心脏磁共振扫描技术.ppt

The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University心脏磁共振扫描技术心脏磁共振扫描技术The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University随着MR技术的快速发展，心脏磁共振检查正朝着更清晰、更精细、更精确的方向发展。The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University回顾 1992年我院在GE Vactra 0.5T上就开展了心脏MR检查 参考文献：谢道海，丁乙，陈学仁，等.电影磁共振对正常人左心功能的测定.中华放射学杂志，1994,28（7）：444-447.The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University心脏磁共振所要解决的 1.1.心脏的解剖形态心脏的解剖形态 2.2.心肌的心肌的MRMR信号有无异常信号有无异常 3.3.心肌的活动情况心肌的活动情况 4.4.心肌灌注有无异常心肌灌注有无异常 5.5.有无异常延时强化有无异常延时强化 6.6.心功能有无异常心功能有无异常The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University心脏磁共振检查前准备 1.1.呼吸屏气训练呼吸屏气训练 2.2.心电门控的链接心电门控的链接 3.3.操作流程的回顾操作流程的回顾The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏扫描定位首先进行心脏冠、矢、横三方位定位图The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏扫描定位在横位上通过左室心尖与二尖瓣中点的连线定出两腔心The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏扫描定位在两腔心上通过左室心尖与二尖瓣中点的连线定出四腔心The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏扫描定位在四腔心上通过左室心尖与二尖瓣中点的连线的垂直线定出左室的短轴位The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏扫描定位在短轴位上通过室间隔中点并垂直平分左右室定出准四腔心The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏扫描定位在短轴位上通过室间隔中点并垂直平分左右室定出准四腔心The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University扫描前心电门控补偿 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏扫描 1.1.首先进行短轴位首先进行短轴位T1T1、T2T2、T2T2压脂序列扫描压脂序列扫描 T1 T2 T2 tirmThe First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏扫描 参考序列：参考序列：1.T1:tse_9_db_ t1_iPAT 1.T1:tse_9_db_ t1_iPAT 2.T2:tse_17_db_t2_iPAT 2.T2:tse_17_db_t2_iPAT 3.T2 tirm:tirm_15_db_t2_iPAT 3.T2 tirm:tirm_15_db_t2_iPATThe First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏电影扫描前准备 做做trufi_freqScouttrufi_freqScout序列序列 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏电影扫描前准备 1.1.呼吸屏气训练呼吸屏气训练 2.2.心电门控的链接心电门控的链接 3.3.操作流程的回顾操作流程的回顾The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏电影扫描 2.2.进行短轴位心脏电影序列扫描进行短轴位心脏电影序列扫描The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏电影扫描 参考序列：参考序列：cine_tf2d12_retro_iPAT cine_tf2d12_retro_iPATThe First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏电影扫描 3.3.进行四腔心心脏电影序列扫描进行四腔心心脏电影序列扫描The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏电影扫描 参考序列：参考序列：cine_tf2d12_retro_iPAT cine_tf2d12_retro_iPATThe First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏电影网格扫描 4.4.进行短轴位网格心脏电影序列扫描进行短轴位网格心脏电影序列扫描The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏电影网格扫描 参考序列：参考序列：cine_fl2d9_grid cine_fl2d9_gridThe First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏动态扫描 5.5.进行短轴位及四腔心动态序列扫描进行短轴位及四腔心动态序列扫描The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏动态扫描 7ml 7ml磁共振造影剂（磁共振造影剂（Gd-DTPAGd-DTPA）在动态扫描开）在动态扫描开始后始后2 2秒内快速注射秒内快速注射 参考序列：参考序列：dynamic_tfl_sr_ePATdynamic_tfl_sr_ePATThe First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏动态扫描The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏延时扫描 1.1.动态扫描结束后，将剩余的动态扫描结束后，将剩余的8ml8ml磁共振造影磁共振造影剂（剂（Gd-DTPAGd-DTPA）全部注射完毕。）全部注射完毕。2.2.延时延时20min20min扫描。扫描。3.3.扫描前做扫描前做TI ScoutTI Scout。参考序列：参考序列：TI_ScoutTI_ScoutThe First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏延时扫描 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏延时扫描 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏延时扫描 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏延时扫描 参考序列：参考序列：DE_high-res_tfl31_psir_segDE_high-res_tfl31_psir_segThe First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 将所有短轴位将所有短轴位电影序列及四腔电影序列及四腔心电影序列装载心电影序列装载到到ArgusArgus软件中软件中进行处理进行处理 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 EDED：舒张末期：舒张末期 ES ES：收缩末期：收缩末期 EF EF：射血分数：射血分数 EDV EDV：舒张末期容积：舒张末期容积 ESV ESV：收缩末期容积：收缩末期容积 SV SV：每博输出量：每博输出量 CO CO：心博出量：心博出量 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University心脏磁共振检查成功的关键 1.1.呼吸屏气训练呼吸屏气训练 2.2.心电门控的链接心电门控的链接 3.3.操作流程的回顾操作流程的回顾The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University此课件下载可自行编辑修改，供参考！感谢您的支持，我们努力做得更好！