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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
06:29

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

Cardiovascular magnetic resonance imaging for assessment of cardiac thrombus

Parag Goyal1, Jonathan W Weinsaft

  • 1Weill Cornell Medical College, New York, New York.

Methodist Debakey Cardiovascular Journal
|September 26, 2013
PubMed

Insights

Cardiac magnetic resonance imaging (CMR) offers superior detection of cardiac thrombus over echocardiography by analyzing intrinsic tissue characteristics. Emerging contrast agents further enhance CMR

Area of Science:

  • Cardiology
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Cardiac thrombus formation poses a risk for embolic events, necessitating accurate detection and management.
  • Anticoagulant therapy is indicated for patients with cardiac thrombus, highlighting the need for reliable diagnostic tools.

Purpose of the Study:

  • To review the established and emerging literature on the use of cardiac magnetic resonance (CMR) imaging for the assessment of cardiac thrombus.
  • To compare the efficacy of CMR with other imaging modalities, such as echocardiography, in thrombus detection.

Main Methods:

  • Review of existing studies and literature on cardiac magnetic resonance imaging for cardiac thrombus detection.
  • Analysis of delayed enhancement CMR tissue characterization validated against pathological and clinical outcomes.
  • Examination of comparative studies assessing CMR versus echocardiography for thrombus detection.

Main Results:

  • Cardiac magnetic resonance imaging detects thrombus based on intrinsic tissue characteristics, reflecting avascular tissue composition.
  • Delayed enhancement CMR tissue characterization is well-validated for thrombus assessment.
  • CMR demonstrates improved thrombus detection rates compared to echocardiography, which relies on anatomical appearance.

Conclusions:

  • Cardiac magnetic resonance imaging is a validated and effective tool for cardiac thrombus assessment.
  • Emerging research explores targeted contrast agents for detailed thrombus characterization using CMR.
  • CMR offers a more comprehensive approach to cardiac thrombus evaluation than traditional echocardiography.

Keywords:
echocardiographymagnetic resonance imagingthrombus

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