左心声学造影的最新研究进展
Recent Advances in Left Heart Contrast Echocardiography
DOI: 10.12677/acm.2025.15123646, PDF,   
作者: 杜利平*, 刘 涛:吉首大学医学院,湖南 吉首;廖志雄#:张家界市人民医院心血管内科,湖南 张家界
关键词: 左心声学造影超声造影剂肥厚型心肌病Left Heart Contrast Echocardiography Ultrasound Contrast Agent Hypertrophic Cardiomyopathy
摘要: 左心声学造影是基于声学空化原理的超声成像技术,通过静脉注射微泡造影剂增强心脏内结构显像。本文阐述该技术在肥厚型心肌病心尖部动脉瘤检测、右向左分流定量评估、冠状动脉微血管功能障碍诊断和结构性心脏病介入治疗引导中的核心价值与应用进展。与此同时还分析了当前技术存在的显像稳定性不足与操作标准化缺失等问题,并展望了智能造影剂开发、多模态影像融合及人工智能辅助分析等发展方向,为提升心血管疾病的精准诊疗水平提供参考。
Abstract: Left heart contrast echocardiography is an ultrasonic imaging technology grounded in the principle of acoustic cavitation. It enhances the visualization of intracardiac structures by intravenously injecting microbubble contrast agents. This paper expounds upon the core value and application advancements of this technology in several aspects. These include the detection of apical aneurysms in hypertrophic cardiomyopathy, the quantitative evaluation of right-to-left shunts, the diagnosis of coronary microvascular dysfunction, and the guidance of interventional treatments for structural heart diseases. Meanwhile, the paper also analyzes the existing problems of the current technology, such as insufficient imaging stability and the lack of operational standardization. Moreover, it looks ahead to the development directions, including the development of intelligent contrast agents, the integration of multi-modal imaging, and the application of artificial-intelligence-assisted analysis. This aims to provide references for improving the precision diagnosis and treatment of cardiovascular diseases.
文章引用:杜利平, 刘涛, 廖志雄. 左心声学造影的最新研究进展[J]. 临床医学进展, 2025, 15(12): 2213-2220. https://doi.org/10.12677/acm.2025.15123646

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