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Related Experiment Videos

Myocardial perfusion.

Juerg Schwitter1

  • 1Cardiology Clinics, University Hospital Zurich, Zurich, Switzerland. juerg.schwitter@usz.ch

Journal of Magnetic Resonance Imaging : JMRI
|October 13, 2006
PubMed
Summary
This summary is machine-generated.

Perfusion cardiac magnetic resonance (CMR) imaging is advancing for diagnosing coronary artery disease (CAD). Future efforts should focus on standardizing protocols and training for early, active patient management.

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Area of Science:

  • Cardiovascular Imaging
  • Diagnostic Radiology

Background:

  • Noninvasive cardiac magnetic resonance (CMR) imaging is rapidly advancing.
  • It is expected to become a standard tool for diagnosing coronary artery disease (CAD).

Purpose of the Study:

  • To discuss the rationale and current state-of-the-art perfusion-CMR techniques.
  • To identify unresolved aspects and propose improvements for patient management.

Main Methods:

  • Review of current perfusion-CMR techniques including pharmacological stress, monitoring, pulse sequences, and contrast media (CM) doses.
  • Discussion of unresolved aspects like imaging protocols, pulse sequence parameters, cardiac coverage, and analysis algorithms.

Main Results:

  • Perfusion-CMR is reliable and repeatable in experienced centers, according to multicenter trials.

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  • Key areas requiring definition include optimal protocols, analysis methods, and quality criteria.

    • Conclusions:

    • Standardized training and validated protocols are crucial for widespread adoption of perfusion-CMR.
    • A shift towards an active management strategy using perfusion-CMR for early detection of high-risk CAD patients is proposed.