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Review
. 2023 Jan;28(1):77-95.
doi: 10.1007/s10741-022-10235-9. Epub 2022 May 10.

Clinical application of CMR in cardiomyopathies: evolving concepts and techniques : A position paper of myocardial and pericardial diseases and cardiac magnetic resonance working groups of Italian society of cardiology

Marco Merlo  1 , Giulia Gagno  2 , Anna Baritussio  3 , Barbara Bauce  3 , Elena Biagini  4 , Marco Canepa  5   6 , Alberto Cipriani  3 , Silvia Castelletti  7 , Santo Dellegrottaglie  8 , Andrea Igoren Guaricci  9 , Massimo Imazio  10 , Giuseppe Limongelli  11 , Maria Beatrice Musumeci  12 , Vanda Parisi  4 , Silvia Pica  13 , Gianluca Pontone  14 , Giancarlo Todiere  15 , Camilla Torlasco  7 , Cristina Basso  3 , Gianfranco Sinagra  2 , Pasquale Perrone Filardi  16 , Ciro Indolfi  17 , Camillo Autore  12 , Andrea Barison  15
Affiliations
Review

Clinical application of CMR in cardiomyopathies: evolving concepts and techniques : A position paper of myocardial and pericardial diseases and cardiac magnetic resonance working groups of Italian society of cardiology

Marco Merlo et al. Heart Fail Rev. 2023 Jan.

Abstract

Cardiac magnetic resonance (CMR) has become an essential tool for the evaluation of patients affected or at risk of developing cardiomyopathies (CMPs). In fact, CMR not only provides precise data on cardiac volumes, wall thickness, mass and systolic function but it also a non-invasive characterization of myocardial tissue, thus helping the early diagnosis and the precise phenotyping of the different CMPs, which is essential for early and individualized treatment of patients. Furthermore, several CMR characteristics, such as the presence of extensive LGE or abnormal mapping values, are emerging as prognostic markers, therefore helping to define patients' risk. Lastly new experimental CMR techniques are under investigation and might contribute to widen our knowledge in the field of CMPs. In this perspective, CMR appears an essential tool to be systematically applied in the diagnostic and prognostic work-up of CMPs in clinical practice. This review provides a deep overview of clinical applicability of standard and emerging CMR techniques in the management of CMPs.

Keywords: Cardiac magnetic resonance; Cardiomyopathies; Diagnosis; Prognosis.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Main standard and emerging CMR techniques and their main application in the diagnostic and prognostic work up of several cardiomyopathies. Legend: “ + + ” very useful, “ + ” useful, ± “not so useful”, “- “ not useful
Fig. 2
Fig. 2
Useful of standard and emerging CMR techniques in the natural history of inflammatory cardiomyopathy. Legend: “RV” right ventricle, “LV” left ventricle
See this image and copyright information in PMC

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