心脏磁共振扫描技术.pptx

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1、The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University陈剑华陈剑华心脏磁共振扫描技术心脏磁共振扫描技术心脏磁共振扫描技术共44页，您现在浏览的是第1页!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。心脏磁共振扫描技

2、术共44页，您现在浏览的是第2页!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.心脏磁共振扫描技术共44页，您现在浏览的是第3页!The First Affiliated Hospital of Soochow UniversityThe Fi

3、rst 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心脏磁共振扫描技术共44页，您现在浏览的是第4页!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心脏磁共振扫描技术共44页，您现在浏览的是第5页!The F

4、irst 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心脏磁共振扫描技术共44页，您现在浏览的是第6页!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

5、心脏磁共振扫描技术共44页，您现在浏览的是第7页!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 tirm心脏磁共振扫描技术共44页，您现在浏览的是第8页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital o

6、f Soochow University磁共振心脏电影扫描前准备 做做trufi_freqScouttrufi_freqScout序列序列 心脏磁共振扫描技术共44页，您现在浏览的是第9页!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心脏磁共振扫描技术共44页，您现在浏览的是第10页!The First Affiliated Hospital of Sooc

7、how 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心脏磁共振扫描技术共44页，您现在浏览的是第11页!The 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心脏磁共振扫描技术共44页，您现在浏览的是

8、第12页!The 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心脏磁共振扫描技术共44页，您现在浏览的是第13页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏动态扫描心脏磁共振扫描技术共44

9、页，您现在浏览的是第14页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏延时扫描 心脏磁共振扫描技术共44页，您现在浏览的是第15页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏延时扫描 心脏磁共振扫描技术共44页，您现在浏览的是第16页!The First

10、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 心脏磁共振扫描技术共44页，您现在浏览的是第17页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心

11、功能分析 心脏磁共振扫描技术共44页，您现在浏览的是第18页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 心脏磁共振扫描技术共44页，您现在浏览的是第19页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 心脏磁共振扫描技术共44页，您现在浏览的是

12、第20页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 心脏磁共振扫描技术共44页，您现在浏览的是第21页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 心脏磁共振扫描技术共44页，您现在浏览的是第22页!The First Affiliated

13、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心脏磁共振扫描技术共44页，您现在浏览的是第23页!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

14、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心脏磁共振扫描技术共44页，您现在浏览的是第24页!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、横三方位定位图心脏磁共振扫描技术共44页，您现在浏览的是第25页!The Firs

15、t 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心脏磁共振扫描技术共44页，您现在浏览的是第26页!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心脏磁共振扫描技术

16、共44页，您现在浏览的是第27页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University扫描前心电门控补偿 心脏磁共振扫描技术共44页，您现在浏览的是第28页!The 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.

17、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_iPAT心脏磁共振扫描技术共44页，您现在浏览的是第29页!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

18、 3.3.操作流程的回顾操作流程的回顾心脏磁共振扫描技术共44页，您现在浏览的是第30页!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_iPAT心脏磁共振扫描技术共44页，您现在浏览的是第31页!The First Affiliated Hospital of Soochow UniversityThe First A

19、ffiliated 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_iPAT心脏磁共振扫描技术共44页，您现在浏览的是第32页!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_grid心脏磁共振扫描技术共44页，

20、您现在浏览的是第33页!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_ePAT心脏磁共振扫描技术共44页，您现在浏览的是第34页!The First Affiliated Hospital of

21、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_Scout心脏磁共振扫描技术共44页，您现在浏览的是第35页!The First Affiliated Hospital of Sooch

22、ow UniversityThe First Affiliated Hospital of Soochow University磁共振心脏延时扫描 心脏磁共振扫描技术共44页，您现在浏览的是第36页!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_seg心脏磁共振扫描技术共44页，您现在浏览的是第37页!

23、The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 心脏磁共振扫描技术共44页，您现在浏览的是第38页!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 E

24、DV：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 心脏磁共振扫描技术共44页，您现在浏览的是第39页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 心脏磁共振扫描技术共44页，您现在浏览的是第40页!The First Affiliated Hospital of Soochow UniversityThe First Aff

25、iliated Hospital of Soochow University磁共振心功能分析 心脏磁共振扫描技术共44页，您现在浏览的是第41页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 心脏磁共振扫描技术共44页，您现在浏览的是第42页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow University磁共振心功能分析 心脏磁共振扫描技术共44页，您现在浏览的是第43页!The First Affiliated Hospital of Soochow UniversityThe First Affiliated Hospital of Soochow Universityjiahuachen_jiahuachen_心脏磁共振扫描技术共44页，您现在浏览的是第44页!