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Updated: Jul 12, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Valvular heart disease: what does cardiovascular MRI add?
Pier Giorgio Masci1, Steven Dymarkowski, Jan Bogaert
1Department of Radiology, Gasthuisberg University Hospital, 49 Herestraat, Leuven, 3000, Belgium.
Insights
Valvular heart disease (VHD) affects many elderly patients. Cardiovascular magnetic resonance imaging (MRI) offers a fast, accurate, and reproducible alternative to traditional methods for diagnosing and managing VHD.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Ischemic heart disease is a leading cause of death, but valvular heart disease (VHD) is increasingly prevalent, especially in the elderly.
- Doppler-echocardiography is common for VHD evaluation but has limitations affecting image quality and interpretation.
- Cardiac catheterization, while a reference, is invasive and not optimal for routine VHD assessment.
Purpose of the Study:
- To review the utility of cardiovascular magnetic resonance imaging (MRI) in diagnosing and managing valvular heart disease (VHD).
- To highlight the added value of MRI compared to conventional diagnostic techniques for VHD.
Main Methods:
- Review of existing literature on cardiovascular magnetic resonance imaging (MRI) for valvular heart disease (VHD) assessment.
- Comparison of MRI capabilities with Doppler-echocardiography and cardiac catheterization.
Main Results:
- Cardiovascular magnetic resonance imaging (MRI) is an established method for assessing ventricular function and mass.
- Advancements in MRI technology have made cardiac valve function assessment fast, accurate, and reproducible.
- MRI provides valuable diagnostic information for VHD, overcoming limitations of other modalities.
Conclusions:
- Cardiovascular magnetic resonance imaging (MRI) is a powerful tool for the diagnosis and management of valvular heart disease (VHD).
- MRI offers significant advantages over conventional methods, providing accurate and reproducible assessments of cardiac valve function.
Abstract:
Although ischemic heart disease remains the leading cause of cardiac-related morbidity and mortality in the industrialized countries, a growing number of mainly elderly patients will experience a problem of valvular heart disease (VHD), often requiring surgical intervention at some stage. Doppler-echocardiography is the most popular imaging modality used in the evaluation of this disease entity. It encompasses, however, some non-negligible constraints which may hamper the quality and thus the interpretation of the exam. Cardiac catheterization has been considered for a long time the reference technique in this field, however, this technique is invasive and considered far from optimal. Cardiovascular magnetic resonance imaging (MRI) is already considered an established diagnostic method for studying ventricular dimensions, function and mass. With improvement of MRI soft- and hardware, the assessment of cardiac valve function has also turned out to be fast, accurate and reproducible. This review focuses on the usefulness of MRI in the diagnosis and management of VHD, pointing out its added value in comparison with more conventional diagnostic means.
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