{"title":"心律失常性右室心肌病(ARVC)的心脏MRI图像分析","authors":"Sriyatun Sriyatun, Gando Sari, N. H. Apriantoro","doi":"10.36525/SANITAS.2018.15","DOIUrl":null,"url":null,"abstract":"Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) is a cause of sudden cardiac death in otherwise healthy young adults. (ARVD/C) is an inherited cardiomyopathy characterized by life-threatening ventricular arrhythmias and slowly progressive ventricular dysfunction. To diagnose ARVC is indicated by the Task Force of ARVC criteria in 1994 and then revised in 2010 set by the WHO/ISFC. To identify clinical characteristics of ARVC using CMR. The design of this study was qualitative descriptive, which was done by the observational method using MRI 1.5 Tesla. The subject was an adult patient who did Cardiac MRI examination in National Cardiovascular Centre Harapan Kita in March 2018. The collected data were diagnostic images of CMR sequence. Then, it compared with the diagnostic criteria of ARVC which was indicated by Task Force. The result of this study of several ARVC diagnostic criteria in Cardiac MRI examination with T1 Black Blood sequence is clear and accurate in indicating the presence of fat infiltration, CINE sequence is clear in visualizing the dilatation in the right ventricle, wall motion abnormalities, accordion sign, bulging, and LGE clearly shows fibrosis. The detection of right ventricular enlargement, fatty infiltration, fibrosis, and wall motion abnormalities in CMR is useful in the diagnosis of ARVC.","PeriodicalId":333392,"journal":{"name":"SANITAS : Jurnal Teknologi dan Seni Kesehatan","volume":"9 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Heart MRI Images Analysis In Case Of Arrythmogenic Right Ventricular Cardiomyopathy (ARVC)\",\"authors\":\"Sriyatun Sriyatun, Gando Sari, N. H. Apriantoro\",\"doi\":\"10.36525/SANITAS.2018.15\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) is a cause of sudden cardiac death in otherwise healthy young adults. (ARVD/C) is an inherited cardiomyopathy characterized by life-threatening ventricular arrhythmias and slowly progressive ventricular dysfunction. To diagnose ARVC is indicated by the Task Force of ARVC criteria in 1994 and then revised in 2010 set by the WHO/ISFC. To identify clinical characteristics of ARVC using CMR. The design of this study was qualitative descriptive, which was done by the observational method using MRI 1.5 Tesla. The subject was an adult patient who did Cardiac MRI examination in National Cardiovascular Centre Harapan Kita in March 2018. The collected data were diagnostic images of CMR sequence. Then, it compared with the diagnostic criteria of ARVC which was indicated by Task Force. The result of this study of several ARVC diagnostic criteria in Cardiac MRI examination with T1 Black Blood sequence is clear and accurate in indicating the presence of fat infiltration, CINE sequence is clear in visualizing the dilatation in the right ventricle, wall motion abnormalities, accordion sign, bulging, and LGE clearly shows fibrosis. The detection of right ventricular enlargement, fatty infiltration, fibrosis, and wall motion abnormalities in CMR is useful in the diagnosis of ARVC.\",\"PeriodicalId\":333392,\"journal\":{\"name\":\"SANITAS : Jurnal Teknologi dan Seni Kesehatan\",\"volume\":\"9 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"SANITAS : Jurnal Teknologi dan Seni Kesehatan\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.36525/SANITAS.2018.15\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"SANITAS : Jurnal Teknologi dan Seni Kesehatan","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36525/SANITAS.2018.15","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
心律失常性右室心肌病(ARVC)是导致其他健康年轻人心源性猝死的原因之一。ARVD/C是一种遗传性心肌病,以危及生命的室性心律失常和缓慢进行性心室功能障碍为特征。诊断ARVC的标准由ARVC工作组于1994年提出,然后由世卫组织/ISFC于2010年修订。目的:利用CMR鉴别ARVC的临床特征。本研究设计为定性描述,采用MRI 1.5特斯拉观察方法。研究对象是一名成年患者,于2018年3月在国立心血管中心Harapan Kita进行了心脏MRI检查。采集的数据为CMR序列诊断图像。并与工作组提出的ARVC诊断标准进行比较。本研究通过T1 Black Blood序列对心脏MRI检查中ARVC的几种诊断标准的研究,结果清晰准确地提示脂肪浸润的存在,CINE序列清晰地显示右心室扩张、壁运动异常、手风琴征、膨出,LGE清晰地显示纤维化。CMR检测右心室增大、脂肪浸润、纤维化和壁运动异常对ARVC的诊断有重要意义。
Heart MRI Images Analysis In Case Of Arrythmogenic Right Ventricular Cardiomyopathy (ARVC)
Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) is a cause of sudden cardiac death in otherwise healthy young adults. (ARVD/C) is an inherited cardiomyopathy characterized by life-threatening ventricular arrhythmias and slowly progressive ventricular dysfunction. To diagnose ARVC is indicated by the Task Force of ARVC criteria in 1994 and then revised in 2010 set by the WHO/ISFC. To identify clinical characteristics of ARVC using CMR. The design of this study was qualitative descriptive, which was done by the observational method using MRI 1.5 Tesla. The subject was an adult patient who did Cardiac MRI examination in National Cardiovascular Centre Harapan Kita in March 2018. The collected data were diagnostic images of CMR sequence. Then, it compared with the diagnostic criteria of ARVC which was indicated by Task Force. The result of this study of several ARVC diagnostic criteria in Cardiac MRI examination with T1 Black Blood sequence is clear and accurate in indicating the presence of fat infiltration, CINE sequence is clear in visualizing the dilatation in the right ventricle, wall motion abnormalities, accordion sign, bulging, and LGE clearly shows fibrosis. The detection of right ventricular enlargement, fatty infiltration, fibrosis, and wall motion abnormalities in CMR is useful in the diagnosis of ARVC.