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Updated: Aug 17, 2026

Ultrasonic Assessment of Myocardial Microstructure
Published on: January 14, 2014
Imaging of pericardial disease
1Department of Radiology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. glockner.james@mayo.edu
Abstract:
Pericardial pathology is most often identified by its effect on cardiac function. Echocardiography is usually performed first in evaluation of pericardial disease, but is occasionally limited or indeterminate. MR imaging is often helpful in these cases, offering superior soft tissue contrast and the ability to image the entire pericardium and its relationship to cardiac structure and function. Many of the techniques recently developed for myocardial imaging are equally applicable to the pericardium and frequently assist in the diagnosis of pericardial disease. In this article, the authors review MR imaging techniques for pericardial imaging, discuss the appearance of the normal pericardium, and illustrate pathologic and congenital conditions of the pericardium.
Insights
Magnetic Resonance (MR) imaging aids in diagnosing pericardial disease when echocardiography is inconclusive. This technique offers detailed views of the pericardium and its cardiac relationship, improving diagnostic accuracy for various pericardial conditions.
Area of Science:
- Cardiovascular Imaging
- Radiology
- Cardiac MRI
Background:
- Pericardial pathology diagnosis often relies on cardiac function assessment.
- Echocardiography is the initial imaging modality for pericardial disease.
- Echocardiography can be limited or indeterminate in diagnosing pericardial conditions.
Purpose of the Study:
- To review Magnetic Resonance (MR) imaging techniques for pericardial imaging.
- To describe the normal pericardial appearance on MR imaging.
- To illustrate the MR imaging findings of pathologic and congenital pericardial conditions.
Main Methods:
- Review of MR imaging techniques applicable to the pericardium.
- Discussion of normal pericardial anatomy on MR.
- Illustration of pathological and congenital pericardial disease using MR imaging.
Main Results:
- MR imaging provides superior soft tissue contrast for pericardial evaluation.
- MR imaging visualizes the entire pericardium and its relationship to cardiac structures.
- Advanced myocardial imaging techniques are applicable to pericardial assessment.
Conclusions:
- MR imaging is a valuable tool for diagnosing pericardial disease, especially when echocardiography is limited.
- MR imaging enhances the understanding of pericardial pathology and congenital abnormalities.
- Comprehensive MR imaging protocols improve the diagnostic capability for pericardial conditions.
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