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Updated: Mar 21, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Cardiac computed tomography and magnetic resonance imaging: complementary or competing?
Amit Pursnani1, Akhil Narang, Robert Edelman
1Division of Cardiology, NorthShore University Health System, Evanston, IL, USA.
Cardiac computed tomography (CT) and magnetic resonance imaging (MRI) are vital for structural heart interventions. The choice between CT and MRI depends on the specific procedure, patient factors, and available expertise.
Area of Science:
- Cardiovascular imaging
- Medical diagnostics
- Interventional cardiology
Background:
- Cardiac computed tomography (CT) and magnetic resonance imaging (MRI) play crucial roles in structural heart interventions.
- Both imaging modalities offer distinct advantages for patient management.
Purpose of the Study:
- To compare the roles and strengths of CT and MRI in structural heart interventions.
- To guide the selection of appropriate imaging techniques based on clinical needs.
Main Methods:
- Review of the capabilities of cardiac CT and MRI in the context of structural heart interventions.
- Analysis of imaging features, patient factors, and procedural considerations.
Main Results:
- CT excels in spatial resolution and rapid acquisition, facilitating multiplanar reconstructions.
- MRI provides combined hemodynamic and anatomical data with tissue characterization, avoiding radiation and nephrotoxic contrast.
- Strengths of each modality are complementary and depend on the specific intervention.
Conclusions:
- The selection of CT or MRI for structural heart interventions is multifactorial.
- Optimal choice depends on the specific intervention, patient characteristics, and institutional resources.
- Both CT and MRI are indispensable tools in modern interventional cardiology.
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