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Updated: Apr 26, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
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.
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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