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Updated: Dec 25, 2025

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Coronary Magnetic Resonance Angiography: Technical Innovations Leading Us to the Promised Land?
Reza Hajhosseiny1, Aurelien Bustin2, Camila Munoz2
1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom; National Heart and Lung Institute, Imperial College London, London, United Kingdom.
Insights
Coronary magnetic resonance angiography offers a radiation-free alternative for detecting coronary artery stenosis. Advances in motion correction and image acceleration are paving the way for its wider clinical use.
Area of Science:
- Cardiovascular Imaging
- Medical Technology
Background:
- Coronary artery disease is a major cause of death.
- Current methods like X-ray and CT angiography have risks.
- Coronary magnetic resonance angiography (CMRA) is a promising alternative.
Purpose of the Study:
- To review recent technological advancements in CMRA.
- To assess the potential for widespread clinical implementation of CMRA.
Main Methods:
- Review of recent literature on CMRA techniques.
- Focus on innovations in motion correction.
- Exploration of image acceleration and reconstruction technologies.
Main Results:
- CMRA offers excellent soft tissue contrast without radiation or contrast agents.
- Recent technological progress is improving CMRA's feasibility.
- These advances address previous limitations of CMRA.
Conclusions:
- CMRA is a viable, safer alternative for coronary imaging.
- Technological improvements are making CMRA clinically practical.
- Further development will enhance CMRA's role in cardiovascular care.
Abstract:
Coronary artery disease remains the leading cause of cardiovascular morbidity and mortality. Invasive X-ray angiography and coronary computed tomography angiography are established gold standards for coronary luminography. However, they expose patients to invasive complications, ionizing radiation, and iodinated contrast agents. Among a number of imaging modalities, coronary cardiovascular magnetic resonance (CMR) angiography may be used in some cases as an alternative for the detection and monitoring of coronary arterial stenosis, with advantages including its versatility, excellent soft tissue characterization, and avoidance of ionizing radiation and iodinated contrast agents. In this review, we explore the recent advances in motion correction, image acceleration, and reconstruction technologies that are bringing coronary CMR angiography closer to widespread clinical implementation.
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