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J Am Coll Cardiol：心脏磁共振应力灌注成像对胸痛患者的评估

2020-09-27 MedSci原创 MedSci原创

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单中心研究已显示压力心脏磁共振成像(CMR)具有卓越的诊断和预后价值。本研究试图在美国的一项回顾性多中心研究中调查压力CMR的预后价值和后续心脏检测的下游成本，研究结果已在线发表于J Am Coll

单中心研究已显示压力心脏磁共振成像(CMR)具有卓越的诊断和预后价值。本研究试图在美国的一项回顾性多中心研究中调查压力CMR的预后价值和后续心脏检测的下游成本，研究结果已在线发表于J Am Coll Cardiol。

在这项回顾性研究中，对来自11个州13个中心的连续患者进行了目标期为4年的随访，这些患者出现胸痛综合征并被转诊进行压力CMR。使用竞争性风险校正回归模型将CMR结果与心血管死亡或非致命性心肌梗死的主要结果相关联，并使用已公布的Medicare国家支付率将缺血检测的下游成本相关联。

 

结果，在这项研究中，对2349名患者（63±11岁，47%为女性）进行了中位数5.4年的随访。随访中，1,583名患者（67%）未观察到CMR引起的缺血或晚期钆增强（LGE），其主要结果年化率（<1%）和冠状动脉血管重建（1%至3%）较低。相比之下，缺血+/LGE+的患者在CMR后的第一年内，其年化主要结局率高出>4倍，冠状动脉血管再通率高出>10倍。缺血和LGE均为阴性的患者在随访过程中，每年用于缺血检测的平均费用都很低，这种模式在参与中心的4个实践环境中都很相似。

 

综上所述，在一个有稳定胸痛综合征的美国多中心队列中，在有经验的中心进行的压力CMR可提供有效的心脏预后。没有CMR缺血或LGE的患者心脏事件发生率低，几乎不需要进行冠状动脉血管重建，且后续缺血检测支出低。

 

原始出处：

 

Raymond Y Kwong, Yin Ge, et al., Cardiac Magnetic Resonance Stress Perfusion Imaging for Evaluation of Patients With Chest Pain. J Am Coll Cardiol. 2019 Oct 8;74(14):1741-1755. doi: 10.1016/j.jacc.2019.07.074.

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    2021-03-13 zhang92560

    #灌注成像#

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    2021-03-11 waiwai3030

    #Coll#

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    2021-06-15 12499e01m47暂无昵称

    #Cardiol#

    0

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createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/8B6CScn6mZoSnj6WukmUcrw3BaG5ILaDbIkoicanWsTJahAmzWgmGqzz0TQvibbKWC4g8WjDlz7PezSqe5L6caSg/132, createdBy=77a25347147, createdName=anqi5519, createdTime=Sat Oct 24 09:49:15 CST 2020, time=2020-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=891201, encodeId=f20d891201b5, content=get, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3592131933, createdName=子沐, createdTime=Sun Oct 11 08:36:42 CST 2020, time=2020-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=889447, encodeId=4add88944ece, content=考虑到非标准化的疾病标准，应考虑进一步设计良好的前瞻性试验以证实这些结果。, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Wed Sep 30 17:00:02 CST 2020, time=2020-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341704, encodeId=aaad1341e04bf, content=<a href='/topic/show?id=24b8e37529a' target=_blank style='color:#2F92EE;'>#磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73752, encryptionId=24b8e37529a, topicName=磁共振)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=24a22500182, createdName=1696533704_45270454, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1401469, encodeId=5ec3140146901, content=<a href='/topic/show?id=c818516291b' target=_blank style='color:#2F92EE;'>#心脏磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51629, encryptionId=c818516291b, topicName=心脏磁共振)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3f342339746, createdName=mhzhuang@stu.e, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1591087, encodeId=0753159108ee8, content=<a href='/topic/show?id=ed574924e8c' target=_blank style='color:#2F92EE;'>#应力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49247, encryptionId=ed574924e8c, topicName=应力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b79433, createdName=jiangjun073, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888901, encodeId=5bba88890179, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Sep 28 14:45:20 CST 2020, time=2020-09-28, status=1, ipAttribution=)]
    2020-10-24 anqi5519

    学习

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1988445, encodeId=2c0a198844588, content=<a href='/topic/show?id=7d62668e678' target=_blank style='color:#2F92EE;'>#灌注成像#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66876, encryptionId=7d62668e678, topicName=灌注成像)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7460166, createdName=zhang92560, createdTime=Sat Mar 13 09:34:41 CST 2021, time=2021-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1783376, encodeId=b01c1e83376a2, content=<a href='/topic/show?id=f16a499652' target=_blank style='color:#2F92EE;'>#Coll#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4996, encryptionId=f16a499652, topicName=Coll)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=07f7192, createdName=waiwai3030, createdTime=Thu Mar 11 18:34:41 CST 2021, time=2021-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1782102, encodeId=0d4f1e8210264, content=<a href='/topic/show?id=5db8409ed8' target=_blank style='color:#2F92EE;'>#Cardiol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4097, encryptionId=5db8409ed8, topicName=Cardiol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7532500500, createdName=12499e01m47暂无昵称, createdTime=Tue Jun 15 22:34:41 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894075, encodeId=d2a48940e58a, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Wed Sep 30 17:00:02 CST 2020, time=2020-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341704, encodeId=aaad1341e04bf, content=<a href='/topic/show?id=24b8e37529a' target=_blank style='color:#2F92EE;'>#磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73752, encryptionId=24b8e37529a, topicName=磁共振)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=24a22500182, createdName=1696533704_45270454, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1401469, encodeId=5ec3140146901, content=<a href='/topic/show?id=c818516291b' target=_blank style='color:#2F92EE;'>#心脏磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51629, encryptionId=c818516291b, topicName=心脏磁共振)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3f342339746, createdName=mhzhuang@stu.e, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1591087, encodeId=0753159108ee8, content=<a href='/topic/show?id=ed574924e8c' target=_blank style='color:#2F92EE;'>#应力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49247, encryptionId=ed574924e8c, topicName=应力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b79433, createdName=jiangjun073, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888901, encodeId=5bba88890179, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Sep 28 14:45:20 CST 2020, time=2020-09-28, status=1, ipAttribution=)]
    2020-10-11 子沐

    get

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1988445, encodeId=2c0a198844588, content=<a href='/topic/show?id=7d62668e678' target=_blank style='color:#2F92EE;'>#灌注成像#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66876, encryptionId=7d62668e678, topicName=灌注成像)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7460166, createdName=zhang92560, createdTime=Sat Mar 13 09:34:41 CST 2021, time=2021-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1783376, encodeId=b01c1e83376a2, content=<a href='/topic/show?id=f16a499652' target=_blank style='color:#2F92EE;'>#Coll#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4996, encryptionId=f16a499652, topicName=Coll)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=07f7192, 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createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/8B6CScn6mZoSnj6WukmUcrw3BaG5ILaDbIkoicanWsTJahAmzWgmGqzz0TQvibbKWC4g8WjDlz7PezSqe5L6caSg/132, createdBy=77a25347147, createdName=anqi5519, createdTime=Sat Oct 24 09:49:15 CST 2020, time=2020-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=891201, encodeId=f20d891201b5, content=get, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3592131933, createdName=子沐, createdTime=Sun Oct 11 08:36:42 CST 2020, time=2020-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=889447, encodeId=4add88944ece, content=考虑到非标准化的疾病标准，应考虑进一步设计良好的前瞻性试验以证实这些结果。, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Wed Sep 30 17:00:02 CST 2020, time=2020-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341704, encodeId=aaad1341e04bf, content=<a href='/topic/show?id=24b8e37529a' target=_blank style='color:#2F92EE;'>#磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73752, encryptionId=24b8e37529a, topicName=磁共振)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=24a22500182, createdName=1696533704_45270454, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1401469, encodeId=5ec3140146901, content=<a href='/topic/show?id=c818516291b' target=_blank style='color:#2F92EE;'>#心脏磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51629, encryptionId=c818516291b, topicName=心脏磁共振)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3f342339746, createdName=mhzhuang@stu.e, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1591087, encodeId=0753159108ee8, content=<a href='/topic/show?id=ed574924e8c' target=_blank style='color:#2F92EE;'>#应力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49247, encryptionId=ed574924e8c, topicName=应力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b79433, createdName=jiangjun073, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888901, encodeId=5bba88890179, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Sep 28 14:45:20 CST 2020, time=2020-09-28, status=1, ipAttribution=)]
    2020-09-30 咻凡

    考虑到非标准化的疾病标准，应考虑进一步设计良好的前瞻性试验以证实这些结果。

    0

  7. 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createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/8B6CScn6mZoSnj6WukmUcrw3BaG5ILaDbIkoicanWsTJahAmzWgmGqzz0TQvibbKWC4g8WjDlz7PezSqe5L6caSg/132, createdBy=77a25347147, createdName=anqi5519, createdTime=Sat Oct 24 09:49:15 CST 2020, time=2020-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=891201, encodeId=f20d891201b5, content=get, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3592131933, createdName=子沐, createdTime=Sun Oct 11 08:36:42 CST 2020, time=2020-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=889447, encodeId=4add88944ece, content=考虑到非标准化的疾病标准，应考虑进一步设计良好的前瞻性试验以证实这些结果。, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Wed Sep 30 17:00:02 CST 2020, time=2020-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341704, encodeId=aaad1341e04bf, content=<a href='/topic/show?id=24b8e37529a' target=_blank style='color:#2F92EE;'>#磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73752, encryptionId=24b8e37529a, topicName=磁共振)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=24a22500182, createdName=1696533704_45270454, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1401469, encodeId=5ec3140146901, content=<a href='/topic/show?id=c818516291b' target=_blank style='color:#2F92EE;'>#心脏磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51629, encryptionId=c818516291b, topicName=心脏磁共振)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3f342339746, createdName=mhzhuang@stu.e, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1591087, encodeId=0753159108ee8, content=<a href='/topic/show?id=ed574924e8c' target=_blank style='color:#2F92EE;'>#应力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49247, encryptionId=ed574924e8c, topicName=应力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b79433, createdName=jiangjun073, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888901, encodeId=5bba88890179, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Sep 28 14:45:20 CST 2020, time=2020-09-28, status=1, ipAttribution=)]
    2020-09-29 1696533704_45270454

    #磁共振#

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1988445, encodeId=2c0a198844588, content=<a href='/topic/show?id=7d62668e678' target=_blank style='color:#2F92EE;'>#灌注成像#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66876, encryptionId=7d62668e678, topicName=灌注成像)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7460166, createdName=zhang92560, createdTime=Sat Mar 13 09:34:41 CST 2021, time=2021-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1783376, encodeId=b01c1e83376a2, content=<a href='/topic/show?id=f16a499652' target=_blank style='color:#2F92EE;'>#Coll#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4996, encryptionId=f16a499652, topicName=Coll)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=07f7192, createdName=waiwai3030, createdTime=Thu Mar 11 18:34:41 CST 2021, time=2021-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1782102, encodeId=0d4f1e8210264, content=<a href='/topic/show?id=5db8409ed8' target=_blank style='color:#2F92EE;'>#Cardiol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4097, encryptionId=5db8409ed8, topicName=Cardiol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7532500500, createdName=12499e01m47暂无昵称, createdTime=Tue Jun 15 22:34:41 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894075, encodeId=d2a48940e58a, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/8B6CScn6mZoSnj6WukmUcrw3BaG5ILaDbIkoicanWsTJahAmzWgmGqzz0TQvibbKWC4g8WjDlz7PezSqe5L6caSg/132, createdBy=77a25347147, createdName=anqi5519, createdTime=Sat Oct 24 09:49:15 CST 2020, time=2020-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=891201, encodeId=f20d891201b5, content=get, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3592131933, createdName=子沐, createdTime=Sun Oct 11 08:36:42 CST 2020, time=2020-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=889447, encodeId=4add88944ece, content=考虑到非标准化的疾病标准，应考虑进一步设计良好的前瞻性试验以证实这些结果。, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Wed Sep 30 17:00:02 CST 2020, time=2020-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341704, encodeId=aaad1341e04bf, content=<a href='/topic/show?id=24b8e37529a' target=_blank style='color:#2F92EE;'>#磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73752, encryptionId=24b8e37529a, topicName=磁共振)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=24a22500182, createdName=1696533704_45270454, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1401469, encodeId=5ec3140146901, content=<a href='/topic/show?id=c818516291b' target=_blank style='color:#2F92EE;'>#心脏磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51629, encryptionId=c818516291b, topicName=心脏磁共振)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3f342339746, createdName=mhzhuang@stu.e, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1591087, encodeId=0753159108ee8, content=<a href='/topic/show?id=ed574924e8c' target=_blank style='color:#2F92EE;'>#应力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49247, encryptionId=ed574924e8c, topicName=应力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b79433, createdName=jiangjun073, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888901, encodeId=5bba88890179, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Sep 28 14:45:20 CST 2020, time=2020-09-28, status=1, ipAttribution=)]
    2020-09-29 mhzhuang@stu.e

    #心脏磁共振#

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1988445, encodeId=2c0a198844588, content=<a href='/topic/show?id=7d62668e678' target=_blank style='color:#2F92EE;'>#灌注成像#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66876, encryptionId=7d62668e678, topicName=灌注成像)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7460166, createdName=zhang92560, createdTime=Sat Mar 13 09:34:41 CST 2021, time=2021-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1783376, encodeId=b01c1e83376a2, content=<a href='/topic/show?id=f16a499652' target=_blank style='color:#2F92EE;'>#Coll#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4996, encryptionId=f16a499652, topicName=Coll)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=07f7192, createdName=waiwai3030, createdTime=Thu Mar 11 18:34:41 CST 2021, time=2021-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1782102, encodeId=0d4f1e8210264, content=<a href='/topic/show?id=5db8409ed8' target=_blank style='color:#2F92EE;'>#Cardiol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4097, encryptionId=5db8409ed8, topicName=Cardiol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7532500500, createdName=12499e01m47暂无昵称, createdTime=Tue Jun 15 22:34:41 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894075, encodeId=d2a48940e58a, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/8B6CScn6mZoSnj6WukmUcrw3BaG5ILaDbIkoicanWsTJahAmzWgmGqzz0TQvibbKWC4g8WjDlz7PezSqe5L6caSg/132, createdBy=77a25347147, createdName=anqi5519, createdTime=Sat Oct 24 09:49:15 CST 2020, time=2020-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=891201, encodeId=f20d891201b5, content=get, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3592131933, createdName=子沐, createdTime=Sun Oct 11 08:36:42 CST 2020, time=2020-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=889447, encodeId=4add88944ece, content=考虑到非标准化的疾病标准，应考虑进一步设计良好的前瞻性试验以证实这些结果。, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Wed Sep 30 17:00:02 CST 2020, time=2020-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341704, encodeId=aaad1341e04bf, content=<a href='/topic/show?id=24b8e37529a' target=_blank style='color:#2F92EE;'>#磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73752, encryptionId=24b8e37529a, topicName=磁共振)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=24a22500182, createdName=1696533704_45270454, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1401469, encodeId=5ec3140146901, content=<a href='/topic/show?id=c818516291b' target=_blank style='color:#2F92EE;'>#心脏磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51629, encryptionId=c818516291b, topicName=心脏磁共振)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3f342339746, createdName=mhzhuang@stu.e, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1591087, encodeId=0753159108ee8, content=<a href='/topic/show?id=ed574924e8c' target=_blank style='color:#2F92EE;'>#应力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49247, encryptionId=ed574924e8c, topicName=应力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b79433, createdName=jiangjun073, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888901, encodeId=5bba88890179, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Sep 28 14:45:20 CST 2020, time=2020-09-28, status=1, ipAttribution=)]
    2020-09-29 jiangjun073

    #应力#

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=1988445, encodeId=2c0a198844588, content=<a href='/topic/show?id=7d62668e678' target=_blank style='color:#2F92EE;'>#灌注成像#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66876, encryptionId=7d62668e678, topicName=灌注成像)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7460166, createdName=zhang92560, createdTime=Sat Mar 13 09:34:41 CST 2021, time=2021-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1783376, encodeId=b01c1e83376a2, content=<a href='/topic/show?id=f16a499652' target=_blank style='color:#2F92EE;'>#Coll#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4996, encryptionId=f16a499652, topicName=Coll)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=07f7192, createdName=waiwai3030, createdTime=Thu Mar 11 18:34:41 CST 2021, time=2021-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1782102, encodeId=0d4f1e8210264, content=<a href='/topic/show?id=5db8409ed8' target=_blank style='color:#2F92EE;'>#Cardiol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4097, encryptionId=5db8409ed8, topicName=Cardiol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7532500500, createdName=12499e01m47暂无昵称, createdTime=Tue Jun 15 22:34:41 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894075, encodeId=d2a48940e58a, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/8B6CScn6mZoSnj6WukmUcrw3BaG5ILaDbIkoicanWsTJahAmzWgmGqzz0TQvibbKWC4g8WjDlz7PezSqe5L6caSg/132, createdBy=77a25347147, createdName=anqi5519, createdTime=Sat Oct 24 09:49:15 CST 2020, time=2020-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=891201, encodeId=f20d891201b5, content=get, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3592131933, createdName=子沐, createdTime=Sun Oct 11 08:36:42 CST 2020, time=2020-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=889447, encodeId=4add88944ece, content=考虑到非标准化的疾病标准，应考虑进一步设计良好的前瞻性试验以证实这些结果。, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Wed Sep 30 17:00:02 CST 2020, time=2020-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341704, encodeId=aaad1341e04bf, content=<a href='/topic/show?id=24b8e37529a' target=_blank style='color:#2F92EE;'>#磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73752, encryptionId=24b8e37529a, topicName=磁共振)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=24a22500182, createdName=1696533704_45270454, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1401469, encodeId=5ec3140146901, content=<a href='/topic/show?id=c818516291b' target=_blank style='color:#2F92EE;'>#心脏磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51629, encryptionId=c818516291b, topicName=心脏磁共振)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3f342339746, createdName=mhzhuang@stu.e, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1591087, encodeId=0753159108ee8, content=<a href='/topic/show?id=ed574924e8c' target=_blank style='color:#2F92EE;'>#应力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49247, encryptionId=ed574924e8c, topicName=应力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b79433, createdName=jiangjun073, createdTime=Tue Sep 29 10:34:41 CST 2020, time=2020-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=888901, encodeId=5bba88890179, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Sep 28 14:45:20 CST 2020, time=2020-09-28, status=1, ipAttribution=)]
    2020-09-28 1209e435m98(暂无昵称)

    学习了，谢谢分享

    0

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