Assessment of stable coronary artery disease by cardiovascular magnetic resonance imaging: Current and emerging
James R J Foley1, Sven Plein1, John P Greenwood1
1James R J Foley, Sven Plein, John P Greenwood, Multidisciplinary Cardiovascular Research Centre and Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds LS2 9JT, United Kingdom.
Insights
Cardiovascular magnetic resonance (CMR) aids in diagnosing and managing coronary artery disease (CAD). This advanced imaging technique offers comprehensive cardiac assessment without radiation, improving patient care.
Area of Science:
- Cardiology
- Medical Imaging
- Cardiovascular Disease
Background:
- Coronary artery disease (CAD) is a major global health concern.
- Cardiovascular magnetic resonance (CMR) is a recommended diagnostic tool for CAD.
- CMR offers a non-invasive, radiation-free method for comprehensive cardiac evaluation.
Purpose of the Study:
- To review the current applications of multi-parametric CMR in stable CAD.
- To explore future advancements in CMR for CAD investigation.
Main Methods:
- Multi-parametric CMR imaging.
- Assessment of cardiac function, myocardial perfusion, viability, and coronary anatomy.
- Utilizing high spatial resolution and flexible imaging planes.
Main Results:
- CMR provides detailed information on cardiac function and myocardial status.
- It enables comprehensive assessment of coronary artery anatomy.
- Technological advancements are expanding CMR's utility in cardiovascular disease.
Conclusions:
- CMR is a valuable, radiation-free tool for diagnosing and managing stable CAD.
- Ongoing technological progress and clinical evidence reinforce CMR's role in cardiology.
- Future directions involve further enhancing multi-parametric CMR for CAD investigation.
Abstract:
Coronary artery disease (CAD) is a leading cause of death and disability worldwide. Cardiovascular magnetic resonance (CMR) is established in clinical practice guidelines with a growing evidence base supporting its use to aid the diagnosis and management of patients with suspected or established CAD. CMR is a multi-parametric imaging modality that yields high spatial resolution images that can be acquired in any plane for the assessment of global and regional cardiac function, myocardial perfusion and viability, tissue characterisation and coronary artery anatomy, all within a single study protocol and without exposure to ionising radiation. Advances in technology and acquisition techniques continue to progress the utility of CMR across a wide spectrum of cardiovascular disease, and the publication of large scale clinical trials continues to strengthen the role of CMR in daily cardiology practice. This article aims to review current practice and explore the future directions of multi-parametric CMR imaging in the investigation of stable CAD.
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