Journal of Clinical PracticeJournal of Clinical PracticeКлиническая практика2220-30952618-8627Eco-Vector64867210.17816/clinpract648672ReviewsНаучные обзорыResearch ArticleDiagnostic capabilities of magnetic resonance imaging in assessing the myocardial perfusion in cases of ischemic disordersДиагностические возможности магнитно-резонансной томографии в исследовании миокардиальной перфузии при ишемических состоянияхhttps://orcid.org/0000-0002-4091-1234PogrebnichenkoElina R.ПогребниченкоЭлина Руслановна
Russian Federation

pediatrician

врач-педиатр

elina.pogrebnichenko@mail.ruhttps://orcid.org/0009-0002-5525-3243MameshovaAdelina S.МамешоваАделина Сериковна
Russian Federation
tanatarova.adelina@mail.ruhttps://orcid.org/0009-0009-5231-9578AkhmedbekovaZainab A.АхмедбековаЗейнаб Ахмедбековна
Russian Federation

студент

akhmedbekova01@mail.ruhttps://orcid.org/0009-0000-0187-6512TedurovaPatimat T.ТедуроваПатимат Тедуриевна
Russian Federation
Tedurova1@mail.ruhttps://orcid.org/0009-0007-0052-2721KamilovMukhammad A.КамиловМухаммад Ахмедович
Russian Federation

pediatrician

врач-педиатр

rrstr1990@mail.ruhttps://orcid.org/0000-0002-7349-609XAlibekovEldar A.АлибековЭльдар Абдулмаджидович
Russian Federation
eldaralibekov2002@gmail.comhttps://orcid.org/0009-0009-1354-3323GazimagomedovKazimagomed M.ГазимагомедовКазимагомед Магомедхабибович
Russian Federation
gazimagomedov2002@internet.ruhttps://orcid.org/0009-0000-1858-2430SaipullaevChopalav S.СайпуллаевЧопалав Сайпутдинович
Russian Federation
saipullaevch2k19@icloud.comhttps://orcid.org/0009-0006-8600-8602PopovNikolai Yu.ПоповНиколай Юрьевич
Russian Federation
nikolaipopov19-2001@yandex.ruhttps://orcid.org/0009-0009-8599-0130AbdulaevAkhmed L.АбдулаевАхмед Лабазанович
Russian Federation

студент

ahmadent@bk.ruhttps://orcid.org/0009-0000-6021-8755NasuevaKhava S.НасуеваХава Сайдмагомедовн
Russian Federation
nasuevakh@gmail.comhttps://orcid.org/0009-0006-8073-8065BakarovaMadina M.БакароваМадина Мяхадиновна
Russian Federation
bakarova02@Mail.ruhttps://orcid.org/0000-0003-0925-7403ErkenovaZalina V.ЭркеноваЗалина Валерьевна
Russian Federation
Zalinka.erkenova@mail.ruChildren’s city polyclinic No. 1Детская городская поликлиника № 1Astrakhan State Medical UniversityАстраханский государственный медицинский университетCity Polyclinic No. 10Городская поликлиника № 10Kadyrov Chechen State UniversityЧеченский государственный университет имени Ахмата Абдулхамидовича Кадырова230320253004202516176912901202503032025Copyright ©; 2025, Eco-VectorCopyright ©; 2025, Эко-Вектор2025Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0https://clinpractice.ru/clinpractice/article/view/648672

Magnetic resonance imaging (MRI) of the heart has proven itself as an important tool for the evaluation of myocardial perfusion and for the diagnostics of myocardial ischemia. Due to its high spatial resolution and absence of X-ray radiation, MRI of the heart allows for precise diagnosing subendocardial ischemia without any adverse effects, which makes it a valuable method for detecting the ischemic heart disease. Recent advances in cardiac MRI and in post-processing have allowed for moving from qualitative to quantitative evaluation of the stress perfusion cardiac MRI, which has significantly increased the objectiveness and the precision of diagnostics. Quantitative evaluation of myocardial perfusion using the MRI provides a possibility of objective evaluation of myocardial ischemia, which can contribute to improved detection of coronary microvascular dysfunctions. The integration of quantitative perfusion MRI with other methods, such as the kinematic MRI, the delayed increase of gadolinium levels and the Т1/Т2-mapping, allows for deeper understanding the pathophysiology and improving the prediction of outcomes for various cardio-vascular diseases. The review addresses modern research works on cardiac MRI with regard to diagnostics and predicting of ischemic heart disease, coronary microvascular dysfunctions or non-ischemic cardiomyopathy, focusing on the quantitative approach in the evaluation of myocardial perfusion and its potential use in clinical practice.

Магнитно-резонансная томография (МРТ) сердца зарекомендовала себя как важный инструмент для оценки миокардиальной перфузии и диагностики ишемии миокарда. Благодаря высокому пространственному разрешению и отсутствию рентгеновского излучения МРТ сердца позволяет точно диагностировать субэндокардиальную ишемию без каких-либо побочных эффектов, что делает её ценным методом для выявления ишемической болезни сердца. Недавние достижения в области МРТ сердца и постпроцессинговой обработки позволили перейти от качественной к количественной оценке стресс-перфузионной МРТ сердца, что значительно повысило объективность и точность диагностики. Количественная оценка миокардиальной перфузии с помощью МРТ предоставляет возможность объективно оценить степень ишемии миокарда, что может способствовать улучшенному выявлению коронарной микрососудистой дисфункции. Интеграция количественной перфузионной МРТ с другими методами, такими как кинематическая МРТ, позднее повышение уровня гадолиния и Т1/Т2-картирование, позволяет глубже понять патофизиологию и улучшить прогнозирование исходов различных сердечно-сосудистых заболеваний. В обзоре рассматриваются современные исследования МРТ сердца в диагностике и прогнозировании ишемической болезни сердца, коронарной микрососудистой дисфункции и неишемической кардиомиопатии с фокусом на количественный подход в оценке миокардиальной перфузии и её потенциальное применение в клинической практике.

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