先进的心力衰竭(AHF)提出了一个复杂的景观与挑战跨越诊断,管理,和患者结果。作为回应,多模态成像技术的集成已经成为一种关键的方法。这篇全面的综述探讨了这些成像策略在AHF场景中的深远意义。多模态成像,包括超声心动图,心脏磁共振成像(CMR),核成像和心脏计算机断层扫描(CCT),站在短期和长期的机械支持装置的患者护理的基石。这些技术有助于精确的设备选择,placement,和警惕的监控,确保患者安全和最佳的设备功能。在原位心脏移植(OTC)的背景下,多模态成像的作用仍然不可或缺。超声心动图为同种异体移植功能和潜在并发症提供了宝贵的见解。先进的方法,像斑点追踪超声心动图(STE),增强对急性细胞排斥反应的检测。核成像,CMR和CCT进一步提高了诊断精度,特别是关于同种异体移植排斥反应和心脏移植血管病变。这种全面的成像方法超越了诊断,制定治疗策略和风险评估。通过协调不同的成像模式,临床医生对每个患者的独特状况有全景式的了解,促进明智的决策。目的是强调该领域最近发表的论文的新颖性和独特性。因此,这篇综述强调了多模态成像在提高患者预后方面不可替代的作用,精炼处理精度,并推动先进的心力衰竭管理不断发展的前景。
Advanced heart failure (AHF) presents a complex landscape with challenges spanning diagnosis, management, and patient outcomes. In response, the integration of multimodality imaging techniques has emerged as a pivotal approach. This comprehensive
review delves into the profound significance of these imaging strategies within AHF scenarios. Multimodality imaging, encompassing echocardiography, cardiac magnetic resonance imaging (CMR), nuclear imaging and cardiac computed tomography (CCT), stands as a cornerstone in the care of patients with both short- and long-term mechanical support devices. These techniques facilitate precise device selection, placement, and vigilant monitoring, ensuring patient safety and optimal device functionality. In the context of orthotopic cardiac transplant (OTC), the role of multimodality imaging remains indispensable. Echocardiography offers invaluable insights into allograft function and potential complications. Advanced methods, like speckle tracking echocardiography (STE), empower the detection of acute cell rejection. Nuclear imaging, CMR and CCT further enhance diagnostic precision, especially concerning allograft rejection and cardiac allograft vasculopathy. This comprehensive imaging approach goes beyond diagnosis, shaping treatment strategies and risk assessment. By harmonizing diverse imaging modalities, clinicians gain a panoramic understanding of each patient\'s unique condition, facilitating well-informed decisions. The aim is to highlight the novelty and unique aspects of recently published papers in the field. Thus, this
review underscores the irreplaceable role of multimodality imaging in elevating patient outcomes, refining treatment precision, and propelling advancements in the evolving landscape of advanced heart failure management.