Eur Heart J:心血管磁共振成像检查在疑似心脏肿瘤患者中的价值

2021-09-22 MedSci原创 MedSci原创

对于疑似心脏肿瘤的患者,CMR具有较高的诊断准确性。CMR检查诊断为无肿瘤、假肿块和良性肿瘤的患者具有相似的长期死亡率。CMR检查诊断是比临床危险因素更强大的死亡率预测因子。

血管磁共振(CMR)成像是评估疑似心脏肿瘤患者的关键诊断工具。患者的治疗需要由CMR诊断进行指导,包括如果排除肿瘤或仅发现假肿块,则无需进一步检查。然而,没有结局研究来验证这种方法。

近日,心血管领域权威杂志Eur Heart J上发表了一篇研究文章,在这项针对疑似心脏肿瘤接受临床CMR检查的患者多中心研究中,CMR诊断被指定为无肿块、假肿块、血栓、良性肿瘤或恶性肿瘤。研究人员使用所有可用数据在随访后确定患者的最终诊断。该研究的主要终点是全因死亡率。

在903例患者中,CMR检查诊断为无肿瘤占25%,假性肿块占16%,血栓占16%,良性肿瘤占17%,恶性肿瘤占23%。在平均4.9年的时间里,376名患者死亡。与最终诊断相比,CMR检查诊断准确率为98.4%。

CMR诊断为假性肿块和良性肿瘤的患者死亡率与无肿块的患者相似,而恶性肿瘤[风险比(HR)为3.31(2.40-4.57)]和血栓[HR为1.46(1.00-2.11)]的死亡率更高。CMR检查诊断比包括左心室射血分数、冠状动脉疾病和心外恶性肿瘤病史在内的临床因素提供了增量的预后价值(P<0.001)。

由此可见,对于疑似心脏肿瘤的患者,CMR具有较高的诊断准确性。CMR检查诊断为无肿瘤、假肿块和良性肿瘤的患者具有相似的长期死亡率。CMR检查诊断是比临床危险因素更强大的死亡率预测因子。

原始出处:

Chetan Shenoy,.et al.Cardiovascular magnetic resonance imaging in suspected cardiac tumour: a multicentre outcomes study.European Heart Journal.2021.https://doi.org/10.1093/eurheartj/ehab635

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    2021-09-24 zhaojie88
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    2021-09-24 slcumt
  7. [GetPortalCommentsPageByObjectIdResponse(id=1655274, encodeId=471516552e43a, content=<a href='/topic/show?id=956151660c2' target=_blank style='color:#2F92EE;'>#心脏肿瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51660, encryptionId=956151660c2, topicName=心脏肿瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=93e724711221, createdName=yeaweam, createdTime=Sun Mar 06 13:43:50 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341743, encodeId=10511341e4388, content=<a href='/topic/show?id=24b8e37529a' target=_blank style='color:#2F92EE;'>#磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73752, encryptionId=24b8e37529a, topicName=磁共振)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=24a22500182, createdName=1696533704_45270454, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1357789, encodeId=1000135e7890f, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1424350, encodeId=16de1424350c0, content=<a href='/topic/show?id=94c182929d0' target=_blank style='color:#2F92EE;'>#肿瘤患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82929, encryptionId=94c182929d0, topicName=肿瘤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60943920553, createdName=lanyan20020087, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1478195, encodeId=de4414e819594, content=<a href='/topic/show?id=8f9751881da' target=_blank style='color:#2F92EE;'>#心血管磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51881, encryptionId=8f9751881da, topicName=心血管磁共振)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1563524, encodeId=93301563524af, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054017, encodeId=5e79105401e04, content=加绒没有时间通xccchcucc, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Thu Sep 23 07:03:35 CST 2021, time=2021-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053944, encodeId=b4cc105394452, content=心脏的搏动会影响核磁成像吗, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=830f2464103, createdName=Bureaukey, createdTime=Wed Sep 22 22:04:20 CST 2021, time=2021-09-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053939, encodeId=70851053939fd, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2ef75597602, createdName=ms9000001573448443, createdTime=Wed Sep 22 21:56:42 CST 2021, time=2021-09-22, status=1, ipAttribution=)]
    2021-09-23 查查佳佳

    加绒没有时间通xccchcucc

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1655274, encodeId=471516552e43a, content=<a href='/topic/show?id=956151660c2' target=_blank style='color:#2F92EE;'>#心脏肿瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51660, encryptionId=956151660c2, topicName=心脏肿瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=93e724711221, createdName=yeaweam, createdTime=Sun Mar 06 13:43:50 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341743, encodeId=10511341e4388, content=<a href='/topic/show?id=24b8e37529a' target=_blank style='color:#2F92EE;'>#磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73752, encryptionId=24b8e37529a, topicName=磁共振)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=24a22500182, createdName=1696533704_45270454, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1357789, encodeId=1000135e7890f, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1424350, encodeId=16de1424350c0, content=<a href='/topic/show?id=94c182929d0' target=_blank style='color:#2F92EE;'>#肿瘤患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82929, encryptionId=94c182929d0, topicName=肿瘤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60943920553, createdName=lanyan20020087, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1478195, encodeId=de4414e819594, content=<a href='/topic/show?id=8f9751881da' target=_blank style='color:#2F92EE;'>#心血管磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51881, encryptionId=8f9751881da, topicName=心血管磁共振)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1563524, encodeId=93301563524af, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054017, encodeId=5e79105401e04, content=加绒没有时间通xccchcucc, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Thu Sep 23 07:03:35 CST 2021, time=2021-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053944, encodeId=b4cc105394452, content=心脏的搏动会影响核磁成像吗, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=830f2464103, createdName=Bureaukey, createdTime=Wed Sep 22 22:04:20 CST 2021, time=2021-09-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053939, encodeId=70851053939fd, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2ef75597602, createdName=ms9000001573448443, createdTime=Wed Sep 22 21:56:42 CST 2021, time=2021-09-22, status=1, ipAttribution=)]
    2021-09-22 Bureaukey

    心脏的搏动会影响核磁成像吗

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1655274, encodeId=471516552e43a, content=<a href='/topic/show?id=956151660c2' target=_blank style='color:#2F92EE;'>#心脏肿瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51660, encryptionId=956151660c2, topicName=心脏肿瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=93e724711221, createdName=yeaweam, createdTime=Sun Mar 06 13:43:50 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341743, encodeId=10511341e4388, content=<a href='/topic/show?id=24b8e37529a' target=_blank style='color:#2F92EE;'>#磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73752, encryptionId=24b8e37529a, topicName=磁共振)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=24a22500182, createdName=1696533704_45270454, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1357789, encodeId=1000135e7890f, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1424350, encodeId=16de1424350c0, content=<a href='/topic/show?id=94c182929d0' target=_blank style='color:#2F92EE;'>#肿瘤患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82929, encryptionId=94c182929d0, topicName=肿瘤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60943920553, createdName=lanyan20020087, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1478195, encodeId=de4414e819594, content=<a href='/topic/show?id=8f9751881da' target=_blank style='color:#2F92EE;'>#心血管磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51881, encryptionId=8f9751881da, topicName=心血管磁共振)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1563524, encodeId=93301563524af, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Fri Sep 24 10:43:50 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054017, encodeId=5e79105401e04, content=加绒没有时间通xccchcucc, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Thu Sep 23 07:03:35 CST 2021, time=2021-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053944, encodeId=b4cc105394452, content=心脏的搏动会影响核磁成像吗, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=830f2464103, createdName=Bureaukey, createdTime=Wed Sep 22 22:04:20 CST 2021, time=2021-09-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053939, encodeId=70851053939fd, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2ef75597602, createdName=ms9000001573448443, createdTime=Wed Sep 22 21:56:42 CST 2021, time=2021-09-22, status=1, ipAttribution=)]
    2021-09-22 ms9000001573448443

    学习

    0

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