Terapevticheskii arkhivTerapevticheskii arkhivТерапевтический архив0040-36602309-5342LLC Obyedinennaya Redaktsiya59587510.26442/00403660.2024.04.202683ReviewsОбзорыReview Article4D flow MRI: value and clinical perspectives in patients with pathology of the heart and great vessels. A review4D МР-визуализация потока: ценность и клинические перспективы у пациентов с патологией сердца и магистральных сосудовhttps://orcid.org/0000-0001-7780-2405YurpolskayaLyudmila A.ЮрпольскаяЛюдмила Анатольевна
Russian Federation

д-р мед. наук, вед. науч. сотр. рентген-диагностического отд.

layurpolskaya@bakulev.ruBakoulev National Medical Research Center for Cardiovascular SurgeryФГБУ «Национальный медицинский исследовательский центр сердечно-сосудистой хирургии им. А.Н. Бакулева» Минздрава России02052024964Issues of diagnostics of internal diseasesВопросы диагностики внутренних болезней3913952609202316042024Copyright ©; 2024, Consilium MedicumCopyright ©; 2024, ООО "Консилиум Медикум"2024Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://ter-arkhiv.ru/0040-3660/article/view/595875

The study of blood flow is becoming a new trend in cardiology and cardiovascular surgery. Based on the literature and our own data, a review is presented on the use of 4D flow in diseases of the heart and blood vessels. The main state of the question about the features of the application of the technique in various pathologies of the cardiovascular system is described in detail, the priorities, limitations and promising directions of the technique application are considered taking into account the goals of practical medicine. The review consists of two parts. The first is devoted to general issues, limitations of the technique, and issues of 4D flow mapping in patients with lesions of the great vessels. In the second part, the emphasis is on the use of 4D flow magnetic resonance imaging in the study of intraventricular blood flow and the application of the technique in congenital heart and vascular diseases.

Изучение кровотока становится новым трендом в кардиологии и сердечно-сосудистой хирургии. На основе литературных и собственных данных представлен обзор по применению 4D-магнитно-резонансной визуализации потока (4D flow) при заболеваниях сердца и сосудов. Подробно изложены особенности применения методики при разных патологиях сердечно-сосудистой системы, рассмотрены приоритеты, ограничения и перспективные направления использования методики с учетом целей практической медицины. Обзор состоит из двух частей. Первая посвящена общим вопросам, ограничениям методики и 4D-картированию потока у пациентов с поражением магистральных сосудов. Во второй части акцент сделан на использование 4D магнитно-резонансного томографического потока при изучении внутрижелудочкового кровотока и применение методики при врожденных пороках сердца и сосудов.

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