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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Qualitative and Quantitative Stress Perfusion Cardiac Magnetic Resonance in Clinical Practice: A Comprehensive Review

Wenli Zhou1, Jason Sin2, Andrew T Yan3

  • 1Department of Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, No. 600, Yishan Road, Shanghai 200233, China.

Diagnostics (Basel, Switzerland)
|February 11, 2023
PubMed

Insights

Stress cardiovascular magnetic resonance (CMR) imaging offers a superior, cost-effective, non-invasive method for diagnosing coronary artery disease (CAD) and assessing myocardial ischemia. It provides crucial prognostic data and guides treatment decisions for various cardiovascular diseases (CVDs).

Area of Science:

  • Cardiovascular Imaging
  • Non-invasive Cardiac Diagnostics
  • Medical Imaging Analysis

Background:

  • Stress cardiovascular magnetic resonance (CMR) imaging is a validated, non-invasive stress test for diagnosing coronary artery disease (CAD).
  • It offers higher diagnostic accuracy compared to other functional imaging modalities.
  • CMR provides a comprehensive assessment of myocardial ischemia, cardiac function, and viability, proving cost-effective for CAD evaluation.

Purpose of the Study:

  • To review the clinical applications of stress CMR.
  • To detail stress CMR scanning methods and image interpretation.
  • To highlight the clinical utility of stress CMR in cardiovascular diseases (CVDs) with potential myocardial ischemia.

Main Methods:

  • Review of existing literature on stress CMR.
  • Analysis of diagnostic performance and prognostic value in CAD and other CVDs.
  • Focus on clinical utility, scanning techniques, and interpretation.

Main Results:

  • Stress CMR is a highly accurate, non-invasive tool for diagnosing significant CAD.
  • It provides prognostic information and guides coronary revascularization decisions.
  • CMR demonstrates significant diagnostic performance in conditions like coronary microvascular dysfunction (CMD).

Conclusions:

  • Stress CMR is a versatile and cost-effective tool for comprehensive cardiovascular assessment.
  • Its applications extend beyond CAD diagnosis to prognosis and treatment guidance in various CVDs.
  • The review emphasizes the practical interpretation and clinical utility of stress CMR in managing patients with potential myocardial ischemia.

Keywords:
cardiac magnetic resonance imagingcoronary artery diseasecoronary microvascular dysfunctionmyocardial ischemiastress imaging

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