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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Cardiac MR perfusion imaging: where we are

Riccardo Marano1, Luigi Natale, Amedeo Chiribiri

  • 1Department of Radiological Sciences-Institute of Radiology, Catholic University of Rome, "A. Gemelli" University Hospital, L.go Agostino Gemelli 8, 00168, Rome, Italy, riccardo.marano@rm.unicatt.it.

La Radiologia Medica
|July 18, 2014
PubMed

Insights

Perfusion cardiac magnetic resonance accurately detects myocardial ischemia and offers prognostic value. Its safety and availability make it a leading diagnostic tool for assessing heart conditions.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Myocardial ischemia detection is crucial for cardiovascular disease management.
  • Accurate non-invasive diagnostic tools are essential for timely intervention.

Purpose of the Study:

  • To review the technical aspects, clinical indications, and diagnostic performance of perfusion cardiac magnetic resonance (CMR).
  • To summarize the prognostic value and compare CMR with other non-invasive techniques for detecting myocardial ischemia.

Main Methods:

  • Systematic review of clinical and multicentre studies.
  • Comparison of perfusion CMR with quantitative coronary angiography, SPECT, PET, and fractional flow reserve.
  • Analysis of diagnostic accuracy and prognostic data.

Main Results:

  • Perfusion CMR demonstrates high accuracy in detecting myocardial ischemia, comparable to invasive methods.
  • Evidence supports the prognostic value of perfusion CMR findings.
  • Favorable safety profile and increasing availability enhance its clinical utility.

Conclusions:

  • Perfusion CMR is a reliable and preferred modality for diagnosing myocardial ischemia.
  • Its diagnostic and prognostic capabilities are well-established.
  • CMR offers a valuable alternative to other non-invasive and invasive assessments.

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