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Cardiac MRI: Principle and Imaging
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Cardiovascular magnetic resonance: Stressing the future.

Ioannis Merinopoulos1, Tharusha Gunawardena1, Simon C Eccleshall2

  • 1Norwich Medical School, University of East Anglia, Norfolk and Norwich University Hospital, Norwich NR4 7UY, United Kingdom.

World Journal of Cardiology
|September 17, 2019
PubMed
Summary

Non-invasive cardiac stress imaging is crucial for assessing coronary artery disease. Standardizing the reporting of myocardial ischaemic burden is needed for better patient prognosis and treatment decisions.

Keywords:
Cardiac stressCoronary artery diseaseMagnetic resonance imagingMyocardial ischaemic burdenNon-invasive imaging

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Area of Science:

  • Cardiology
  • Medical Imaging
  • Diagnostic Techniques

Background:

  • Non-invasive cardiac stress imaging is vital for evaluating coronary artery disease (CAD).
  • Current guidelines recommend assessing myocardial ischaemic burden for prognostic revascularisation decisions.
  • Standardized reporting of ischaemia magnitude across imaging modalities is lacking.

Discussion:

  • The magnitude of myocardial ischaemia is a key prognostic factor in CAD.
  • Variability in reporting ischaemia hinders consistent clinical decision-making.
  • Cardiovascular magnetic resonance imaging offers a potential standardized approach.

Key Insights:

  • Accurate assessment of myocardial ischaemic burden is essential for patient management.
  • Lack of standardized reporting limits the prognostic utility of current imaging methods.
  • Cardiovascular magnetic resonance imaging (CMR) shows promise for standardized ischaemia assessment.

Outlook:

  • Future research should focus on standardizing myocardial ischaemic burden reporting.
  • Establishing a clear relationship between CMR-assessed ischaemia and mortality is a critical next step.
  • Improved standardization will enhance prognostic accuracy and guide revascularisation strategies.