Abstract: Kawasaki disease（KD）is recognized as the leading cause of acquired heart disease in children in developed countries，with coronary artery damage being its most frequent and most severe complication. Early diagnosis and evaluation of coronary artery damage in children with Kawasaki disease are of critical importance for both treatment and prognosis. This article reviews the research progress in imaging diagnostic techniques for coronary artery lesions in Kawasaki disease. It summarizes the strengths and limitations of various imaging modalities，including echocardiography，cardiovascular magnetic resonance imaging（CMR），CT coronary angiography（CTCA），optical coherence tomography（OCT），and intravascular ultrasound（IVUS），and discusses the application indications and timing recommended by the latest guidelines in China and around the world，which provides references for future clinical diagnosis，treatment and follow-up.

Key words: Kawasaki disease, diagnosis, imaging

摘要： 川崎病被认为是发达国家儿童获得性心脏病的首要病因，冠状动脉损害是其最常见且最严重的并发症。早期诊断和评估川崎病患儿冠状动脉损害对治疗和预后至关重要。该文对川崎病冠状动脉病变的影像学诊断技术研究进展进行综述，总结了超声心动图、心血管磁共振、冠状动脉造影、光学相干断层成像和血管内超声等技术的优势和局限，并探讨了最新国内外指南推荐应用指征及使用时机，为川崎病患儿未来临床诊疗及随访提供参考依据。

关键词: 川崎病, 诊断, 影像学