Coronary artery disease: comprehensive evaluation by cardiovascular magnetic resonance imaging

R S Tan1, K K W Chen

  • 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.

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