Advanced CMR Techniques in Anderson-Fabry Disease: State of the Art

Andrea Ponsiglione1, Marco De Giorgi1, Raffaele Ascione2

  • 1Department of Advanced Biomedical Sciences, University of Naples Federico II, 80131 Naples, Italy.

PubMed

Insights

Anderson-Fabry disease (AFD) is a rare genetic disorder affecting the heart. Advanced cardiac magnetic resonance (CMR) techniques offer new ways to diagnose and predict cardiac complications in AFD patients.

Area of Science:

  • Cardiology
  • Genetics
  • Medical Imaging

Background:

  • Anderson-Fabry disease (AFD) is a rare, X-linked lysosomal storage disorder.
  • It results from deficient α-galactosidase A enzyme activity.
  • Cardiac involvement, including hypertrophy and fibrosis, leads to arrhythmias, valvular issues, and coronary artery disease.

Purpose of the Study:

  • To review the role of advanced cardiac magnetic resonance (CMR) techniques.
  • To explore their utility as diagnostic and prognostic biomarkers in AFD.
  • To highlight CMR's comprehensive assessment capabilities for cardiac involvement.

Main Methods:

  • Review of current literature on advanced CMR techniques in AFD.
  • Focus on myocardial strain, T1/T2 mapping, perfusion, and hybrid imaging.
  • Assessment of CMR's ability to evaluate cardiac anatomy, function, and tissue characteristics.

Main Results:

  • Advanced CMR techniques provide detailed insights into cardiac pathology in AFD.
  • Myocardial strain, T1/T2 mapping, and perfusion imaging show promise as biomarkers.
  • CMR enables comprehensive, noninvasive assessment of cardiac structure and function.

Conclusions:

  • Advanced CMR techniques are crucial for diagnosing and monitoring cardiac involvement in AFD.
  • These methods offer significant potential as diagnostic and prognostic tools.
  • CMR is the leading noninvasive imaging modality for comprehensive cardiac assessment in AFD.

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