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Updated: Jul 4, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
No-reflow phenomenon in cardiac MRI: diagnosis and clinical implications
Víctor Pineda1, Xavier Merino, Susana Gispert
1Department of Radiology, Unitat de Ressonància Magnètica, Hospital General Vall d'Hebron, Pg. De la Vall d'Hebron 119-129, 08035 Barcelona, Spain. victor@pineda.com.es
Objective:
The purposes of this study were to depict the first-pass, delayed contrast enhancement and regional myocardial wall motion abnormalities of no-reflow phenomenon MRI and to review the major mechanisms and significance of this phenomenon in the clinical setting.
Conclusion:
Contrast-enhanced MRI is a useful noninvasive technique for determining the presence of microvascular obstruction. No-reflow phenomenon has important prognostic implications, and knowledge of the physiologic mechanism is important to understanding the distribution patterns of enhancement in correlation with the underlying pathologic process.
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