Magnetic resonance coronary angiography

Ted P Yang1, Gerald M Pohost

  • 1Division of Cardiovascular Medicine, University of Southern California, Keck School of Medicine, Los Angeles, CA 90089-9231, USA.

Insights

Cardiovascular magnetic resonance angiography offers a noninvasive method for imaging coronary arteries, potentially replacing traditional X-ray methods for diagnosing coronary artery disease. This technique shows promise as the future gold standard for coronary artery imaging.

Area of Science:

  • Cardiovascular imaging
  • Medical diagnostics
  • Radiology

Background:

  • Coronary artery disease (CAD) is a major cause of mortality in the US.
  • Catheter-based X-ray angiography is the current diagnostic standard for CAD.
  • Noninvasive imaging of coronary arteries is highly desirable.

Purpose of the Study:

  • To discuss the fundamental concepts and techniques of coronary angiography using cardiovascular magnetic resonance (CMR).
  • To review clinical studies validating CMR coronary angiography.
  • To explore future developments in CMR coronary angiography.

Main Methods:

  • Detailed explanation of CMR principles for coronary artery imaging.
  • Discussion of motion suppression techniques crucial for image quality.
  • Review and synthesis of existing clinical validation studies.

Main Results:

  • CMR angiography can noninvasively visualize coronary arteries.
  • Clinical studies demonstrate the feasibility and accuracy of CMR coronary angiography.
  • The technique is rapidly evolving with ongoing advancements.

Conclusions:

  • Coronary angiography with cardiovascular magnetic resonance is a promising noninvasive diagnostic tool.
  • It has the potential to become the gold standard for coronary artery imaging.
  • Further developments may enhance its clinical utility and adoption.

Related Concept Videos

Imaging Studies for Cardiovascular System IV: CMRI01:21

Imaging Studies for Cardiovascular System IV: CMRI

Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
Magnetic Resonance Imaging01:24

Magnetic Resonance Imaging

Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Imaging Studies I: CT and MRI01:14

Imaging Studies I: CT and MRI

Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Imaging Studies IV: Magnetic Resonance Imaging01:27

Imaging Studies IV: Magnetic Resonance Imaging

Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...