European heart journal. Imaging methods and practice最新文献

筛选
英文 中文
Echocardiographic nomograms in children living at high altitude according to sex. 高海拔地区儿童按性别的超声心动图。
European heart journal. Imaging methods and practice Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.1093/ehjimp/qyaf053
Demeke Mekonnen, Claire B Ren, Jorge Mercado, Victoria Garcia-Ruiz, Reto Kurmann, Fabian Zürcher, Peter Krähenmann, Nassip Llerena, Pedro Torres, Thomas Pilgrim, Ernest Spitzer
{"title":"Echocardiographic nomograms in children living at high altitude according to sex.","authors":"Demeke Mekonnen, Claire B Ren, Jorge Mercado, Victoria Garcia-Ruiz, Reto Kurmann, Fabian Zürcher, Peter Krähenmann, Nassip Llerena, Pedro Torres, Thomas Pilgrim, Ernest Spitzer","doi":"10.1093/ehjimp/qyaf053","DOIUrl":"10.1093/ehjimp/qyaf053","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to establish 2D and M-mode echocardiographic reference values for cardiac chambers, outflow tracts, and great vessels for school children living at high altitudes, differentiated between males and females.</p><p><strong>Methods and results: </strong>This <i>post hoc</i> analysis included children with normal echocardiography from a cluster randomized cross-sectional survey of rheumatic heart disease among school children in Peru. The echocardiograms were acquired with a portable machine and the images were analysed centrally with a standardized methodology. Body surface area (BSA) was used as an independent variable to predict the mean values of echocardiographic measurements for both male and female groups. Reference values are presented on z-scores and nomograms based on sex. Propensity score matching was used to compare sexes. A total of 985 students aged 5-16 years were included. The Haycock formula provided the best fit and was used when presenting data as predicted values for a given BSA. The z-score and nomograms for all essential parameters of cardiac chambers, great vessels, and functional surrogates are presented based on sex. The majority of the parameters were significantly different per sex after propensity score matching.</p><p><strong>Conclusion: </strong>Normal reference values and nomograms of cardiac chambers, outflow tracts, and great arteries in healthy school children living at high altitudes based on sex were reported. These data partly addressed the existing gaps in paediatric echocardiographic nomograms.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf053"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Continuous three-dimensional transesophageal echocardiography and deep learning for perioperative monitoring of left ventricular longitudinal function. 连续三维经食管超声心动图及深度学习在围术期左心室纵向功能监测中的应用。
European heart journal. Imaging methods and practice Pub Date : 2025-05-02 eCollection Date: 2025-01-01 DOI: 10.1093/ehjimp/qyaf052
Jinyang Yu, Anders Austlid Taskén, Erik Andreas Rye Berg, Tomas Dybos Tannvik, Katrine Hordnes Slagsvold, Idar Kirkeby-Garstad, Bjørnar Grenne, Gabriel Kiss, Svend Aakhus
{"title":"Continuous three-dimensional transesophageal echocardiography and deep learning for perioperative monitoring of left ventricular longitudinal function.","authors":"Jinyang Yu, Anders Austlid Taskén, Erik Andreas Rye Berg, Tomas Dybos Tannvik, Katrine Hordnes Slagsvold, Idar Kirkeby-Garstad, Bjørnar Grenne, Gabriel Kiss, Svend Aakhus","doi":"10.1093/ehjimp/qyaf052","DOIUrl":"10.1093/ehjimp/qyaf052","url":null,"abstract":"<p><strong>Aims: </strong>Continuous monitoring of left ventricular (LV) function may improve cardiopulmonary management. Therefore, we have developed <i>3D autoMAPSE</i>, a novel method that combines 3D transesophageal echocardiography and deep learning to automatically measure mitral annular plane systolic excursion (MAPSE). We hypothesized that 3D autoMAPSE could provide continuous monitoring of LV function in perioperative patients.</p><p><strong>Methods and results: </strong>This prospective observational study included 50 adult intensive care patients after cardiac surgery. Single-beat full-volume 3D recordings were obtained every 5 min over a 120-min period using a hands-free method that simulated continuous monitoring with transesophageal echocardiography. Precision and agreement with manual MAPSE were determined by a test-retest study design during hemodynamic stability. Our results show that continuous monitoring by 3D autoMAPSE had excellent feasibility (99%). It analysed 10 cycles instantaneously (55 ± 15 s) with high precision (least significant change 1.6 mm). 3D autoMAPSE had adequate agreement with manual MAPSE (bias -1.4 mm, limits of agreement -4.0 to 1.2 mm). Continuous 3D autoMAPSE was associated with both N-terminal pro B-type natriuretic peptide (<i>rho</i> = -0.37, <i>P</i> = 0.008) and high-sensitivity troponin-T (<i>rho</i> = -0.28, <i>P</i> = 0.047). This association was slightly stronger than for LV ejection fraction or any other single echocardiographic measurement.</p><p><strong>Conclusion: </strong>3D autoMAPSE provided continuous monitoring of LV function in perioperative patients by obtaining highly feasible and precise measurements that agree with manual echocardiography and postoperative biomarkers. Thus, continuous 3D autoMAPSE may be an attractive complement to hemodynamic monitoring that can aid cardiopulmonary management.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf052"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Standard breath-hold versus free-breathing real-time cine cardiac MRI-a prospective randomized comparison in patients with known or suspected cardiac disease. 标准屏气与自由呼吸实时心脏mri -已知或疑似心脏病患者的前瞻性随机比较
European heart journal. Imaging methods and practice Pub Date : 2025-04-25 eCollection Date: 2025-01-01 DOI: 10.1093/ehjimp/qyaf042
Mohamed Elshibly, Simran Shergill, Kelly Parke, Charley Budgeon, Rachel England, Ciaran Grafton-Clarke, Fathelrahman Elshibly, Peter Kellman, Gerry P McCann, Jayanth R Arnold
{"title":"Standard breath-hold versus free-breathing real-time cine cardiac MRI-a prospective randomized comparison in patients with known or suspected cardiac disease.","authors":"Mohamed Elshibly, Simran Shergill, Kelly Parke, Charley Budgeon, Rachel England, Ciaran Grafton-Clarke, Fathelrahman Elshibly, Peter Kellman, Gerry P McCann, Jayanth R Arnold","doi":"10.1093/ehjimp/qyaf042","DOIUrl":"https://doi.org/10.1093/ehjimp/qyaf042","url":null,"abstract":"<p><strong>Aims: </strong>Cardiovascular magnetic resonance (CMR) is established as the reference standard for cardiac volumetric assessment. Despite the accuracy and robustness of steady-state free precession (SSFP) cine imaging, its use may prove challenging in patients with arrhythmia and in those who cannot perform repeated breath holds. An alternative solution may be a free-breathing electrocardiogram (ECG)-triggered, retro-gated, real-time cine sequence. This study sought to compare left ventricular volumetric, wall motion, and thickness assessment with both techniques.</p><p><strong>Methods and results: </strong>Consecutive patients with known or suspected cardiac disease referred for clinical CMR were studied at 3-Tesla. Participants underwent short-axis standard SSFP and real-time cine imaging in a randomized order within the same scan. Between sequence agreement and mean difference were compared for end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume, ejection fraction (EF), left ventricular mass (LVM), maximal wall thickness (MWT), and wall motion score index (WMSi). Two hundred and two patients (mean age 61 ± 14 years, 51% male and 14% irregular rhythm) were studied. All left ventricular indices showed good-excellent agreement between the two methods [intraclass correlation coefficient (95% confidence interval), EDV 0.96 (0.95-0.97), ESV 0.96 (0.94-0.97), EF 0.85 (0.81-0.88), LVM 0.93 (0.91-0.95), MWT 0.80 (0.75-0.85), and WMSi 0.93 (0.91-0.95)].</p><p><strong>Conclusion: </strong>In patients with known or suspected cardiac disease, real-time cine imaging demonstrates good-excellent reproducibility of LV volumetric, wall thickness and resting wall motion assessment when compared with standard SSFP (Trial registration: NCT05221853).</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf042"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thank you to reviewers 2024. 感谢2024年的审稿人。
European heart journal. Imaging methods and practice Pub Date : 2025-04-24 eCollection Date: 2025-01-01 DOI: 10.1093/ehjimp/qyaf004
{"title":"Thank you to reviewers 2024.","authors":"","doi":"10.1093/ehjimp/qyaf004","DOIUrl":"https://doi.org/10.1093/ehjimp/qyaf004","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf004"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantification of perivascular adipose tissue attenuation does not add incremental prognostic value in patients undergoing transcatheter aortic valve implantation. 量化血管周围脂肪组织衰减并不能增加经导管主动脉瓣植入术患者的预后价值。
European heart journal. Imaging methods and practice Pub Date : 2025-04-18 eCollection Date: 2025-01-01 DOI: 10.1093/ehjimp/qyaf047
Carolina Donà, Noemi Pavo, Adriana Vinzens, Pimrapat Gebert, Dietrich Beitzke, Lukas Reider, Nidaa Mikail, Alexia Rossi, Katharina Mascherbauer, Susan Bengs, Achi Haider, Ronny R Buechel, Philipp E Bartko, Christian Loewe, Julia Mascherbauer, Christian Hengstenberg, Georg Goliasch, Max Paul Winter, Catherine Gebhard
{"title":"Quantification of perivascular adipose tissue attenuation does not add incremental prognostic value in patients undergoing transcatheter aortic valve implantation.","authors":"Carolina Donà, Noemi Pavo, Adriana Vinzens, Pimrapat Gebert, Dietrich Beitzke, Lukas Reider, Nidaa Mikail, Alexia Rossi, Katharina Mascherbauer, Susan Bengs, Achi Haider, Ronny R Buechel, Philipp E Bartko, Christian Loewe, Julia Mascherbauer, Christian Hengstenberg, Georg Goliasch, Max Paul Winter, Catherine Gebhard","doi":"10.1093/ehjimp/qyaf047","DOIUrl":"10.1093/ehjimp/qyaf047","url":null,"abstract":"<p><strong>Aims: </strong>Perivascular adipose tissue attenuation (PVAT) has emerged as a novel coronary computed tomography angiography (CCTA)-based biomarker predicting cardiovascular events by capturing inflammation around the coronary arteries. We assessed whether PVAT adds incremental prognostic value in patients undergoing transcatheter aortic valve implantation (TAVI).</p><p><strong>Methods and results: </strong>A total of 510 patients underwent CCTA imaging prior to TAVI between November 2015 and June 2020 at the Medical University of Vienna. PVAT was obtained from CCTA images and was measured around the right coronary artery [PVAT(RCA)] and the aortic valve [PVAT(valve)]. Following application of exclusion criteria, 372 patients [mean age 80.6 ± 6.8 years; 169 (45%) women] were analysed. Over a median follow-up of 3.0 (IQR 2.5-3.6) years, 52 (14%) individuals experienced a major adverse cardiovascular event (MACE, a composite of non-fatal stroke or myocardial infarction, cardiac death, or vascular intervention). Individuals exhibiting elevated PVAT[valve] displayed a heightened surgical risk according to European System for Cardiac Operative Risk Evaluation II, a lower body mass index, reduced left ventricular ejection fraction, prolonged hospitalization following TAVI, and elevated levels of circulating inflammatory markers compared with those in the low PVAT[valve] group (<i>P</i> < 0.05). However, neither PVAT[valve] nor PVAT[RCA] were independently associated with the occurrence of MACE in adjusted multi-variable analyses (PVAT[valve]: sub-distribution hazard ratio [SHR] 1.14, 95% CI:0.63-2.05, <i>P</i> = 0.672); PVAT[RCA]: SHR 1.16 [95% CI: 0.81-1.66], <i>P</i> = 0.417).</p><p><strong>Conclusion: </strong>Measuring PVAT around either the right coronary artery or the aortic valve does not provide additional prognostic value beyond established risk factors for the prediction of MACE in patients undergoing TAVI.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf047"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144083129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Glucose and insulin actions after glucose loading on myocardial glucose metabolism in pulmonary hypertension. 肺动脉高压患者葡萄糖负荷后葡萄糖和胰岛素对心肌糖代谢的影响。
European heart journal. Imaging methods and practice Pub Date : 2025-04-17 eCollection Date: 2025-01-01 DOI: 10.1093/ehjimp/qyaf044
Yuki Koga, Nobuhiro Tahara, Yoichi Sugiyama, Shoko Maeda-Ogata, Atsuko Tahara, Munehisa Bekki, Akihiro Honda, Sachiyo Igata, Shuichi Tanoue, Yoshihiro Fukumoto
{"title":"Glucose and insulin actions after glucose loading on myocardial glucose metabolism in pulmonary hypertension.","authors":"Yuki Koga, Nobuhiro Tahara, Yoichi Sugiyama, Shoko Maeda-Ogata, Atsuko Tahara, Munehisa Bekki, Akihiro Honda, Sachiyo Igata, Shuichi Tanoue, Yoshihiro Fukumoto","doi":"10.1093/ehjimp/qyaf044","DOIUrl":"https://doi.org/10.1093/ehjimp/qyaf044","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf044"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors affecting the performance of a novel artificial intelligence-based coronary computed tomography-derived ischaemia algorithm. 一种基于人工智能的新型冠状动脉计算机断层扫描衍生缺血算法的影响因素。
European heart journal. Imaging methods and practice Pub Date : 2025-04-17 eCollection Date: 2024-10-01 DOI: 10.1093/ehjimp/qyaf033
Peerapon Kiatkittikul, Teemu Maaniitty, Sarah Bär, Takeru Nabeta, Jeroen J Bax, Antti Saraste, Juhani Knuuti
{"title":"Factors affecting the performance of a novel artificial intelligence-based coronary computed tomography-derived ischaemia algorithm.","authors":"Peerapon Kiatkittikul, Teemu Maaniitty, Sarah Bär, Takeru Nabeta, Jeroen J Bax, Antti Saraste, Juhani Knuuti","doi":"10.1093/ehjimp/qyaf033","DOIUrl":"https://doi.org/10.1093/ehjimp/qyaf033","url":null,"abstract":"<p><strong>Aims: </strong>AI-QCT<sub>ischaemia</sub> is an FDA-cleared novel artificial intelligence-guided method that utilizes features from coronary computed tomography angiography (CCTA) to predict myocardial ischaemia.</p><p><strong>Objective: </strong>To identify factors associated with discrepancy between AI-QCT<sub>ischaemia</sub> and positron emission tomography (PET) perfusion.</p><p><strong>Methods and results: </strong>Six hundred and sixty-two patients with suspected obstructive coronary artery disease (CAD) on CCTA and undergoing [<sup>15</sup>O]H<sub>2</sub>O PET were analysed using AI-QCT<sub>ischaemia</sub>. Multivariable logistic regression identified factors associated with discrepancy. Perfusion homogeneity was measured by relative flow reserve. A total of 209 (32%) patients showed discrepancies: 62 (9%) exhibited normal AI-QCT<sub>ischaemia</sub> but abnormal perfusion (false negative AI-QCT<sub>ischaemia</sub>), whereas 147 (22%) had abnormal AI-QCT<sub>ischaemia</sub> despite normal perfusion (false positive AI-QCT<sub>ischaemia</sub>). False positive AI-QCT<sub>ischaemia</sub> patients (vs. true positive) were more often females, older, with less typical angina, and less advanced CAD. In multivariable analysis, typical angina [OR 95% CI: 1.796 (1.015-3.179), <i>P</i> = 0.044], diameter stenosis per 1% increase [1.058 (1.036-1.080), <i>P</i> < 0.001], and percent atheroma volume per 1% increase [1.103 (1.051-1.158), <i>P</i> < 0.001] significantly predicted true positive, while age was inversely associated [0.955 (0.923-0.989), <i>P</i> = 0.010]. False-negative AI-QCT<sub>ischaemia</sub> patients (vs. true negative) were more often males, smokers, with less good CCTA image quality, and more advanced CAD. However, none was significant in multivariable analysis. Furthermore, false-negative AI-QCT<sub>ischaemia</sub> showed more homogenously reduced perfusion by relative flow reserve compared to true positive (median ± IQR: 0.68 ± 0.15 vs. 0.56 ± 0.23, <i>P</i> < 0.001) and 21 (34%) of false negative showed globally reduced perfusion.</p><p><strong>Conclusion: </strong>For abnormal AI-QCT<sub>ischaemia</sub>, younger age, typical angina, more severe stenosis, and more extensive atherosclerosis predicted abnormal PET perfusion. With false negative AI-QCT<sub>ischaemia</sub>, perfusion abnormalities were partly explained by microvascular disease.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"2 4","pages":"qyaf033"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coronary inflammation and AI-Risk scores from cardiovascular computed tomography: impact on risk prediction and clinical management in a real-world setting. 心血管计算机断层扫描的冠状动脉炎症和人工智能风险评分:对现实世界中风险预测和临床管理的影响
European heart journal. Imaging methods and practice Pub Date : 2025-04-17 eCollection Date: 2024-10-01 DOI: 10.1093/ehjimp/qyaf031
John A Henry, Susannah M Black, Oliver G J Mitchell, Edward Richardson, Cameron Watson, Chris Hare, Pierre Le Page, Andrew R J Mitchell
{"title":"Coronary inflammation and AI-Risk scores from cardiovascular computed tomography: impact on risk prediction and clinical management in a real-world setting.","authors":"John A Henry, Susannah M Black, Oliver G J Mitchell, Edward Richardson, Cameron Watson, Chris Hare, Pierre Le Page, Andrew R J Mitchell","doi":"10.1093/ehjimp/qyaf031","DOIUrl":"https://doi.org/10.1093/ehjimp/qyaf031","url":null,"abstract":"<p><strong>Aims: </strong>Coronary computed tomography angiography (CCTA) is the primary investigation for stable chest pain. Despite approximately 80% of individuals undergoing CCTA not having obstructive coronary disease, this group contributes to two-thirds of major adverse cardiovascular events. Assessment of coronary inflammation using perivascular fat attenuation index (FAI) and AI-derived risk scores (AI-Risk) has demonstrated enhanced risk prediction beyond traditional clinical and CCTA parameters. We aimed to assess if FAI and AI-Risk alter risk prediction and clinical management in a real-world setting.</p><p><strong>Methods and results: </strong>Consecutive patients undergoing CCTA with FAI calculation and AI-Risk (CaRi-Heart®) at a single centre over a 3-year period were recruited. Conventional risk scores for non-fatal and fatal myocardial infarctions (QRISK3 and SCORE, respectively) were compared with AI-Risk. Clinical management decisions based on risk factors and CCTA results were recorded. FAI and AI-Risk scores were then provided and the resultant clinical management decision recorded. One hundred and sixty-four patients were included in the study (<i>n</i> = 164, male 78%, 56 years). Forty-eight per cent of the patients had no evidence of coronary artery disease (CAD) on CCTA, with 41% having non-obstructive CAD and 10% with potentially obstructive CAD. AI-Risk reclassified risk in 58% and 43% of patients compared with QRISK3 and SCORE, respectively. Clinical management was changed in 33% of patients following AI-Risk analysis.</p><p><strong>Conclusion: </strong>FAI and AI-Risk scores in a real-world setting changed risk prediction in around half of individuals and changed clinical management in around a third.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"2 4","pages":"qyaf031"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current trends and challenges in the clinical use of cardiovascular magnetic resonance: a survey from the Italian Society of Cardiology. 心血管磁共振临床应用的当前趋势和挑战:意大利心脏病学会的一项调查。
European heart journal. Imaging methods and practice Pub Date : 2025-04-17 eCollection Date: 2025-01-01 DOI: 10.1093/ehjimp/qyaf046
Lorenzo Monti, Fabrizio Ricci, Andrea Baggiano, Andrea Barison, Nazario Carrabba, Stefano Figliozzi, Patrizia Pedrotti, Camilla Torlasco, Erika Tempo, Alessandro Giaj Levra, Stefania Paolillo, Gianfranco Sinagra, Pasquale Perrone Filardi, Ciro Indolfi, Santo Dellegrottaglie
{"title":"Current trends and challenges in the clinical use of cardiovascular magnetic resonance: a survey from the Italian Society of Cardiology.","authors":"Lorenzo Monti, Fabrizio Ricci, Andrea Baggiano, Andrea Barison, Nazario Carrabba, Stefano Figliozzi, Patrizia Pedrotti, Camilla Torlasco, Erika Tempo, Alessandro Giaj Levra, Stefania Paolillo, Gianfranco Sinagra, Pasquale Perrone Filardi, Ciro Indolfi, Santo Dellegrottaglie","doi":"10.1093/ehjimp/qyaf046","DOIUrl":"https://doi.org/10.1093/ehjimp/qyaf046","url":null,"abstract":"<p><strong>Aims: </strong>Challenges related to the use of cardiovascular magnetic resonance (CMR) remain a key issue to secure its full clinical impact. This survey aimed to assess the awareness of CMR clinical utility and to collect data on its local usage levels, operational barriers, and report efficacy, with the goal of identifying key obstacles to its effective implementation across Italy.</p><p><strong>Methods and results: </strong>The CMR Working Group of the Italian Society of Cardiology promoted an online survey targeting Italian physicians involved in direct care of patients with cardiovascular disease. The questionnaire was completed by 709 physicians, mostly working in public or university hospitals (75%); 27% were medical residents. Cardiomyopathies and myocarditis were identified as the most established clinical indications for CMR. 79% of respondents perceived underutilisation of CMR in their local settings, with waiting times exceeding 3 months in 42% of cases. Public hospitals were reported as the primary providers of CMR services (41%), with the majority of CMR reports signed exclusively by radiologists. Obstacles in obtaining clinically useful and effective CMR exams were frequent, with 69% of respondents often encountering issues. Need for an expert second opinion was reported by 27% of participants either often or always. Stress CMR was reported of limited access or unavailable by 79% of respondents.</p><p><strong>Conclusion: </strong>CMR is highly regarded for its clinical utility but underutilized due to operational barriers, mainly long waiting times and lack of specific competence. Perceived inadequacy in report quality is common and contributes to a consistent rate of second-opinion requests.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf046"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient centric performance and interpretation of SPECT and SPECT/CT myocardial perfusion imaging: a clinical consensus statement of the European Association of Cardiovascular Imaging of the ESC. 以患者为中心的SPECT和SPECT/CT心肌灌注成像的表现和解释:ESC欧洲心血管成像协会的临床共识声明。
European heart journal. Imaging methods and practice Pub Date : 2025-04-17 eCollection Date: 2025-01-01 DOI: 10.1093/ehjimp/qyaf043
Bryan Abadie, Riccardo Liga, Ronny Buechel, Andreas A Giannopoulos, María Nazarena Pizzi, Albert Roque, Ricardo Geronazzo, Fabien Hyafil, Juhani Knuuti, Antti Saraste, Riemer Slart, Paul Cremer, Richard Weinberg, Maria João Vidigal Ferreira, Alessia Gimelli, Wael Jaber
{"title":"Patient centric performance and interpretation of SPECT and SPECT/CT myocardial perfusion imaging: a clinical consensus statement of the European Association of Cardiovascular Imaging of the ESC.","authors":"Bryan Abadie, Riccardo Liga, Ronny Buechel, Andreas A Giannopoulos, María Nazarena Pizzi, Albert Roque, Ricardo Geronazzo, Fabien Hyafil, Juhani Knuuti, Antti Saraste, Riemer Slart, Paul Cremer, Richard Weinberg, Maria João Vidigal Ferreira, Alessia Gimelli, Wael Jaber","doi":"10.1093/ehjimp/qyaf043","DOIUrl":"10.1093/ehjimp/qyaf043","url":null,"abstract":"<p><p>The non-invasive assessment of ischaemic heart disease with myocardial perfusion imaging remains an integral part of modern cardiology. This modality has been used for decades, but improving technology has maintained its relevance today. This document describes the fundamentals of single-photon emission computed tomography, including stress protocols, tracer pharmacodynamics, camera settings and capabilities, post-acquisition processing, and clinical translation in an easy to read and highly pictorial manner to be applicable to not only healthcare providers of all levels, but patients as well.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf043"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信