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中华医学超声杂志(电子版) ›› 2018, Vol. 15 ›› Issue (06) : 413 -418. doi: 10.3877/cma.j.issn.1672-6448.2018.06.004

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指南与规范

2014年美国超声心动图学会/欧洲心血管影像协会《成人癌症患者多模态影像学评价专家共识》解读
邢长洋1, 袁丽君1,(), 张宇新1, 赵联璧1, 侯颖1   
  1. 1. 710038 西安,空军军医大学唐都医院超声医学科
  • 收稿日期:2018-05-16 出版日期:2018-06-01
  • 通信作者: 袁丽君

Interpretation of 2014 ASE/EACVI Expert Consensus for Multimodality Imaging Evaluation of Adult Patients during and after Cancer Therapy

Changyang Xing1, Lijun Yuan1(), Yuxin Zhang1   

  • Received:2018-05-16 Published:2018-06-01
  • Corresponding author: Lijun Yuan
引用本文:

邢长洋, 袁丽君, 张宇新, 赵联璧, 侯颖. 2014年美国超声心动图学会/欧洲心血管影像协会《成人癌症患者多模态影像学评价专家共识》解读[J]. 中华医学超声杂志(电子版), 2018, 15(06): 413-418.

Changyang Xing, Lijun Yuan, Yuxin Zhang. Interpretation of 2014 ASE/EACVI Expert Consensus for Multimodality Imaging Evaluation of Adult Patients during and after Cancer Therapy[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2018, 15(06): 413-418.

表1 CTRCD分类[3]
图1~4 左心室射血分数测量。图1,2为双平面法,需要留取心尖四腔切面(图1)和心尖两腔切面(图2)动态图,在舒张末期和收缩末期进行描记,计算射血分数;图3,4为三维超声,一般为心电图门控拼接实现心腔的三维成像(图3),超声成像分析软件描记动态心腔容积变化(图4)计算射血分数
图5~8 斑点追踪技术测量左心室整体长轴应变。分别留取心尖四腔切面(图5)、心尖两腔切面(图6)、心尖三腔切面(图7)动态图进行左心室应变分析,超声成像分析软件自动给出左心室长轴应变牛眼图及应变值(图8)
图9~12 癌症患者心脏功能超声心动图随访及诊断流程图[3]。包括Ⅰ类药物化疗方案(图9)、曲妥珠单抗化疗方案(图10)、Ⅰ类药物化疗结束后使用曲妥珠单抗化疗方案(图11)的超声心动图随访流程图,以及采用左心室整体长轴应变检测亚临床左心室功能障碍的诊断流程图(图12)
表2 推荐的心脏肿瘤学超声心动图方案[3]
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