[Cardiac MR in development: the large multicenter CMR studies in 2012]
G Vincenti1, P Monney, D Locca
1Service de Cardiologie, Départment de Médecine Interne, CHUV, Lausanne.
Revue Medicale Suisse
|October 30, 2013
Summary
Cardiovascular magnetic resonance (CMR) shows superior performance for diagnosing coronary artery disease (CAD) compared to SPECT. Recent studies support CMR as a first-line diagnostic tool for heart failure when other methods are insufficient.
Area of Science:
- Cardiology
- Medical Imaging
- Radiology
Context:
- Recent large multicenter cardiovascular magnetic resonance (CMR) studies in 2012 provided robust evidence on CMR performance.
- The MR-IMPACT programme and CE-MARC study specifically highlighted the advantages of perfusion-CMR.
- The European CMR registry data encompasses nearly 30,000 patients across 57 centers in 15 countries.
Purpose:
- To review and synthesize the findings of significant 2012 CMR studies.
- To evaluate the diagnostic efficacy of perfusion-CMR against gated SPECT for suspected coronary artery disease (CAD).
- To present safety data on MRI-compatible pacemaker systems from the Advisa-MRI study.
Summary:
- Perfusion-CMR demonstrated superiority over gated SPECT in evaluating suspected CAD.
- The European CMR registry provides extensive real-world data on CMR utilization and outcomes.
- The Advisa-MRI study confirmed the safety of MRI-compatible pacemakers, expanding device compatibility.
- These collective findings support the integration of CMR into clinical practice.
Impact:
- Established CMR as a superior non-invasive imaging modality for suspected CAD.
- Influenced European guidelines, recommending CMR as a first-line method for heart failure diagnosis when echocardiography is suboptimal.
- Expanded the safe use of cardiovascular imaging in patients with implanted electronic devices.
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