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Updated: Aug 22, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Coronary artery disease: comprehensive evaluation by cardiovascular magnetic resonance imaging
1Department of Cardiothoracic Surgery, National Heart Centre, Mistri Wing, 17 Third Hospital Avenue, Singapore 168752. Tan_Ru_San@nhc.com.sg
Insights
Cardiac magnetic resonance (CMR) imaging offers a comprehensive, non-invasive approach for evaluating coronary artery disease (CAD). Its applications range from assessing heart function to characterizing atherosclerotic plaques, with ongoing technical advancements enhancing its clinical utility.
Area of Science:
- Cardiovascular Imaging
- Radiology
- Medical Diagnostics
Background:
- Cardiac magnetic resonance (CMR) imaging is a key non-invasive diagnostic tool.
- It provides comprehensive evaluation for coronary artery disease (CAD).
- Current clinical impact is significant for ventricular function and myocardial viability assessment.
Purpose of the Study:
- To review the current clinical applications of CMR imaging in the diagnosis of CAD.
- To highlight the versatility of CMR in assessing various aspects of cardiac health relevant to CAD.
- To discuss the evolving role of CMR with technological advancements.
Main Methods:
- Review of current clinical CMR imaging techniques for CAD diagnosis.
- Assessment of CMR's capabilities in evaluating cardiac morphology, function, perfusion, viability, and plaque characterization.
- Discussion of the impact of hardware and software refinements on CMR performance.
Main Results:
- CMR is established for assessing ventricular function and myocardial viability.
- Techniques for coronary artery visualization and plaque characterization show promising results.
- Ongoing technical refinements are expected to increase the acceptance and utility of advanced CMR methods.
Conclusions:
- CMR imaging is a versatile and important modality for the non-invasive diagnosis of CAD.
- Established CMR applications have clinical impact, while emerging techniques show significant potential.
- Continued technical development will further solidify CMR's role in comprehensive CAD evaluation.
Abstract:
Cardiac magnetic resonance (CMR) imaging has emerged as an important non-invasive cardiac imaging modality. A versatile technique, it has the potential for comprehensive evaluation of coronary artery disease (CAD): cardiac morphology and function, myocardial perfusion, myocardial viability, coronary artery visualisation and atherosclerotic plaque characterisation. Some of these techniques--ventricular function and myocardial viability assessment--have already made mainstream clinical impact. Other techniques have yielded promising initial results, and will become increasingly accepted with technical refinement in scanner hardware and software. This article reviews the current status of clinical CMR imaging for diagnosis of CAD.
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Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...