Stress Perfusion Cardiac Magnetic Resonance Imaging With a 3.0-Tesla Scanner for Myocardial Viability in a Patient...

Area of Science:

• Cardiovascular Imaging
• Medical Device Safety
• Magnetic Resonance Imaging

Background:

• Cardiac magnetic resonance (CMR) imaging offers high-resolution diagnostic and prognostic data.
• Noncardiac MRI at 1.5T and 3T is established as safe and effective for patients with cardiac implantable electronic devices (CIEDs).
• Stress perfusion (SP)-CMR safety and efficacy are documented at 1.5T for patients with CIEDs, but not at 3T.

Observation:

• A case report details a patient with a CIED undergoing SP-CMR imaging.
• The imaging procedure was performed using a 3T scanner.
• The patient had a history of a cardiac implantable electronic device.

Findings:

• The patient successfully and safely completed the 3T SP-CMR scan.
• This represents the first reported instance of SP-CMR at 3T in a patient with a CIED.
• No adverse events were noted during or after the procedure.

Implications:

• This case suggests that 3T SP-CMR may be a safe and viable option for selected patients with CIEDs.
• It potentially broadens the application of advanced cardiac imaging techniques in this patient population.
• Further research is warranted to confirm the safety and efficacy across a larger cohort.