TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity陈剑华陈剑华心脏磁共振扫描技术心脏磁共振扫描技术TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•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。TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•回顾1992年我院在GEVactra0.5T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.TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•心脏磁共振所要解决的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TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•心脏磁共振检查前准备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TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•磁共振心脏扫描定位磁共振心脏扫描定位首先进行心脏冠、矢、横三方位定位图TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•磁共振心脏扫描定位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TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•磁共振心脏扫描定位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TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•磁共振心脏扫描定位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TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•磁共振心脏扫描定位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TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•磁共振心脏扫描定位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TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•扫描前心电门控补偿扫描前心电门控补偿TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•磁共振心脏扫描磁共振心脏扫描1.1.首先进行短轴位首先进行短轴位T1T1、、T2T2、、T2T2压脂序列扫压脂序列扫描描T1T2T2tirmTheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•磁共振心脏扫描磁共振心脏扫描参考序列:参考序列:1.T1:tse_9_db_t1_iPAT1.T1:tse_9_db_t1_iPAT2.T2:tse_17_db_t2_iPAT2.T2:tse_17_db_t2_iPAT3.T2tirm:tirm_15_db_t2_iPAT3.T2tirm:tirm_15_db_t2_iPATTheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•磁共振心脏电影扫描前准备磁共振心脏电影扫描前准备做做trufi_freqScouttrufi_freqScout序列序列TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•磁共振心脏电影扫描前准备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TheFirstAffiliatedHospitalofSoochowUniversityTheFirstAffiliatedHospitalofSoochowUniversity•磁共振心脏电影...