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Quantification of Mouse Heart Left Ventricular Function, Myocardial Strain, and Hemodynamic Forces by Cardiovascular Magnetic Resonance Imaging
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Cardiovascular Magnetic Resonance Parametric Mapping Techniques for the Assessment of Chronic Coronary Syndromes

Maria Anna Bazmpani1, Chrysovalantou Nikolaidou2, Christos A Papanastasiou1

  • 1Department of First Cardiology, Aristotle University of Thessaloniki School of Medicine, AHEPA University Hospital, 54636 Thessaloniki, Greece.

Journal of Cardiovascular Development and Disease
|December 22, 2022
PubMed

Insights

Cardiac magnetic resonance (CMR) imaging, particularly advanced parametric mapping, offers valuable insights into chronic coronary syndromes. These techniques assess myocardial blood flow and perfusion reserve, aiding diagnosis and prognosis without contrast agents.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Cardiovascular Disease

Background:

  • Chronic coronary syndromes (CCS) present diverse clinical scenarios, from stable angina to microvascular dysfunction.
  • Coronary artery disease (CAD) diagnosis and management rely on accurate patient assessment.
  • Cardiac magnetic resonance (CMR) is a key imaging modality in CAD evaluation.

Purpose of the Study:

  • To review the clinical applications of novel CMR parametric mapping techniques in CCS.
  • To summarize the prognostic value of these advanced CMR methods.
  • To discuss the strengths, limitations, and future potential of CMR in CCS.

Main Methods:

  • Review of recent advances in parametric mapping and quantitative perfusion CMR.
  • Focus on contrast-enhanced and non-contrast CMR techniques.
  • Synthesis of evidence on CMR's role in diagnosing and managing CCS.

Main Results:

  • Parametric mapping CMR enhances CCS assessment, even without gadolinium.
  • Quantitative perfusion CMR non-invasively measures myocardial blood flow and reserve.
  • CMR can reliably identify multivessel CAD and microvascular dysfunction.

Conclusions:

  • Novel CMR parametric mapping techniques offer significant value in CCS assessment.
  • These techniques improve diagnostic accuracy and prognostic stratification for CAD patients.
  • CMR is evolving as a powerful tool for comprehensive CCS evaluation.

Keywords:
chronic coronary syndromesmyocardial blood flowmyocardial perfusion reservequantitative stress CMRstress T1 mapping

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