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Updated: May 13, 2026
08:13
In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
Published on: February 16, 2016
Myocardial viability: whom, what, why, which, and how?
Brian A Mc Ardle1, Rob S B Beanlands
1Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
The Canadian Journal of Cardiology
|February 27, 2013
Summary
Viability imaging can guide revascularization decisions in ischemic cardiomyopathy. Reserve viability testing for complex patients to optimize treatment benefits and outcomes.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Ischemic cardiomyopathy presents challenges for revascularization decisions.
- Viability imaging plays a role in guiding treatment strategies.
Purpose of the Study:
- To discuss current viability imaging modalities for ischemic cardiomyopathy.
- To provide guidance on patient selection for viability testing.
- To emphasize the role of viability testing in clinical decision-making.
Main Methods:
- Review of current clinical practice guidelines and recent trial data.
- Discussion of various imaging modalities used for assessing myocardial viability.
Main Results:
- Viability imaging is a valuable tool in selected patients.
- Recent trials offer insights into modality selection and patient stratification.
- Testing should be reserved for complex cases with high potential benefit.
Conclusions:
- Viability imaging results should be integrated with other clinical factors.
- It serves as an objective adjunct to decision-making, not the sole determinant.
- Careful patient selection is crucial for maximizing the benefits of revascularization guided by imaging.
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