[1]刘静 彭礼清.心外膜脂肪组织定量评价的影像学进展[J].心血管病学进展,2020,(9):922-925.[doi:10.16806/j.cnki.issn.1004-3934.2020.09.009]
 LIU Jing,PENG Liqing.Quantitative Evaluation of Epicardial Adipose Tissue Measured by Different Imaging Methods[J].Advances in Cardiovascular Diseases,2020,(9):922-925.[doi:10.16806/j.cnki.issn.1004-3934.2020.09.009]
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心外膜脂肪组织定量评价的影像学进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2020年9期
页码:
922-925
栏目:
出版日期:
2020-09-25

文章信息/Info

Title:
Quantitative Evaluation of Epicardial Adipose Tissue Measured by Different Imaging Methods
作者:
刘静 彭礼清
(四川大学华西医院放射科,四川 成都 610041)
Author(s):
LIU JingPENG Liqing
(Department of RadiologyWest China HospitalSichuan UniversityChengdu 610041SichuanChina)
关键词:
心外膜脂肪组织影像学超声心动图计算机断层扫描磁共振成像
Keywords:
Epicardial adipose tissueImaging EchocardiographyComputed tomographyMagnetic resonance imaging
DOI:
10.16806/j.cnki.issn.1004-3934.2020.09.009
摘要:
心外膜脂肪组织是特指位于心肌与脏层心包间的脂肪组织,它属于内脏脂肪组织的一种,具有旁分泌或内分泌功能。心外膜脂肪组织与心房颤动、冠状动脉粥样硬化等心血管疾病的发生和发展密切相关。量化心外膜脂肪组织对心血管疾病风险评估及疗效监测具有重要作用。现综述超声心动图、计算机断层扫描及磁共振成像三种影像学手段定量评价心外膜脂肪组织的方法以及不同影像学方法的优势和不足。
Abstract:
Epicardial adipose tissue refers to adipose tissue located between the myocardium and visceral pericardium. It is a type of visceral adipose tissue and has paracrine or endocrine functions. Epicardial adipose tissue is closely related to the occurrence and development of cardiovascular diseases such as atrial fibrillation and coronary atherosclerosis. Quantitative evaluation of epicardial adipose tissue plays an important role in risk assessment and efficacy monitoring of cardiovascular disease s. This article reviewed three methods in quantitative evaluation of epicardial adipose tissue, including echocardiography, computed tomography and magnetic resonance imaging. The advantage s and disadvantages of these imaging methods were analyzed.

参考文献/References:

[1]Bertaso AG,Bertol D,Duncan BB,et al. Epicardial fat:definition, measurements and systematic review of main outcomes[J]. Arq Bras Cardiol,2013,101(1):e18-e28. [2]Iacobellis G,Corradi D,Sharma AM. Epicardial adipose tissue:anatomic,biomolecular and clinical relationships with the heart[J]. Nat Clin Pract Cardiovasc Med,2005,2(10):536-543. [3]Ho E,Shimada Y. Formation of the epicardium studied with the scanning electron microscope[J]. Dev Biol,1978,66(2):579-585. [4]Grosso AF,de Oliveira SF,Higuchi Mde L,et al. Synergistic anti-inflammatory effect:simvastatin and pioglitazone reduce inflammatory markers of plasma and epicardial adipose tissue of coronary patients with metabolic syndrome[J]. Diabetol Metab Syndr,2014,6(1):47. [5]Iacobellis G,Assael F,Ribaudo MC,et al. Epicardial fat from echocardiography:a new method for visceral adipose tissue prediction[J]. Obes Res,2003,11(2): 304-310. [6]Iacobellis G,Willens HJ,Barbaro G,et al. Threshold values of high-risk echocardiographic epicardial fat thickness[J]. Obesity(Silver Spring),2008,16(4):887-892. [7]Nelson MR,Mookadam F,Thota V,et al. Epicardial fat:an additional measurement for subclinical atherosclerosis and cardiovascular risk stratification?[J]. J Am Soc Echocardiogr,2011,24(3):339-345. [8]Verma B,Katyal D,Patel A,et al. Relation of systolic and diastolic epicardial adipose tissue thickness with presence and severity of coronary artery disease (The EAT CAD study)[J]. J Family Med Prim Care,2019,8(4):1470-1475. [9]Nichols JH,Samy B,Nasir K,et al. Volumetric measurement of pericardial adipose tissue from contrast-enhanced coronary computed tomography angiography:a reproducibility study[J]. J Cardiovasc Comput Tomogr,2008,2(5):288-295. [10]Spearman JV,Meinel FG,Schoepf UJ,et al. Automated quantification of epicardial adipose tissue using CT angiography:evaluation of a prototype software[J]. Eur Radiol,2014,24(2):519-526 [11]Mihl C,Loeffen D,Versteylen MO,et al. Automated quantification of epicardial adipose tissue(EAT) in coronary CT angiographycomparison with manual assessment and correlation with coronary artery disease[J]. J Cardiovasc Comput Tomogr,2014,8(3):215-221. [12]Marwan M,Koenig S,Schreiber K,et al. Quantification of epicardial adipose tissue by cardiac CT:influence of acquisition parameters and contrast enhancement[J]. Eur J Radiol,2019,121:108732. [13]La Grutta L,Toia P,Farruggia A,et al. Quantification of epicardial adipose tissue in coronary calcium score and CT coronary angiography image data sets:comparison of attenuation values,thickness and volumes[J]. Br J Radiol,2016,89(1062):20150773. [14]Oda S,Utsunomiya D,Funama Y,et al. Effect of iterative reconstruction on variability and reproducibility of epicardial fat volume quantification by cardiac CT[J]. J Cardiovasc Comput Tomogr,2016,10(2):150-155. [15]Opolski MP,Staruch AD,Kusmierczyk M,et al. Computed tomography angiography for prediction of atrial fibrillation after coronary artery bypass grafting:proof of concept[J]. J Cardiol,2015,65(4):285-292. [16]Stojanovska J,Kazerooni EA,Sinno M,et al. Increased epicardial fat is independently associated with the presence and chronicity of atrial fibrillation and radiofrequency ablation outcome[J]. Eur Radiol,2015,25(8):2298-2309. [17]Mahajan R,Kuklik P,Grover S,et al. Cardiovascular magnetic resonance of total and atrial pericardial adipose tissue:a validation study and development of a 3 dimensional pericardial adipose tissue model[J]. J Cardiovasc Magn Reson, 2013,15(1):73. [18]Okayama S,Ayako S,Somekawa S,et al. Feasibility of dual gradient-echo in-phase and opposed-phase magnetic resonance imaging for the evaluation of epicardial fat[J]. Acta Radiol,2011,52(7):723-729. [19]Haberka M,Machnik G, Kowalówka A,et al. Epicardial,paracardial,and perivascular fat quantity,gene expressions,and serum cytokines in patients with coronary artery disease and diabetes[J]. Pol Arch Intern Med,2019,129(11):738-746. [20]Flüchter S,Haghi D,Dinter D,et al. Volumetric assessment of epicardial adipose tissue with cardiovascular magnetic resonance imaging[J]. Obesity(Silver Spring),2007,15(4):870-878. [21]Ng ACT, Strudwick M, van der Geest RJ, et al. Impact of epicardial adipose tissue,left ventricular myocardial fat content,and interstitial fibrosis on myocardial contractile function[J].Circ Cardiovasc Imaging,2018,11(8): e007372. [22]Mahajan R,Nelson A,Pathak RK,et al.Electroanatomical remodeling of the atria in obesity:impact of adjacent epicardial fat[J].JACC Clin Electrophysiol,2018,4(12):1529-1540. [23]Wong CX,Abed HS,Molaee P,et al. Pericardial fat is associated with atrial fibrillation severity and ablation outcome[J]. J Am Coll Cardiol,2011,57(17):1745-1751. [24]Rado SD,Lorbeer R,Gatidis S,et al. MRI-based assessment and characterization of epicardial and paracardial fat depots in the context of impaired glucose metabolism and subclinical left-ventricular alterations[J]. Br J Radiol,2019,92(1096):20180562. [25]Teme T,Sayegh B,Syed M,et al. Quantification of epicardial fat volume using cardiovascular magnetic resonance imaging[J]. J Cardiovasc Magn R,2014,16(suppl 1):O112 [26]Homsi R,Sprinkart AM,Gieseke J,et al. 3D-Dixon cardiac magnetic resonance detects an increased epicardial fat volume in hypertensive men with myocardial infarction[J]. Eur J Radiol,2016,85(5):936-942. [27]Homsi R,Meier-Schroers M,Gieseke J,et al. 3D-Dixon MRI based volumetry of peri-and epicardial fat[J]. Int J Cardiovasc Imaging,2016,32(2):291-299. [28]Nakamori S,Nezafat M,Ngo LH,et al. Left atrial epicardial fat volume is associated with atrial fibrillation:a prospective cardiovascular magnetic resonance 3D dixon study[J]. J Am Heart Assoc,2018,7(6):e008232.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金(81601462);四川省科技厅支撑计划项目(2016FZ0107);四川大学华西医院学科卓越发展1·3·5工程项目资助 通信作者:彭礼清,E-mail:pengliqing@wchscu.cn 收稿日期:2020-02-27
更新日期/Last Update: 2020-12-03