Cardiac MRI Essentials
CMR indications
CMR offers several advantages over other cardiac
imaging modalities:
CMR faces no restrictions with choice of
imaging planes, or limitations from body habitus
CMR can assess many different aspects of
cardiac structure and function, all in a single
imaging study
CMR offers high spatial and temporal resolution
Unlike
nuclear
imaging
or
cardiac
CT,
CMR
does
not
use
ionizing
radiation
or
radioactive
isotopes
What CMR can do
Assess ventricular size, morphology, and function
Assess myocardial mass
Assess atrial size and structure
Assess valve morphology
Assess flow:
o
Stenotic lesions
Regurgitant lesions
Shunts
Assess myocardial infarction
Assess myocardial perfusion
Assess myocardial infiltration and fibrosis
Perform tissue characterization
Perform angiography
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What about the limitations of CMR?
Claustrophobia
Magnetic
fields
and
implanted
devices
Gadolinium
contrast
agents,
renal
impairment,
and
the
risk
of
nephrogenic
systemic
fibrosis
Further reading
ACCF/ACR/AHA/NASCI/SCMR 2010 Expert consensus document on cardiovascular
magnetic resonance. Journal of the American College of Cardiology 2010; 55: 2614-2662
[click here to access online]
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