Hình ảnh học lượng giá xơ hóa cơ tim

A

HINH ANH HOCLUONG GLA XOHOA COTIM

Ths Duong Pi Son; PCS TS, Nguyen Tun Vi

Bs Phan Thanh Hai

TTYK Mei = Hi i

HOI NGHY SEU AW TOR QUOL LAN THU shu VSUM 4
THEO NATIONAL CONGRESS OF VIETNAMESE SOCIETY OF ULTRASOUND IN MEDICINE '

Tho ph Hu, gy 8-09 thing 8nd 2024 Hue Cy, March 0809 oak 1 fi (qn

Ditvan de

+ actin (ME) mt gu trio i cu tric nh ph btn rong ni

beat tim mach

+ iy an ing hu gui bit lo nb ion hi tin, uy ibe dt td di,

' Ny A tivong su NMICT gi > Sy i i kh pit ng ron din icin

sng (75M din uy i i phi rong S nim su NMC),

+ ora nti ing vai tr thn ct in dn sy ti,

+Phit in vi png tinh rang oh uti tc thi

Leyi 2h “Detection of nocd fois: Where we stand” Front Caronase Med 20229: 926378

Cau toc tim inh thug

+ Thétich bio tim chit 75% vi 28%

the tic Khodng ké gia bio,

* Khoang gan bio i gito cu hoe bao vé
tio uti tray he bp tin,

WA + Tho phn (EM): Nuys in,
collagen loa yall glycoproten, yeu i
ting tring, te bio noi md myc mu,
\ bao mien dich (dai thy bio, (tàu
\ Mast.)

\ 7

Summer Hasan "Inaging ols fo assessment of myocardial bain humans

thence or grater deta” 2021 November 19) 143).739

Xo hoa co tim 3dang,

+ Tebio uti ini t=) Thay the bing eo llagen (Xu hia hay the)>

RU chite ming tm thu that tii,

+ Ling dong vit chit king bù 3 Miri ktoang gan Do (Xv hia

Adang ke) > Diy thin hit RL chiming i rung tht,

‘ea mach; TE bio co tim bi tn thrKoc nhatgv,eh io @ >

(tung gia bio ung quanh ving ct ton thuoMingring

khong ké+ RL cite ning vi meh - làn tặng thận tinh trang hi miu
coin,

Simmer Hassan "Inging al for sessment of myocar vais in humans: the ned fr greater deal’

202 November 19: 143):739

Kora thay th va xo hin khong ke

A hey B inert fogs relent boss

NAV QoRI _

“Ẳ A\ Wl \\d 1 ASN 2)

À Q \ 4 3 3/2

KI Hi

( Wy Kie AN

LASS

Lei hu “Detection ofmocanalbasi:Where we stand” Fron Cardovase Med, 222; 9: 92638,

Xo‘ha quanh mach hay tự hoa phan img

Extraoellar matrix Repartve/eplacement —_-Reactve/ifuse

inthe healthy heat fibrosis myocardial fibrosis

Collagen ber iŠ“`5 ie4 Inerstium
Cs
tay W \

Cationyocyte ` oblast Rae el

Katharina Schimmel "Corde Fibs in the Pressure Overloaded Le and Right Veil as a Therapewti

lyFro, Cardiovasc Med 6 May 2022

Phong php chin dda min

+ Pit hin x0 bi oti gua i thet wimg (EMB} vit tht,
Dh lng tinh trang vo ba vt bing phuong php phn suit
thé eh sot collagen (Collagen volume fraction- CVF),

«Tuy ahién i phupvhingxm ln, kgth fy he mu0

Nd

Lei Zu "Detection of myocardial bri: Where we sand Front Cardivase Med. 2022; 9 926378

Phuong php chin dodn kg xi in

* Net ngiém sinh hoa (collagen-derived biomarkers),

+ Siu dm tm,
+ COng hurdng ttm mach (CMR)
*Y boc hat nhin,

Leyi Zu "Detection of myocardial bri: Where we stand” From Cardoase Med, 2022 9: 926378

Dau an sinh hye (Huyet than huyet ong)

+ Xion bing ni mi ECM (Ting ng ảnh

collagen)

+ Ting ing dng collagen >) Ting hig dig PCP, PLINP hay miro RNA

+Gi thodi bi cllgen >) Ting stam Galectin-,9§T2 bay MiR-133a,

Sunmer Hassan "Inaging olor assesment of myocardial ibvoiin humans the ned fr gece deal”

2021 November 19 143):739

Xo hoathay th ailco tim phidai

aye Ca 0Ú

Simo ICM (Zype diy wg vch in thit diy, SAM (4
\ — LVOTO(), ting echogen gira ving co tim phi dai

Sigmoidal HCM, diy ng thinh true va vig true vich

phan diy 21mm, LVOT0 (+, LVEF= 19%,

x£- =

LGE, ECV, Native T1/MRI

GLOBAL LV TISSUE CHARACTERIZATION

Xo hoa khoang ke» Amyloidosis

Bénin nam 66 tuo, daw

ngue tr Kt tho va ph 2 ch lIỆ

duc A nx+Y

2D va TDL: Chie ning ti thu P|

that tt ram (LVEF=33%), TULL ee ‘te wd
Ut
day vic in a di to Cen aa

ngodt tin vi

L4 0) TW MI L1 0) fT
Da
Lo a

1 nh

Chie ning i hu tht ea a ane
phi bh hung
MM AL,
(TAPSE=16 Sum), ing
a si Ủ
ap dong mach phi nh vm
(PAP lv
Pe Ì TTNI fa) why ÂN) (TÚ)
loan chit wing tm trong
tht tr ga dog NI ‹ ih

(Bi'=28)

w a oe ae

T1 L0) ma) 1 M0 K
And

3D canh te true doc vi 4

bung tii: Diy tit

tn oti thn ti

elt hin, Siu

Strain

+ Thi iy ning ng ti, dn toh ahi (RA=$Sm,LA-S9mn)

* Day viel én abi Sum; LV mass=173gram; LVEF=4%,


Trin dich ming ti, tr dich ming ph 2

bens LGE: Seo xo ha lan ati no mac ra chu

Vi (cicuerential byperenhancement)

Natve T=1492ms, ECV=4th

Sih tit mi bung:Lin dong it amyloid

tong mu in kes, dch huh

quan i hop AL chu he Kapa,

Xorhia quanh mgch- Nh eo in

aga mad ho

Prk sie ss

‘isis — sen — |

` eit ah day
vt days — la |
yl yal ni pecatdtne | tno och

ddr let | |

Ay =~ eer fag

Syd din — Sct aÌ sive |

1 ihe

Ht fa

Leyi Zhu "Detection of myocar basis: Wheversetand” Front Cardovase Med 20229: 926378,