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Updated: Dec 16, 2025

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Contemporary Cardiac MRI in Chronic Coronary Artery Disease
Michalis Kolentinis1, Melanie Le1, Eike Nagel1
1Institute of Experimental and Translational Cardiovascular Imaging, German Centre for Cardiovascular Research (DZHK) Centre for Cardiovascular Imaging, Partner Site Rhein-Main, University Hospital Frankfurt Frankfurt, Germany.
Insights
Chronic coronary artery disease diagnosis can be improved with advanced imaging. Cardiovascular magnetic resonance (CMR) offers detailed insights into heart structure, function, and tissue, aiding optimal clinical decisions and treatment strategies.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Chronic coronary artery disease is a growing global health issue.
- Current diagnostic methods like echocardiography and coronary catheterisation have limitations for stable angina.
- There's a gap in implementing advanced diagnostic and therapeutic strategies.
Purpose of the Study:
- To review the state-of-the-art applications of cardiovascular magnetic resonance (CMR) in chronic coronary artery disease.
- To provide evidence supporting CMR's use for optimal clinical decision-making.
- To guide clinicians in utilizing CMR effectively in daily practice.
Main Methods:
- Review of evidence supporting cardiovascular magnetic resonance applications.
- Focus on CMR's capabilities in assessing cardiac structure, function, perfusion, and scar.
- Highlighting CMR's role in providing detailed myocardial tissue insights.
Main Results:
- Cardiovascular magnetic resonance provides robust measurements of cardiac structure and function.
- CMR enables detailed assessment of myocardial perfusion and scar.
- The diagnostic readouts from CMR can guide therapy and monitor disease progression.
Conclusions:
- Cardiovascular magnetic resonance is a powerful diagnostic tool for chronic coronary artery disease.
- CMR facilitates accurate diagnosis, therapy guidance, and treatment tailoring.
- Clinicians can optimize patient care by integrating CMR into everyday practice.
Abstract:
Chronic coronary artery disease remains an unconquered clinical problem, affecting an increasing number of people worldwide. Despite the improved understanding of the disease development, the implementation of the many advances in diagnosis and therapy is lacking. Many clinicians continue to rely on patient's symptoms and diagnostic methods, which do not enable optimal clinical decisions. For example, echocardiography and invasive coronary catheterisation remain the mainstay investigations for stable angina patients in many places, despite the evidence on their limitations and availability of better diagnostic options. Cardiac MRI is a powerful diagnostic method, supporting robust measurements of crucial markers of cardiac structure and function, myocardial perfusion and scar, as well as providing detailed insight into myocardial tissue. Accurate and informative diagnostic readouts can help with guiding therapy, monitoring disease progress and tailoring the response to treatment. In this article, the authors outline the evidence supporting the state-of-art applications based on cardiovascular magnetic resonance, allowing the clinician optimal use of this insightful diagnostic method in everyday clinical practice.
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