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.

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