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Updated: May 28, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Coronary imaging with cardiovascular magnetic resonance: current state of the art
Amedeo Chiribiri1, Masaki Ishida, Eike Nagel
1Division of Imaging Sciences and Biomedical Engineering, King’s College London, UK. amedeo.chiribiri@kcl.ac.uk
Insights
Cardiovascular magnetic resonance (CMR) offers noninvasive, radiation-free imaging of coronary arteries and cardiac function. This review updates technical improvements and clinical applications for CMR coronary angiography.
Area of Science:
- Cardiovascular Imaging
- Medical Diagnostics
- Magnetic Resonance Imaging
Background:
- Cardiovascular magnetic resonance (CMR) provides noninvasive, radiation-free visualization of coronary arteries and veins.
- It offers integrated assessment of cardiac function, viability, perfusion, and anatomy.
- CMR enables noninvasive coronary vessel wall imaging, assessing normal and diseased vessels.
Purpose of the Study:
- To update on technical improvements in coronary magnetic resonance angiography (MRA).
- To provide guidance on optimizing acquisition protocols for coronary MRA.
- To overview the current clinical applications of coronary MRA.
Main Methods:
- Review of technical advancements in coronary MRA.
- Discussion of strategies to overcome motion artifacts and vessel tortuosity.
- Analysis of optimized acquisition protocols for specific clinical scenarios.
Main Results:
- CMR allows comprehensive cardiovascular assessment, including coronary anatomy and function.
- Technical solutions have been developed to address challenges in coronary MRA.
- Optimized protocols enhance the feasibility and diagnostic value of coronary MRA.
Conclusions:
- Coronary MRA is a valuable tool for noninvasive assessment of coronary arteries.
- Ongoing technical improvements are expanding its clinical utility.
- CMR offers a radiation-free alternative for evaluating coronary artery disease and related conditions.
Abstract:
Cardiovascular magnetic resonance allows noninvasive and radiation-free visualization of both the coronary arteries and veins, with the advantage of an integrated assessment of cardiac function, viability, perfusion, and anatomy. This combined approach provides valuable integrated information for patients with coronary artery disease and patients undergoing cardiac resynchronization therapy. Moreover, magnetic resonance offers the possibility of coronary vessel wall imaging, therefore assessing the anatomy and pathology of the normal and diseased coronary vessels noninvasively. Coronary magnetic resonance angiography is challenging because of cardiac and respiratory motion and the small size and tortuous path of the coronary vessels. Several technical solutions have been developed to optimize the acquisition protocol to the specific clinical question. The aims of this review are to provide an update on current technical improvements in coronary magnetic resonance angiography, including how to optimize the acquisition protocols, and to give an overview of its current clinical application.
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