CMR First-Pass Perfusion for Suspected Inducible Myocardial Ischemia

Affiliations

¹ Cardiovascular Division, University of Miami, Miller School of Medicine, Miami, Florida.
² Departments of Medicine and Radiology, McGill University Health Centre, Montreal, Canada; Department of Medicine, Heidelberg University, Heidelberg, Germany; Department of Radiology, Université de Montreal, Montreal, Canada; Departments of Cardiac Sciences and Radiology, University of Calgary, Calgary, Canada.
³ Charité Campus Buch, ECRC a Joint Institution of Universitätsmedizin Berlin and MDC and HELIOS Klinikum Berlin-Buch, Klinik und Poliklinik für Kardiologie und Nephrologie, Berlin, Germany.
⁴ Institute for Pharmacology and Preventive Medicine, Mahlow, Germany.
⁵ Klinik für Nuklearmedizin, Medizinische Hochschule Hannover, Hannover, Germany.
⁶ Cedars-Sinai Medical Center, West Hollywood, California.
⁷ Vita Salute University and San Raffaele Hospital, Milan, Italy.
⁸ Imaging, and Heart and Vascular Institutes, Cleveland Clinic, Cleveland, Ohio.
⁹ Department of Nuclear Medicine, Bichat Hospital, AP-HP and DHU FIRE, Paris Diderot University, INSERM U1148, Paris, France.
¹⁰ Duke Cardiovascular Magnetic Resonance Center at Duke University Medical Center, Durham, North Carolina.
¹¹ Multimodality Cardiac Imaging Section, IRCCS Policlinico San Donato, Milan, Italy.
¹² Houston Methodist Hospital, Houston, Texas.
¹³ Abteilung für Kardiologie, Robert-Bosch-Krankenhaus Stuttgart, Stuttgart, Germany.
¹⁴ Institute for Experimental and Translational Cardiovascular Imaging, University Hospital Frankfurt/Main, DZHK Centre for Cardiovascular Imaging, Frankfurt, Germany. Electronic address: eike.nagel@cardiac-imaging.org.

PMID: 27832901
DOI: 10.1016/j.jcmg.2016.09.010

Free article

Review

CMR First-Pass Perfusion for Suspected Inducible Myocardial Ischemia

Robert C Hendel et al. JACC Cardiovasc Imaging. 2016 Nov.

Free article

. 2016 Nov;9(11):1338-1348.

doi: 10.1016/j.jcmg.2016.09.010.

Authors

Affiliations

¹ Cardiovascular Division, University of Miami, Miller School of Medicine, Miami, Florida.
² Departments of Medicine and Radiology, McGill University Health Centre, Montreal, Canada; Department of Medicine, Heidelberg University, Heidelberg, Germany; Department of Radiology, Université de Montreal, Montreal, Canada; Departments of Cardiac Sciences and Radiology, University of Calgary, Calgary, Canada.
³ Charité Campus Buch, ECRC a Joint Institution of Universitätsmedizin Berlin and MDC and HELIOS Klinikum Berlin-Buch, Klinik und Poliklinik für Kardiologie und Nephrologie, Berlin, Germany.
⁴ Institute for Pharmacology and Preventive Medicine, Mahlow, Germany.
⁵ Klinik für Nuklearmedizin, Medizinische Hochschule Hannover, Hannover, Germany.
⁶ Cedars-Sinai Medical Center, West Hollywood, California.
⁷ Vita Salute University and San Raffaele Hospital, Milan, Italy.
⁸ Imaging, and Heart and Vascular Institutes, Cleveland Clinic, Cleveland, Ohio.
⁹ Department of Nuclear Medicine, Bichat Hospital, AP-HP and DHU FIRE, Paris Diderot University, INSERM U1148, Paris, France.
¹⁰ Duke Cardiovascular Magnetic Resonance Center at Duke University Medical Center, Durham, North Carolina.
¹¹ Multimodality Cardiac Imaging Section, IRCCS Policlinico San Donato, Milan, Italy.
¹² Houston Methodist Hospital, Houston, Texas.
¹³ Abteilung für Kardiologie, Robert-Bosch-Krankenhaus Stuttgart, Stuttgart, Germany.
¹⁴ Institute for Experimental and Translational Cardiovascular Imaging, University Hospital Frankfurt/Main, DZHK Centre for Cardiovascular Imaging, Frankfurt, Germany. Electronic address: eike.nagel@cardiac-imaging.org.

PMID: 27832901
DOI: 10.1016/j.jcmg.2016.09.010

Abstract

Cardiovascular magnetic resonance (CMR) has evolved from a pioneering research tool to an established noninvasive imaging method for detecting inducible myocardial perfusion deficits. In this consensus document, experts of different imaging techniques summarize the existing body of evidence regarding CMR perfusion as a viable complement to other established noninvasive tools for the assessment of perfusion and discuss the advantages and pitfalls of the technique. A rapid, standardized CMR perfusion protocol is described, which is safe, clinically feasible, and cost-effective for centers with contemporary magnetic resonance equipment. CMR perfusion can be recommended as a routine diagnostic tool to identify inducible myocardial ischemia.

Keywords: cardiac MRI; diagnosis; ischemic heart disease.

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CMR First-Pass Perfusion for Suspected Inducible Myocardial Ischemia

Affiliations

CMR First-Pass Perfusion for Suspected Inducible Myocardial Ischemia

Authors

Affiliations

Abstract

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LinkOut - more resources

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Medical