acquiring edema-sensitive sequences, thereby aiding in preventing early complications. This report serves as a primer for radiologists and illustrates the value of CMR in planning and performing the ablation procedure, as well as its role in post-procedural imaging.

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实时心血管磁共振引导下的射频消融术。

心血管磁共振（CMR）在指导基于电生理学（EP）的典型心房扑动和心房颤动消融术方面的应用日益广泛，可避免患者和操作人员受到辐射，降低职业病风险。CMR 可全面评估心脏解剖结构，并通过识别病理基质（如心肌疤痕和水肿）提供组织特征。术中成像有助于在消融过程中实时跟踪导管，同时提供心脏解剖的可视化。此外，CMR 还可通过获取水肿敏感序列来评估消融手术的准确性，从而有助于预防早期并发症。本报告可作为放射科医生的入门指南，说明 CMR 在计划和实施消融手术中的价值及其在术后成像中的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiologia Medica 医学-核医学

CiteScore

14.10

自引率

7.90%

发文量

133

审稿时长

4-8 weeks

期刊介绍： Felice Perussia founded La radiologia medica in 1914. It is a peer-reviewed journal and serves as the official journal of the Italian Society of Medical and Interventional Radiology (SIRM). The primary purpose of the journal is to disseminate information related to Radiology, especially advancements in diagnostic imaging and related disciplines. La radiologia medica welcomes original research on both fundamental and clinical aspects of modern radiology, with a particular focus on diagnostic and interventional imaging techniques. It also covers topics such as radiotherapy, nuclear medicine, radiobiology, health physics, and artificial intelligence in the context of clinical implications. The journal includes various types of contributions such as original articles, review articles, editorials, short reports, and letters to the editor. With an esteemed Editorial Board and a selection of insightful reports, the journal is an indispensable resource for radiologists and professionals in related fields. Ultimately, La radiologia medica aims to serve as a platform for international collaboration and knowledge sharing within the radiological community.