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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Role of Cardiac MRI and CT in Pericarditis and Pericardial Constriction

Kazim Baser1, Nisha Ali1, Yeva Fakikh1

  • 1Cardiovascular Imaging Fellowship Training Program, Houston Methodist, Houston, Texas, USA.

Methodist Debakey Cardiovascular Journal
|March 16, 2026
PubMed

Insights

Advanced cardiac imaging, including cardiac magnetic resonance and computed tomography, is crucial for diagnosing and managing pericardial diseases like pericarditis and constriction. These techniques complement traditional echocardiography, offering essential insights for patient care.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Pericardial diseases encompass a range of conditions, from acute pericarditis to constrictive pericarditis.
  • Echocardiography is the initial diagnostic tool for suspected pericardial disease.
  • Advanced cardiac imaging modalities are increasingly vital for diagnosis and management.

Purpose of the Study:

  • To review the techniques, indications, and recent studies on advanced cardiac imaging in pericarditis and pericardial constriction.
  • To highlight the complementary role of cardiac magnetic resonance and computed tomography in evaluating pericardial diseases.

Main Methods:

  • Review of recent literature and guidelines on advanced cardiac imaging for pericardial diseases.
  • Summary of techniques and indications for cardiac magnetic resonance and computed tomography in pericarditis and constriction.

Main Results:

  • Advanced cardiac imaging (cardiac magnetic resonance, computed tomography) is essential for refining diagnosis and guiding management.
  • Recent guidelines emphasize the role of advanced imaging in pericarditis and pericardial constriction.
  • Echocardiography remains the first-line test but is complemented by advanced techniques.

Conclusions:

  • Advanced cardiac imaging plays a critical role in the comprehensive evaluation of pericardial diseases.
  • Cardiac magnetic resonance and computed tomography offer unique insights beyond echocardiography.
  • Adherence to updated guidelines ensures optimal use of advanced imaging in clinical practice.

Keywords:
cardiac CTcardiac MRIconstrictive pericarditispericarditis

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