Article(id=1320388884601614836, tenantId=1146029695717560320, journalId=1319373289681944729, issueId=1320388863101612371, articleNumber=null, orderNo=null, doi=10.11876/mimt202502010, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1792734841727, onlineDateStr=2026-10-23, pubDate=1744214400000, pubDateStr=2025-04-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1792734841727, onlineIssueDateStr=2026-10-23, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1792734841727, creator=13701087609, updateTime=1792734841727, updator=13701087609, issue=Issue{id=1320388863101612371, tenantId=1146029695717560320, journalId=1319373289681944729, year='2025', volume='31', issue='2', pageStart='1', pageEnd='96', issueExtLink='null', onlineDate='null', pubDate='1744214400000', pubDateStr='2025-04-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1792734836602, creator='13701087609', updateTime=1792746450319, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1320437574611620097, tenantId=1146029695717560320, journalId=1319373289681944729, issueId=1320388863101612371, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1320437574611620098, tenantId=1146029695717560320, journalId=1319373289681944729, issueId=1320388863101612371, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=47, endPage=50, ext={EN=ArticleExt(id=1320388884769386997, articleId=1320388884601614836, tenantId=1146029695717560320, journalId=1319373289681944729, language=EN, title=Application value of cardiac magnetic resonance multiparameter imaging in localized qualitative and quantitative diagnosis of coronary heart disease, columnId=null, journalTitle=Modern Instruments & Medical Treatment, columnName=null, runingTitle=null, highlight=null, articleAbstract=
Objective To investigate the value of cardiac magnetic resonance (CMR) multiparametric imaging in the localization, qualitative assessment, and staging diagnosis of coronary artery disease (CAD).
Methods A retrospective analysis was conducted on 60 patients with suspected CAD who underwent both CMR and coronary angiography (CAG) at the Radiology Department of Huazhong Fuwai Cardiovascular Hospital between January 1, 2023, and February 28, 2025. Using CAG as the gold standard, the diagnostic performance of CMR in detecting myocardial ischemia/infarction was evaluated, and the consistency of CMR in staging CAD lesions was analyzed.
Results Among the 60 suspected patients, the CAG results showed 3 cases were negative and 57 cases were positive. Using CAG diagnostic results as the gold standard, the specificity, sensitivity, and accuracy of CMR diagnosis were all relatively high. Among the 57 confirmed patients, the agreement between CMR and CAG in detecting varying degrees of stenosis was slight (Kappa = 0.12), and the overall detection concordance rate of CMR for stenosis was relatively low, with particularly frequent missed diagnoses in mild/moderate stenosis. The left ventricular ejection fraction (LVEF) and cardiac output (CO) ranges in CMR diagnostic results were slightly lower than those of healthy adults, while the end-diastolic volume index (EDVI) range was slightly higher than that of healthy adults. Among the 57 confirmed patients, electrocardiogram (ECG) and CMR showed moderate to high agreement in myocardial infarction staging (Kappa ≈ 0.60).
Conclusion In the diagnosis of suspected CAD, CMR provides indispensable functional and staging assessments, while CAG remains the gold standard for vascular anatomical evaluation. The combined application of CMR and CAG can enhance the diagnostic efficacy of CAD imaging.
, authors=Shuangfeng Liu
1, 2, Shaocheng Zhu
3, *, authorsList=Shuangfeng Liu, Shaocheng Zhu, authorCompany=null, correspAuthors=Shaocheng Zhu, authorNote=null, correspAuthorsNote=null, copyrightStatement=
All copyrights in 2025 belong to the sponsor of the journal.Not content published by the journal may be reproduced or abridged without authorization., copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1320388885121708534, articleId=1320388884601614836, tenantId=1146029695717560320, journalId=1319373289681944729, language=CN, title=心脏磁共振多参数成像在冠心病定位定性分期诊断中的应用价值研究, columnId=1320381058969883180, journalTitle=现代仪器与医疗, columnName=临床研究, runingTitle=null, highlight=null, articleAbstract=
目的 探讨心脏磁共振多参数成像在冠心病定位定性定量分期诊断中的应用价值。
方法 回顾性分析2023年1月1日—2025年2月28日期间在华中阜外心血管病医院放射科诊治的60例疑似冠心病患者，对其均进行心脏磁共振（Cardiac Magnetic Resonance Imaging，CMR）检查和冠状动脉造影（Cardiac Angiography，CAG）检查，以CAG检查结果为金标准，对比CMR和CAG对心肌缺血/梗死的检出效能，并分析CMR对病变分期的诊断一致性。
结果 60例疑似患者中，CAG结果显示阴性和阳性分别为3例和57例，以CAG诊断结果为金标准，CMR诊断特异度、灵敏度和准确度均较高；57例确诊患者中，CMR与CAG在不同程度狭窄的检出结果上一致性轻微（Kappa=0.12），CMR对狭窄的总体检出符合率较低，尤其在轻度/中度狭窄中漏诊较多；CMR诊断结果的左室射血分数（Left Ventricular Ejection Fraction，LVEF）、心输出量（cardiac output，CO）范围略低于健康成年人、舒张末期容积指数（end-diastolic volume index，EDVI）范围略高于健康成年人；57例确诊患者中，心电图和CMR在心肌梗死分期上具有中度至高度一致性（Kappa≈0.60）。
结论 在疑似冠心病诊断中，CMR在功能评估和分期中具有不可替代性，但血管解剖评估仍需结合CAG；联合应用可优化冠心病诊疗路径。
, authors=刘双锋
1, 2, 朱绍成
3, *, authorsList=刘双锋, 朱绍成, authorCompany=null, correspAuthors=朱绍成, authorNote=
刘双锋，男，硕士研究生，主管技师，研究方向：心脏磁共振成像诊断和技术
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朱邵成，男，博士，主任医师，研究方向：腹部、心血管影像
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2025年版权归本刊主办单位所有未经本刊书面许可, 不得转载、摘编本刊所有文章内容。, copyrightOwner=中国科学器材公司, extLink=null, articleAbsUrl=null, sourceXml=/QtQjOFR2lS9c/1bhf1MmA==, magXml=ALswi6OLprIhuWR3s+atdg==, pdfUrl=null, pdf=jPLCU5PGNNmDBiePL7V8Cg==, pdfFileSize=1604362, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=lSkwLJqumtHUBQd1tXNP9A==, mapNumber=null, fund=null)}, authors=[Author(id=1320388885608247809, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320388884601614836, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1320388885692133892, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320388884601614836, authorId=1320388885608247809, language=EN, stringName=Shuangfeng Liu, firstName=Shuangfeng, middleName=null, lastName=Liu, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=
1, 2, address=
1.XinXiang Medical University, Xinxiang 453003, China
2.The First Affiliated Hospital of Henan University, Kaifeng 475001, China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1320388885809574405, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320388884601614836, authorId=1320388885608247809, language=CN, stringName=刘双锋, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=
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1.新乡医学院，新乡 453003
2.河南大学第一附属医院，开封 475001, bio={"content":"
刘双锋，男，硕士研究生，主管技师，研究方向：心脏磁共振成像诊断和技术
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