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Updated: Jul 10, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Magnetic resonance imaging of the coronary arteries
S C Gerretsen1, M E Kooi, S Schalla
1Department of Radiology, Maastricht University Hospital, Maastricht, The Netherlands.
Insights
Magnetic resonance imaging (MRI) offers a noninvasive alternative to X-ray coronary angiography for diagnosing coronary artery disease (CAD). Advances in coronary MRI provide high-resolution anatomical and functional data, improving patient safety and diagnostic accuracy for CAD.
Area of Science:
- Cardiovascular imaging
- Medical diagnostics
- Radiology
Background:
- Coronary artery disease (CAD) is a major global cause of mortality.
- X-ray coronary angiography is the standard diagnostic tool but carries risks and can be inconclusive in up to 40% of cases.
- Noninvasive imaging alternatives are needed to improve patient outcomes and reduce unnecessary invasive procedures.
Purpose of the Study:
- To review the technical advancements and clinical applications of magnetic resonance imaging (MRI) for coronary artery imaging.
- To discuss the current status and future potential of coronary MRI as a diagnostic tool.
- To highlight the benefits of noninvasive coronary MRI over traditional angiography.
Main Methods:
- Review of technical developments in coronary MRI over the past two decades.
- Analysis of current clinical applications providing anatomical and functional information.
- Discussion of image quality, temporal, and spatial resolution in coronary MRI.
Main Results:
- Coronary MRI has significantly improved due to technological advancements.
- Current coronary MRI techniques provide high-resolution anatomical and functional data.
- Coronary MRI is emerging as a promising noninvasive diagnostic method for CAD.
Conclusions:
- Coronary MRI represents a significant advancement in noninvasive cardiovascular imaging.
- It offers a safer and potentially more accurate alternative to X-ray coronary angiography for diagnosing CAD.
- Future applications of coronary MRI are expected to further enhance CAD diagnosis and management.
Abstract:
Despite progress in prevention and early diagnosis, coronary artery disease (CAD) remains one of the leading causes of mortality in the world. For many years, invasive X-ray coronary angiography has been the method of choice for the diagnosis of significant CAD. However, up to 40% of patients referred for elective X-ray coronary angiography have no clinically significant stenoses. These patients still remain subjected to the potential risks of X-ray angiography. As an alternative, magnetic resonance imaging (MRI) is currently one of the most promising techniques for noninvasive imaging of the coronary arteries. Over the past two decades, many technical developments have been implemented that have led to major improvements in coronary MRI. Nowadays, both anatomical and functional information can be obtained with high temporal and spatial resolution and good image quality. In this review we will discuss the technical foundations and current status of clinical coronary MRI, and some potential future applications.
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