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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
MRI in coronary artery disease
Jörg Barkhausen1, Peter Hunold, Kai-Uwe Waltering
1Department of Diagnostic and Interventional Radiology, University Hospital Essen, Hufelandstrasse 55, 45122 Essen, Germany. joerg.barkhausen@uni-essen.de
Insights
Diagnosing coronary artery disease (CAD) is difficult with current imaging. Magnetic resonance (MR) imaging offers a non-invasive method to assess cardiac function and viability, aiding treatment decisions.
Area of Science:
- Cardiovascular Imaging
- Medical Diagnostics
- Radiology
Background:
- Coronary artery disease (CAD) is a leading cause of mortality globally.
- Current non-invasive tests for CAD lack sufficient sensitivity and specificity for definitive diagnosis.
- Catheter angiography remains the gold standard but is invasive.
Purpose of the Study:
- To review the technical aspects of magnetic resonance (MR) imaging for cardiovascular assessment.
- To evaluate the clinical impact of MR imaging in diagnosing and managing CAD.
- To highlight MR's role in assessing myocardial function, ischemia, and viability.
Main Methods:
- Review of current literature on cardiac MR imaging techniques.
- Discussion of MR's capabilities in evaluating cardiac morphology, function, and viability.
- Analysis of clinical applications and benefits of MR in CAD management.
Main Results:
- MR imaging provides comprehensive, non-invasive assessment of cardiac structure and function.
- It offers valuable insights into myocardial viability and perfusion, crucial for treatment planning.
- MR imaging demonstrates potential to improve diagnostic accuracy and patient outcomes in CAD.
Conclusions:
- Magnetic resonance imaging is a powerful non-invasive tool for diagnosing and managing coronary artery disease.
- It offers a multi-parametric approach to assess cardiac health, complementing traditional methods.
- Further integration of MR techniques can enhance therapeutic decision-making for CAD patients.
Abstract:
Diagnosis of coronary artery disease (CAD) is a major challenge for medical imaging, because CAD is the leading cause of death in developed nations. Several non-invasive tests are used in clinical routine for the detection of CAD. However, due to limited sensitivity and specificity, the reliable diagnosis as well as the exclusion of CAD can only be established by catheter angiography. In patients with known CAD, therapeutic decisions require accurate information on myocardial function, ischemia and viability. Recently, magnetic resonance (MR) imaging has emerged as a non-invasive cardiac imaging technique that provides information on cardiac morphology, cardiac function, myocardial viability, and coronary morphology. This review discusses technical aspects and the clinical impact of different MR techniques.
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