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Differential diagnosis of thickened myocardium: an illustrative MRI review

Cristina Méndez1, Rafaela Soler1, Esther Rodríguez2

  • 1Radiology Department, Complexo Hospitalario Universitario A Coruña, Instituto de Investigación Biomédica de A Coruña (INIBIC), Servizo Galego de Saúde (SERGAS), Universidade da Coruña, Xubias de Arriba 86, 15006, A Coruña, Spain.

Insights Into Imaging
|October 11, 2018
PubMed

Insights

Cardiac MRI is crucial for distinguishing hypertrophic cardiomyopathy (HCM) from other causes of myocardial thickening. Its advanced tissue characterization helps identify the correct cause for effective patient management.

Area of Science:

  • Cardiology
  • Radiology
  • Medical Imaging

Background:

  • Myocardial thickening can stem from various conditions, some mimicking hypertrophic cardiomyopathy (HCM).
  • Accurate differentiation is vital for appropriate clinical management and treatment strategies.

Purpose of the Study:

  • To outline key cardiac magnetic resonance imaging (MRI) findings.
  • To differentiate between hypertrophic cardiomyopathy (HCM) phenotypes and other causes of myocardial thickening.

Main Methods:

  • Utilizing cardiac magnetic resonance imaging (MRI).
  • Focusing on tissue characterization capabilities of MRI.
  • Analyzing specific imaging features indicative of different myocardial pathologies.

Main Results:

  • Cardiac MRI offers unique tissue characterization to identify myocardial thickening causes.
  • Specific MRI features can distinguish HCM phenotypes from mimics.
  • Differential diagnosis of myocardial thickening is essential for patient care.

Conclusions:

  • Various conditions can present as myocardial thickening, mimicking HCM.
  • Cardiac MRI is indispensable for differentiating the etiology of myocardial thickening from HCM.
  • Accurate diagnosis using cardiac MRI ensures appropriate patient management.
Abstract

Keywords:
Cardiac magnetic resonanceCardiomyopathiesHypertrophic cardiomyopathyMyocardial hypertrophyMyocardial thickening

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