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Utility of multimodality cardiac imaging in disorders of the pericardium

Bo Xu1,2,3, Serge C Harb1,2,3, Allan L Klein1,2,3

  • 1Xu B, Section of Cardiovascular Imaging, Center for the Diagnosis and Treatment of Pericardial Diseases, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.

Echo Research and Practice
|March 29, 2018
PubMed

Insights

Advances in cardiovascular imaging, especially cardiac magnetic resonance (CMR), are improving the diagnosis and treatment of pericarditis and other pericardial diseases. This review highlights imaging modalities for better patient care.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Pathophysiology

Background:

  • Pericardial diseases historically lacked research and advanced diagnostics.
  • Limited evidence-based treatments hindered management.
  • Recent interest driven by imaging and understanding inflammation.

Purpose of the Study:

  • Review the role of multimodality cardiovascular imaging in pericardial conditions.
  • Focus on echocardiography, MDCT, and CMR.
  • Highlight strengths and limitations of each modality.

Main Methods:

  • Review of current literature on pericardial disease imaging.
  • Analysis of echocardiography, multidetector cardiac computed tomography (MDCT), and cardiac magnetic resonance (CMR).
  • Comparative assessment of imaging modalities' utility.

Main Results:

  • Cardiac magnetic resonance (CMR) shows promise in guiding treatment for pericardial syndromes.
  • Understanding inflammation's role in pericarditis aids in identifying treatment targets.
  • Multimodality imaging offers a comprehensive approach to diagnosis.

Conclusions:

  • Multimodality imaging, particularly CMR, is revolutionizing pericardial disease diagnosis.
  • Advances in understanding pericarditis pathophysiology open avenues for targeted therapies.
  • This review provides practical insights for clinicians managing pericardial conditions.

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