Magnetic resonance coronary angiography: where are we today?

Amedeo Chiribiri1, Rene M Botnar, Eike Nagel

  • 1Division of Imaging Sciences and Biomedical Engineering, King's College London BHF Centre of Excellence, NIHR Biomedical Research Centre, London, SE1 7EH, UK. amedeo.chiribiri@kcl.ac.uk

Insights

Cardiovascular magnetic resonance imaging offers non-invasive, radiation-free visualization of coronary arteries and veins. Ongoing technical advancements are enhancing coronary vessel wall imaging quality for better diagnostic assessments.

Area of Science:

  • Cardiovascular Imaging
  • Medical Physics
  • Radiology

Background:

  • Cardiovascular magnetic resonance (CMR) enables non-invasive, radiation-free visualization of coronary arteries and veins.
  • Coronary vessel wall imaging via CMR is crucial for comprehensive cardiac assessment, complementing evaluations of cardiac function, anatomy, viability, and perfusion.
  • Technical challenges, including cardiac/respiratory motion and small vessel size, necessitate advanced solutions for optimal image quality.

Purpose of the Study:

  • To provide an update on the clinical applications of cardiovascular magnetic resonance coronary angiography.
  • To review recent technical advancements in coronary vessel wall imaging.
  • To describe current acquisition protocols for cardiovascular magnetic resonance coronary angiography.

Main Methods:

  • Review of current literature on cardiovascular magnetic resonance coronary angiography.
  • Discussion of technical solutions for motion artifact reduction and image optimization.
  • Description of adapted acquisition protocols for specific clinical scenarios.

Main Results:

  • Cardiovascular magnetic resonance coronary angiography is a developing field with improving diagnostic capabilities.
  • Technical innovations are addressing challenges related to motion and vessel size.
  • Specific acquisition protocols enhance image quality and diagnostic value.

Conclusions:

  • Cardiovascular magnetic resonance is a valuable tool for coronary vessel assessment.
  • Continued technical development is improving the diagnostic quality of coronary vessel wall imaging.
  • Tailored acquisition protocols are essential for maximizing the clinical utility of CMR coronary angiography.

Related Concept Videos

Imaging Studies for Cardiovascular System IV: CMRI01:21

Imaging Studies for Cardiovascular System IV: CMRI

Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
Magnetic Resonance Imaging01:24

Magnetic Resonance Imaging

Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
Imaging Studies I: CT and MRI01:14

Imaging Studies I: CT and MRI

Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...