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Updated: Aug 22, 2025

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Stress perfusion cardiovascular magnetic resonance imaging: a guide for the general cardiologist

Christian Hamilton-Craig1,2, Martin Ugander3,4, John P Greenwood5,6

  • 1Faculty of Medicine and Centre for Advanced Imaging, The University of Queensland, Brisbane, Queensland, Australia c.hamiltoncraig@uq.edu.au.

Heart (British Cardiac Society)
|November 13, 2022
PubMed

Insights

Stress cardiovascular magnetic resonance (CMR) is a valuable non-invasive tool for diagnosing ischaemic heart disease (IHD). Despite its proven utility and cost-effectiveness, this imaging technology remains underutilised globally.

Area of Science:

  • Cardiovascular Imaging
  • Non-invasive Cardiac Diagnostics

Background:

  • Stress cardiovascular magnetic resonance (CMR) is an emerging non-invasive imaging technique.
  • It assesses myocardial perfusion, wall motion, and cardiac dimensions without ionizing radiation.

Purpose of the Study:

  • To highlight the diagnostic and prognostic utility of stress CMR for ischaemic heart disease (IHD).
  • To emphasize its role in guiding revascularization decisions and its cost-effectiveness.
  • To discuss barriers to its uptake and emerging technological advancements.

Main Methods:

  • Utilizes cardiovascular magnetic resonance (CMR) imaging during stress.
  • Incorporates assessment of myocardial perfusion, wall motion, and late gadolinium enhancement (LGE).

Main Results:

  • Multicentre studies demonstrate high diagnostic and prognostic utility for IHD.
  • Stress CMR is effective in guiding invasive angiography and revascularization.
  • It is a cost-effective tool across various healthcare settings.

Conclusions:

  • Stress CMR is a powerful, underutilised technology for assessing suspected IHD.
  • Advancements in automation and AI are increasing its accessibility and standardization.
  • The technique is ready for widespread clinical adoption in IHD assessment.

Keywords:
coronary artery diseasediagnostic imagingmagnetic resonance angiography

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