kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2015-4-83-89kpccz-156Research ArticleАНАЛИТИЧЕСКИЕ ОБЗОРЫ ЛИТЕРАТУРЫANALYTICAL REVIEWS OF LITERATUREТОМОГРАФИЧЕСКИЕ МЕТОДИКИ В ДИАГНОСТИКЕ ВОСПАЛИТЕЛЬНЫХ ЗАБОЛЕВАНИЙ ПЕРИКАРДА (обзор литературы)TOMOGRAPHIC METHODS IN THE DIAGNOSTICS OF INFLAMMATORY DISEASES OF PERICARDIUM (THE REVIEW OF THE LITERATURE)МасенкоВ. Л.MasenkoV. L.

650002, г. Кемерово, Сосновый бульвар, д. 6

6, Sosnoviy blvd., Kemerovo, 650002

КоковАлександр НиколаевичKokovAlexandr N.

650002, г. Кемерово, Сосновый бульвар, д. 6

6, Sosnoviy blvd., Kemerovo, 650002

kokoan@kemcardio.ruФедеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»РоссияFederal State Budgetary Scientific Research Institute for Complex Issues of Cardiovascular DiseasesRussian Federation201526112015048389Copyright © Масенко В.Л., Коков А.Н., 20152015Масенко В.Л., Коков А.Н.Masenko V.L., Kokov A.N.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/156

Перикардиты оказывают отрицательное влияние на заболеваемость и смертность у пациентов с сердечно-сосудистыми заболеваниями. При этом диагностика воспалительных заболеваний перикарда затруднена или несвоевременна. Развитие современных методов лучевой диагностики позволило в значительной степени продвинуться в изучении данной патологии. В данном обзоре представлен диагностический аспект воспалительных заболеваний перикарда с позиции мультиспиральной компьютерной (МСКТ) и магнитно-резонансной томографии (МРТ), а также предпринята попытка определения роли этих методов в оптимизации лечебного процесса.

Pericarditis have a negative impact on morbidity and mortality in patients with cardiovascular disease. Yet diagnosis of inflammatory diseases of the pericardium is difficult or untimely. Development of modern methods of radiology diagnostics has greatly advance the study of this disease. This review presents the diagnostic aspect of inflammatory diseases of the pericardium by position of multislice computed (CT) and magnetic resonance imaging (MRI). Attempt to determine the role of these methods to optimize the treatment process was performed.

магнитно-резонансная томографиямультиспиральная компьютерная томографияперикардитmagnetic resonance imagingmultislice computed tomographypericarditisReferencesГиляревский С. Р. Диагностика и лечение заболеваний перикарда: современные подходы, основанные на доказательной информации. М.: Медиа Сфера, 2004. Giljarevskij S. R. Diagnostika i lechenie zabolevanij perikarda: sovremennye podhody, osnovannye na dokazatel’noj informacii. M.: Media Sfera; 2004.Гиляревский С. Р. Диагностика и лечение заболеваний перикарда: современные подходы, основанные на доказательной информации. М.: Медиа Сфера, 2004. Giljarevskij S. R. Diagnostika i lechenie zabolevanij perikarda: sovremennye podhody, osnovannye na dokazatel’noj informacii. M.: Media Sfera; 2004.ACCF/ACR/AHA/NASCI/SAIP/SCAI/SCCT 2010 expert consensus document on coronary computed tomographic angiography: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. Circulation. 2010; 121(22): 2509–2543.ACCF/ACR/AHA/NASCI/SAIP/SCAI/SCCT 2010 expert consensus document on coronary computed tomographic angiography: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. Circulation. 2010; 121(22): 2509–2543.Francone M., Dymarkowski S., Kalantzi M., Rademarkers F. E., Bogaert J. Assessment of ventricular coupling with real-time cine MRI and its value to differentiate constrictive pericarditis from restrictive cardiomyopathy. Eur. Radiol. 2006; 16 (4): 944–951.Francone M., Dymarkowski S., Kalantzi M., Rademarkers F. E., Bogaert J. Assessment of ventricular coupling with real-time cine MRI and its value to differentiate constrictive pericarditis from restrictive cardiomyopathy. Eur. Radiol. 2006; 16 (4): 944–951.Bogaert J., Francone M. Cardiovascular magnetic resonance in pericardial diseases. J. Cardiovasc. Magn. Reson. 2009; 11: 14–22.Bogaert J., Francone M. Cardiovascular magnetic resonance in pericardial diseases. J. Cardiovasc. Magn. Reson. 2009; 11: 14–22.Ling L. H., Oh J. K., Breen J. F., Schaff H. V., Danielson G. K., Mahoney D. W. et al. Calcific constrictive pericarditis: is it still with us? Ann. Intern. Med. 2000; 132(6): 444–450.Ling L. H., Oh J. K., Breen J. F., Schaff H. V., Danielson G. K., Mahoney D. W. et al. Calcific constrictive pericarditis: is it still with us? Ann. Intern. Med. 2000; 132(6): 444–450.Feng D., Glockner J., Kim K., Martinez M., Syed I. S., Araoz P. et al. Cardiac magnetic resonance imaging pericardial late gadolinium enhancement and elevated inflammatory markers can predict the reversibility of constrictive pericarditis after antiinflammatory medical therapy: a pilot study. Circulation. 2011; 124 (17): 1830–1837. doi: 10.1161/CIRCULATIONAHA.111.026070.Feng D., Glockner J., Kim K., Martinez M., Syed I. S., Araoz P. et al. Cardiac magnetic resonance imaging pericardial late gadolinium enhancement and elevated inflammatory markers can predict the reversibility of constrictive pericarditis after antiinflammatory medical therapy: a pilot study. Circulation. 2011; 124 (17): 1830–1837. doi: 10.1161/CIRCULATIONAHA.111.026070.Bertog S. C., Thambidorai S. K., Parakh K., Schoenhagen P., Ozduran V., Houghtaling P. L. et al. Constrictive pericarditis: etiology and causespecific survival after pericardiectomy. J. Am. Coll. Cardiol. 2004; 43 (8): 1445–1452. doi:10.1016/j.jacc.2003.11.048. 8. Schwefer M., Aschenbach R., Heidemann J., Mey C., Lapp H. Constrictive pericarditis, still a diagnostic challenge: comprehensive review of clinical management. Eur. J. Cardiothorac. Surg. 2009; 36 (3): 502–510. doi: 10.1016/j.ejcts.2009.03.004.Bertog S. C., Thambidorai S. K., Parakh K., Schoenhagen P., Ozduran V., Houghtaling P. L. et al. Constrictive pericarditis: etiology and causespecific survival after pericardiectomy. J. Am. Coll. Cardiol. 2004; 43 (8): 1445–1452. doi:10.1016/j.jacc.2003.11.048. 8. Schwefer M., Aschenbach R., Heidemann J., Mey C., Lapp H. Constrictive pericarditis, still a diagnostic challenge: comprehensive review of clinical management. Eur. J. Cardiothorac. Surg. 2009; 36 (3): 502–510. doi: 10.1016/j.ejcts.2009.03.004.Wang Z., Reddy G., Gotway M., Yeh B., Hetts S., Higgins C. CT and MR imaging of pericardial disease. RadioGraphics. 2003; 23: 167–180. doi: 10.1136/pgmj.2008.074906.Wang Z., Reddy G., Gotway M., Yeh B., Hetts S., Higgins C. CT and MR imaging of pericardial disease. RadioGraphics. 2003; 23: 167–180. doi: 10.1136/pgmj.2008.074906.Bull R. K., Edwards P. D., Dixon A. K. CT dimensions of the normal pericardium. Br. J. Radiol. 1998; 71 (849): 923–925.Bull R. K., Edwards P. D., Dixon A. K. CT dimensions of the normal pericardium. Br. J. Radiol. 1998; 71 (849): 923–925.Taylor A. M., Dymarkowski S., Verbeken E. K., Bogaert J. Detection of pericardial inflammation with late-enhancement cardiac magnetic resonance imaging: initial results. Eur. Radiol. 2006; 16 (3): 569–574.Taylor A. M., Dymarkowski S., Verbeken E. K., Bogaert J. Detection of pericardial inflammation with late-enhancement cardiac magnetic resonance imaging: initial results. Eur. Radiol. 2006; 16 (3): 569–574.Kojima S., Yamada N., Goto Y. Diagnosis of constrictive pericarditis by tagged cine magnetic resonance imaging. N. Engl. J. Med. 1999; 341 (5): 373–374. doi: 10.1056/NEJM199907293410515.Kojima S., Yamada N., Goto Y. Diagnosis of constrictive pericarditis by tagged cine magnetic resonance imaging. N. Engl. J. Med. 1999; 341 (5): 373–374. doi: 10.1056/NEJM199907293410515.Maisch B., Seferović P. M., Ristić A. D., Erbel R., Rie nmüller R., Adler Y. et al. Guidelines on the diagnosis and management of pericardial diseases executive summary. The Task force on the diagnosis and management of pericardial diseases of the European society of cardiology. Eur. J. 2004; 25 (7): 587–610.Maisch B., Seferović P. M., Ristić A. D., Erbel R., Rie nmüller R., Adler Y. et al. Guidelines on the diagnosis and management of pericardial diseases executive summary. The Task force on the diagnosis and management of pericardial diseases of the European society of cardiology. Eur. J. 2004; 25 (7): 587–610.Imazio M., Trinchero R. Myopericarditis: Etiology, management, and prognosis. Int. J. Cardiol. 2008; 127 (1): 17–26.Imazio M., Trinchero R. Myopericarditis: Etiology, management, and prognosis. Int. J. Cardiol. 2008; 127 (1): 17–26.Little W. C., Freeman G. L. Pericardial disease. Circulation. 2006; 113 (12): 1622–1632.Little W. C., Freeman G. L. Pericardial disease. Circulation. 2006; 113 (12): 1622–1632.Stark D. D., Higgins C. B., Lanzer P., Lipton M. J., Schiller N., Crooks L. E. et al. Magnetic resonance imaging of the pericardium: normal and pathologic findings. Radiology. 1984; 150 (2): 469–474.Stark D. D., Higgins C. B., Lanzer P., Lipton M. J., Schiller N., Crooks L. E. et al. Magnetic resonance imaging of the pericardium: normal and pathologic findings. Radiology. 1984; 150 (2): 469–474.Sechtem U., Tscholakoff D., Higgins C. MRI of the normal pericardium. Am. J. Roentgenol. 1986; 147 (2): 239–244.Sechtem U., Tscholakoff D., Higgins C. MRI of the normal pericardium. Am. J. Roentgenol. 1986; 147 (2): 239–244.Zurick A. O., Bolen M. A., Kwon D. H., Tan C. D., Popovic Z. B., Rajeswaran J. et al. Pericardial delayed hyperenhancement with CMR imaging in patients with constrictive pericarditis undergoing surgical pericardiectomy: a case series with histopathological correlation. JACC Cardiovasc. Imaging. 2011; 4 (11): 1180–1191.Zurick A. O., Bolen M. A., Kwon D. H., Tan C. D., Popovic Z. B., Rajeswaran J. et al. Pericardial delayed hyperenhancement with CMR imaging in patients with constrictive pericarditis undergoing surgical pericardiectomy: a case series with histopathological correlation. JACC Cardiovasc. Imaging. 2011; 4 (11): 1180–1191.Groell R., Schaffler G. J., Rienmueller R. Pericardial sinuses and recesses: findings at electrocardiographically triggered electronbeam CT. Radiology. 1999; 212 (1): 69–73.Groell R., Schaffler G. J., Rienmueller R. Pericardial sinuses and recesses: findings at electrocardiographically triggered electronbeam CT. Radiology. 1999; 212 (1): 69–73.Troughton R. W., Asher C. R., Klein A. L. Pericarditis. Lancet. 2004; 363 (9410): 717–727.Troughton R. W., Asher C. R., Klein A. L. Pericarditis. Lancet. 2004; 363 (9410): 717–727.Oh K. Y., Shimizu M., Edwards W. D. Surgical pathology of the parietal pericardium: a study of 344 cases (1993-1999). Cardiovasc. Pathol. 2001; 10 (4): 157–168. doi: 10.1016/S1054-8807(01)00076-X.Oh K. Y., Shimizu M., Edwards W. D. Surgical pathology of the parietal pericardium: a study of 344 cases (1993-1999). Cardiovasc. Pathol. 2001; 10 (4): 157–168. doi: 10.1016/S1054-8807(01)00076-X.Verhaert D., Gabriel R. S., Johnston D., Lytle B. W., Desai M. Y., Klein A. L. The role of multimodality imaging in the management of pericardial disease. Circ. Cardiovasc. Imaging. 2010; 3 (3): 333–343.Verhaert D., Gabriel R. S., Johnston D., Lytle B. W., Desai M. Y., Klein A. L. The role of multimodality imaging in the management of pericardial disease. Circ. Cardiovasc. Imaging. 2010; 3 (3): 333–343.Haley J. H., Tajik A. J., Danielson G. K., Schaff H. V., Mulvagh S L., Oh J. K. Transient constrictive pericarditis: causes and natural history. J. Am. Coll. Cardiol. 2004; 43 (2): 271–275.Haley J. H., Tajik A. J., Danielson G. K., Schaff H. V., Mulvagh S L., Oh J. K. Transient constrictive pericarditis: causes and natural history. J. Am. Coll. Cardiol. 2004; 43 (2): 271–275.Francone M., Carbone I., Agati L., Bucciarelli Ducci C., Mangia M., Iacucci I. et al. Utility of T2-weighted shorttau inversion recovery (STIR) sequences in cardiac MRI: an overview of clinical applications in ischaemic and nonischaemic heart disease. Radiol. Med. 2011; 116 (1): 32–46. doi: 10.1007/s11547-010-0594-0.Francone M., Carbone I., Agati L., Bucciarelli Ducci C., Mangia M., Iacucci I. et al. Utility of T2-weighted shorttau inversion recovery (STIR) sequences in cardiac MRI: an overview of clinical applications in ischaemic and nonischaemic heart disease. Radiol. Med. 2011; 116 (1): 32–46. doi: 10.1007/s11547-010-0594-0.

The authors declare that there are no conflicts of interest present.