Zusammenfassung
In der kardiovaskulären Diagnostik bestehen trotz intensiver und langjähriger Forschung
im Bereich der bildgebenden Diagnostik nahezu unverändert große Herausforderungen.
Im Speziellen sind dies Fragestellungen im Zusammenhang mit der Diagnostik einer vermuteten
oder bestehenden koronaren Herzkrankheit oder deren Folgen (Myokardinfarkt, Herzinsuffizienz).
Neben morphologisch orientierten bildgebenden Verfahren, haben bereits heute funktionelle
Verfahren einen diagnostischen Stellenwert, hingegen sind molekulare Bildgebungsverfahren
noch in der Entwicklung. Dieser Beitrag gibt einen Überblick der klinisch-diagnostischen
Herausforderungen in der kardiovaskulären Medizin sowie über Lösungsansätze durch
neu zu entwickelnde molekulare Bildgebungsmodalitäten.
Abstract
Although huge and long-lasting research efforts have been spent on the development
of new diagnostic techniques investigating cardiovascular diseases, still fundamental
challenges exist; the main challenge being the diagnosis of a suspected or known coronary
artery disease or its consequences (myocardial infarction, heart failure etc.). Beside
morphological techniques, functional imaging modalities are available in clinical
diagnostic algorithms, whereas molecular cardiovascular imaging techniques are still
under development. This review summarizes clinical-diagnostical challenges of modern
cardiovascular medicine as well as the potential of new molecular imaging techniques
to face these.
Schlüsselwörter
molekulare Bildgebung - kardiovaskuläre Erkrankungen - PET - SPECT - Plaque - Arteriosklerose
- Herzrhythmusstörungen
Key words
molecular imaging - cardiovascular diseases - PET - SPECT - plaque - atherosclerosis
- tachyarrhythmias
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Univ.-Prof. Dr. M. Schäfers
Klinik und Poliklinik für Nuklearmedizin · Universitätsklinikum Münster
Albert-Schweitzer-Str. 33
48129 Münster
Phone: +49/2 51/8 34 73 62
Fax: +49/2 51/8 34 73 63
Email: schafmi@uni-muenster.de