Stress perfusion cardiovascular magnetic resonance imaging: a guide for the general cardiologist.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 9602087 Publication Model: Electronic Cited Medium: Internet ISSN: 1468-201X (Electronic) Linking ISSN: 13556037 NLM ISO Abbreviation: Heart Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BMJ Pub. Group, c1996-
    • Subject Terms:
      Cardiologists* ; Coronary Artery Disease*/diagnosis ; Myocardial Ischemia*/diagnosis ; Myocardial Perfusion Imaging*/methods; Humans ; Contrast Media ; Artificial Intelligence ; Coronary Circulation ; Magnetic Resonance Imaging, Cine/methods ; Gadolinium ; Magnetic Resonance Imaging ; Magnetic Resonance Spectroscopy ; Perfusion ; Predictive Value of Tests
    • Abstract:
      Stress cardiovascular magnetic resonance (CMR) is an emerging non-invasive imaging technique for the assessment of known or suspected ischaemic heart disease (IHD). Stress CMR provides information on myocardial perfusion, wall motion, ventricular dimensions and volumes, as well as late gadolinium enhancement (LGE) scar imaging in a single test without ionising radiation. Data from numerous multicentre randomised studies show high diagnostic and prognostic utility, its efficacy as a gatekeeper to invasive coronary angiography and use for guiding coronary revascularisation decisions. Stress CMR is cost-effective across multiple healthcare settings, yet its uptake and usage varies worldwide and is an underutilised technology. New developments include rapid acquisition protocols, automated quantification of perfusion and myocardial blood flow, and artificial intelligence-aided automated analysis and reporting. Stress CMR is becoming more accessible and standardised around the globe and is ready for 'prime time' use in the non-invasive assessment of patients with suspected IHD.
      Competing Interests: Competing interests: None declared.
      (© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
    • Contributed Indexing:
      Keywords: coronary artery disease; diagnostic imaging; magnetic resonance angiography
    • Accession Number:
      0 (Contrast Media)
      AU0V1LM3JT (Gadolinium)
    • Publication Date:
      Date Created: 20221113 Date Completed: 20230227 Latest Revision: 20230309
    • Publication Date:
      20240829
    • Accession Number:
      10.1136/heartjnl-2022-321630
    • Accession Number:
      36371659