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Cutting edge clinical applications in cardiovascular magnetic resonance
Today, the use of cardiovascular magnetic resonance (CMR) is widespread in clinical practice. The increased need to evaluate of subtle myocardial changes, coronary artery anatomy, and hemodynamic assessment has prompted the development of novel CMR techniques including T1 and T2 mapping, non-contras...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241535/ https://www.ncbi.nlm.nih.gov/pubmed/28144400 http://dx.doi.org/10.4329/wjr.v9.i1.1 |
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author | De Cecco, Carlo N Muscogiuri, Giuseppe Varga-Szemes, Akos Schoepf, U Joseph |
author_facet | De Cecco, Carlo N Muscogiuri, Giuseppe Varga-Szemes, Akos Schoepf, U Joseph |
author_sort | De Cecco, Carlo N |
collection | PubMed |
description | Today, the use of cardiovascular magnetic resonance (CMR) is widespread in clinical practice. The increased need to evaluate of subtle myocardial changes, coronary artery anatomy, and hemodynamic assessment has prompted the development of novel CMR techniques including T1 and T2 mapping, non-contrast angiography and four dimensional (4D) flow. T1 mapping is suitable for diagnosing pathologies affecting extracellular volume such as myocarditis, diffuse myocardial fibrosis and amyloidosis, and is a promising diagnostic tool for patients with iron overload and Fabry disease. T2 mapping is useful in depicting acute myocardial edema and estimating the amount of salvageable myocardium following an ischemic event. Novel angiography techniques, such as the self-navigated whole-heart or the quiescent-interval single-shot sequence, enable the visualization of the great vessels and coronary artery anatomy without the use of contrast material. The 4D flow technique overcomes the limitations of standard phase-contrast imaging and allows for the assessment of cardiovascular hemodynamics in the great arteries and flow patterns in the cardiac chambers. In conclusion, the future of CMR is heading toward a more reliable quantitative assessment of the myocardium, an improved non-contrast visualization of the coronary artery anatomy, and a more accurate evaluation of the cardiac hemodynamics. |
format | Online Article Text |
id | pubmed-5241535 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-52415352017-02-01 Cutting edge clinical applications in cardiovascular magnetic resonance De Cecco, Carlo N Muscogiuri, Giuseppe Varga-Szemes, Akos Schoepf, U Joseph World J Radiol Editorial Today, the use of cardiovascular magnetic resonance (CMR) is widespread in clinical practice. The increased need to evaluate of subtle myocardial changes, coronary artery anatomy, and hemodynamic assessment has prompted the development of novel CMR techniques including T1 and T2 mapping, non-contrast angiography and four dimensional (4D) flow. T1 mapping is suitable for diagnosing pathologies affecting extracellular volume such as myocarditis, diffuse myocardial fibrosis and amyloidosis, and is a promising diagnostic tool for patients with iron overload and Fabry disease. T2 mapping is useful in depicting acute myocardial edema and estimating the amount of salvageable myocardium following an ischemic event. Novel angiography techniques, such as the self-navigated whole-heart or the quiescent-interval single-shot sequence, enable the visualization of the great vessels and coronary artery anatomy without the use of contrast material. The 4D flow technique overcomes the limitations of standard phase-contrast imaging and allows for the assessment of cardiovascular hemodynamics in the great arteries and flow patterns in the cardiac chambers. In conclusion, the future of CMR is heading toward a more reliable quantitative assessment of the myocardium, an improved non-contrast visualization of the coronary artery anatomy, and a more accurate evaluation of the cardiac hemodynamics. Baishideng Publishing Group Inc 2017-01-28 2017-01-28 /pmc/articles/PMC5241535/ /pubmed/28144400 http://dx.doi.org/10.4329/wjr.v9.i1.1 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Editorial De Cecco, Carlo N Muscogiuri, Giuseppe Varga-Szemes, Akos Schoepf, U Joseph Cutting edge clinical applications in cardiovascular magnetic resonance |
title | Cutting edge clinical applications in cardiovascular magnetic resonance |
title_full | Cutting edge clinical applications in cardiovascular magnetic resonance |
title_fullStr | Cutting edge clinical applications in cardiovascular magnetic resonance |
title_full_unstemmed | Cutting edge clinical applications in cardiovascular magnetic resonance |
title_short | Cutting edge clinical applications in cardiovascular magnetic resonance |
title_sort | cutting edge clinical applications in cardiovascular magnetic resonance |
topic | Editorial |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241535/ https://www.ncbi.nlm.nih.gov/pubmed/28144400 http://dx.doi.org/10.4329/wjr.v9.i1.1 |
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