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Updated: May 7, 2026
06:29
Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Cardiac MRI for myocardial ischemia
Caroline Daly1, Raymond Y Kwong
1St. James Hospital, Dublin, Ireland.
Methodist Debakey Cardiovascular Journal
|September 26, 2013
Summary
Cardiac MRI (CMR) offers superior assessment of coronary artery stenosis
Area of Science:
- Cardiovascular Imaging
- Radiology
- Medical Diagnostics
Background:
- Assessing coronary artery stenosis' impact on the left ventricle (LV) is crucial for patient prognosis and treatment.
- Cardiac magnetic resonance imaging (CMR) provides high-resolution myocardial perfusion imaging.
- Late gadolinium enhancement (LGE) identifies myocardial infarction.
Purpose of the Study:
- To review the technical aspects, diagnostic utility, prognostic value, and future developments of stress CMR imaging.
- To highlight CMR's ability to assess myocardial hypoperfusion independent of infarction.
- To compare CMR with other imaging modalities like SPECT and echocardiography.
Main Methods:
- Utilizes first-pass transit of intravenous gadolinium contrast for perfusion assessment.
- Combines vasodilating stress perfusion imaging with LGE imaging.
- Employs dobutamine stress CMR for enhanced diagnostic value in specialized centers.
Main Results:
- Stress CMR offers higher spatial and temporal resolution than nuclear imaging.
- It can quantitatively and qualitatively assess hypoperfusion from stenosis.
- Dobutamine stress CMR shows incremental diagnostic value over stress echocardiography.
Conclusions:
- Stress CMR is a robust diagnostic tool for evaluating coronary artery stenosis.
- It provides valuable prognostic information and aids treatment decisions.
- Further developments are expected to enhance clinical adaptation and utility.
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