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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Computed Tomography and Cardiac Magnetic Resonance in Ischemic Heart Disease

Marc R Dweck1, Michelle C Williams2, Alastair J Moss2

  • 1Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.

Journal of the American College of Cardiology
|November 19, 2016
PubMed

Insights

Advanced imaging techniques like computed tomography (CT) and cardiac magnetic resonance (CMR) can now track ischemic heart disease throughout a patient

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Ischemic heart disease (IHD) stems from coronary atherosclerosis, impacting the left ventricle.
  • IHD presents with a long preclinical phase, myocardial infarction, and chronic conditions like angina and cardiomyopathy.

Purpose of the Study:

  • To explore the role of advanced imaging in tracking ischemic heart disease across its disease spectrum.
  • To highlight the complementary capabilities of computed tomography (CT) and cardiac magnetic resonance (CMR) in IHD assessment.

Main Methods:

  • Utilizing computed tomography (CT) for noninvasive coronary artery imaging.
  • Employing cardiac magnetic resonance (CMR) for detailed assessment of myocardial perfusion, viability, and function.

Main Results:

  • CT is the preferred noninvasive method for coronary artery visualization.
  • CMR provides in-depth analysis of myocardial health and cardiac function.
  • Emerging data from randomized controlled trials support the clinical utility of CT and CMR.

Conclusions:

  • CT and CMR enable comprehensive, lifetime tracking of ischemic heart disease.
  • Further evidence on clinical efficacy and cost-effectiveness is needed for widespread adoption of cardiac CT and CMR.

Keywords:
acute coronary syndromeatherosclerosiscalciumcoronary artery diseasemyocardial infarctionnoninvasive imaging

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