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Updated: Jun 14, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
06:29

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

[Cardiac computed tomography and magnetic resonance imaging in patients with coronary artery disease]

U Sechtem1, A Geissler, A Athanasiadis

  • 1Abteilung für Kardiologie, Robert-Bosch-Krankenhaus, Auerbachstrasse 110, 70376, Stuttgart, Deutschland. udo.sechtem@rbk.de

Der Internist
|April 8, 2010
PubMed

Insights

Coronary CT angiography (CTCA) effectively evaluates coronary artery stenosis in symptomatic patients. Cardiac MRI (CMR) excels in stress testing and assessing myocardial viability without radiation.

Area of Science:

  • Cardiovascular imaging
  • Radiology
  • Medical diagnostics

Context:

  • Coronary angiography by computed tomography (CTCA) is indicated for symptomatic patients with intermediate likelihood of coronary stenosis.
  • Cardiac magnetic resonance imaging (CMR) is primarily used for pharmacologic stress testing and myocardial viability assessment.

Purpose:

  • To outline the appropriate use cases for CTCA and CMR in cardiovascular diagnostics.
  • To highlight CTCA's role in excluding coronary stenosis and CMR's utility in stress testing and viability assessment.

Summary:

  • CTCA is suitable for symptomatic patients with intermediate pre-test probability of coronary artery disease, aiding in stenosis exclusion and management decisions.
  • CMR serves as a key tool for pharmacologic stress testing (dobutamine stress CMR, adenosine perfusion CMR) and is the gold standard for myocardial scar assessment (late gadolinium enhancement CMR) to predict functional recovery.

Impact:

  • Provides clear guidelines for utilizing advanced imaging techniques in cardiology.
  • Offers alternatives to invasive procedures and radiation-based imaging, improving patient management and outcomes.

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